Isler Ruedi, Romerio Silvana, Halter Ursina, Heiniger Simon, Persike Malte, Röers Bodo, Martina Benedict, Tschudi Peter, Bally Klaus
Institute of Primary Care, University of Basel, Basel, Switzerland.
Swiss Med Wkly. 2009 Mar 21;139(11-12):161-5. doi: 10.4414/smw.2009.12438.
To improve teaching in practical and communicative skills and knowledge in day-to-day medical practice, in 1997 we introduced one-on-one tutorials in general practitioners' offices as a mandatory part of medical students' academic education. Students participate actively half a day per week in their 3rd and 4th academic years (out of 6) in the office or clinic of a trained personal tutor. We recruited 270 general practitioners in town or from surrounding rural areas for this purpose. 85% of students choose general practitioners as their tutors and 15 % tutors in hospitals. To test whether the tutorials' aims were achieved, in 2005 we performed a detailed questionnaire evaluation after seven years' experience of one-on-one tutorials. All 236 students involved were asked to participate. The response rate was almost complete (98%). 233 anonymous questionnaires were analysed. Students reported improvement in knowledge, social and communicative skills and personal motivation. The overall rating of the one-on-one tutorials obtained 5.3 on a 6 point scale and achieved the top ranking among all university medical faculty classes. In-practice long-term one-on-one medical student-general practitioner tutorials can be recommended for implementation.
为了提高日常医疗实践中的实践技能、沟通技巧和知识教学水平，1997年我们在全科医生办公室引入了一对一辅导课程，作为医学生学术教育的必修部分。在6年的学业中，学生在第三和第四学年每周有半天时间在经过培训的个人导师的办公室或诊所积极参与辅导。为此，我们从城镇或周边农村地区招募了270名全科医生。85%的学生选择全科医生作为他们的导师，15%的学生选择医院的医生作为导师。为了检验辅导课程的目标是否实现，在2005年，在经历了7年的一对一辅导课程后，我们进行了详细的问卷调查评估。所有236名参与的学生都被要求参加。回复率几乎是100%（98%）。对233份匿名问卷进行了分析。学生们报告说，他们在知识、社交和沟通技巧以及个人动力方面都有了提高。一对一辅导课程的总体评分在6分制中获得了5.3分，在所有大学医学院课程中排名第一。建议实施长期的医学生-全科医生一对一实践辅导课程。
