Petersson Birgit H, Agergaard Marianne, Risør Torsten
Københavns Universitet, Institut for Folkesundhedsvidenskab, Afdelingen for Medicinsk Kvinde- og Kønsforskning.
Ugeskr Laeger. 2006 May 1;168(18):1756-9.
The goal of this study was to illuminate how a group of newly graduated medical doctors experienced their knowledge and resources in their work shortly after they had graduated.
We performed a prospective study of the students who started medical school in 1992. 252 students (79%) answered questionnaire 1, which was sent to them at the beginning of medical school in 1992. Questionnaire 4 was sent to the students at their graduation in 2002, and 57% answered. 80% (n = 143) of those who had graduated answered questionnaire 4. 111 of those who had graduated had been practising medicine for more than 1 year and were included in the study.
72% of the medical doctors stated that the theoretical part of medical school had given them a solid foundation for clinical work but too little direction toward clinical work. They did not feel that they had developed a good foundation for collaborating with other professionals, did not have good role models or had not received good enough support for personal development. Only 55% felt that it was easy to talk about professional issues. At the start of medical school, many of the students reported having had psychological problems; this percentage fell during the course of medical school but was again high at graduation. 60% of the medical doctors stated that the clinical work had strengthened their self-esteem, but 41% felt that the clinical work had caused them personal problems. The study showed that conditions in the students' private life as well as at the university were important to the results. Women doctors had the most serious problems.
The medical doctors did not feel that they were well enough equipped for their clinical work. The study points out that it is important to make clinical education better and to give more personal support to the students during their time in medical school. Furthermore, focus is directed at the pattern of the gender roles, where women in particular are having problems.
本研究的目的是阐明一群刚毕业的医生在毕业后不久的工作中如何体验他们的知识和资源。
我们对1992年开始医学院学习的学生进行了一项前瞻性研究。252名学生(79%)回答了问卷1,问卷1于1992年医学院开学初发给他们。问卷4于2002年学生毕业时发给他们,57%的学生回答了问卷。80%(n = 143)的毕业生回答了问卷4。其中111名毕业生已行医超过1年并被纳入研究。
72%的医生表示医学院的理论部分为他们的临床工作奠定了坚实基础,但对临床工作的指导太少。他们觉得自己没有为与其他专业人员合作打下良好基础,没有好的榜样,也没有得到足够的个人发展支持。只有55%的人觉得谈论专业问题很容易。在医学院开学时,许多学生报告有心理问题;这一比例在医学院学习期间下降,但在毕业时又很高。60%的医生表示临床工作增强了他们的自尊心,但41%的人觉得临床工作给他们带来了个人问题。研究表明,学生的私人生活以及大学的条件对结果很重要。女医生面临的问题最严重。
医生们觉得他们在临床工作方面准备不足。该研究指出,改善临床教育并在医学院学习期间给予学生更多个人支持很重要。此外,重点关注性别角色模式,尤其是女性存在问题的方面。