Pratinidhi A K, Joshi J K, Bawikar S P, Javadekar S J
Rural Health Training Centre, Sirur, Maharashtra, India.
Med Educ. 1992 Sep;26(5):368-71. doi: 10.1111/j.1365-2923.1992.tb00188.x.
Supervision of medical interns posted to various primary health centres and rural health training centres by specialists in preventive and social medicine and other clinical disciplines is becoming less and less effective for a number of unavoidable reasons. Because of lack of proper and timely guidance, interns feel that during the 6-month rural internship they do not get enough experience of rural life. In order to provide them with learning experiences in community medicine and orient them in the social dynamics of the community, a new approach involving interns in small community-based projects, probably for the first time, was tried on a pilot basis at the Rural Health Training Centre (RHTC), Sirur, a field practice area of B.J. Medical College, Pune, Maharashtra, India. Interns working at RHTC Sirur completed these community-based projects successfully. Identification of problems, study design analysis and drawing conclusions, based on observation, were all undertaken by the interns under the guidance of the staff of the Department of Preventive and Social Medicine, B.J. Medical College. The opinion poll at the end of the rural internship revealed that 76% of interns considered this experience valuable for improving their knowledge and skills, and 56% though that interaction during these projects was beneficial to the community as well. This experience with community-based projects for interns during their rural posting provides them with an opportunity for interaction with the community.
由于一些不可避免的原因，由预防医学和社会医学专家以及其他临床学科专家对派驻到各个初级卫生中心和农村卫生培训中心的医学实习生进行监督的效果越来越差。由于缺乏适当和及时的指导，实习生们觉得在为期6个月的农村实习期间，他们没有获得足够的农村生活体验。为了让他们获得社区医学方面的学习经验，并使他们熟悉社区的社会动态，印度马哈拉施特拉邦浦那市B.J.医学院的实地实习区锡鲁尔农村卫生培训中心（RHTC）首次尝试了一种新方法，即让实习生参与小型社区项目。在锡鲁尔农村卫生培训中心工作的实习生成功完成了这些社区项目。实习生们在B.J.医学院预防医学和社会医学系工作人员的指导下，基于观察进行问题识别、研究设计分析并得出结论。农村实习结束时的民意调查显示，76%的实习生认为这段经历对提高他们的知识和技能很有价值，56%的实习生认为在这些项目中的互动对社区也有益。实习生在农村实习期间参与社区项目的这段经历为他们提供了与社区互动的机会。
