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瑞士医学院补充医学课程:现状和学生体验。

Complementary medicine courses in Swiss medical schools: actual status and students' experience.

机构信息

Institute of Complementary Medicine KIKOM, Faculty of Medicine, Universtiy of Bern, Bern, Switzerland.

出版信息

Swiss Med Wkly. 2010 Jan 23;140(3-4):44-51. doi: 10.4414/smw.2010.12760.

Abstract

BACKGROUND

In line with growing public popularity of complementary and alternative medicine (CAM), courses in CAM have been implemented in Medical Schools internationally, but as yet in an uncoordinated and heterogeneous way. In Switzerland, comprehensive data about CAM education at Medical Faculties are lacking.

OBJECTIVES

To survey courses at Swiss Medical Schools, document medical students' attitude toward and knowledge of CAM and their experience of CAM courses at medical schools. The aim was to determine the relationship between the presence/absence of CAM courses at each medical school and students' attitude toward, knowledge of, and motivation to learn about CAM.

METHODS

Data about current courses in CAM were collected from the websites of the five Swiss Medical Schools and from an online questionnaire addressed to the CAM teachers (n = 13). All Swiss senior medical students (n = 640) were surveyed by an anonymous online questionnaire.

RESULTS

There are two chairs for CAM in Bern and Zürich, CAM familiarisation courses are provided by external teachers in Basel and Lausanne, and there was no CAM education in Geneva. 38.3% of the senior medical students replied to the survey. 80.0% of the students who visited CAM courses stated that they have improved their knowledge of CAM. There was no relationship between the presence of CAM education and a significant elevation of the self-assessed knowledge of CAM of the students. CAM education has no significant influence on students' opinions about CAM, nor does it significantly motivate them to deepen their study of CAM. Form, frequency and content of CAM courses are similarly as heterogeneous as in other countries.

CONCLUSIONS

There is no coordination or standard for CAM courses in Swiss Medical Schools. Our results suggest an overall positive attitude toward and positive personal experiences with CAM of Swiss medical students', but a relationship between the absence or presence of CAM courses and students attitudes and knowledge could not be found. A coordinated policy towards the integration of CAM in medical curricula is strongly recommended.

摘要

背景

随着补充和替代医学(CAM)越来越受到公众的欢迎,国际上的医学院校已经开设了 CAM 课程,但目前的情况是缺乏协调和多样性。在瑞士,缺乏关于医学院校 CAM 教育的综合数据。

目的

调查瑞士医学院校的课程,记录医学生对 CAM 的态度和知识,以及他们在医学院校接受 CAM 课程的经验。目的是确定每所医学院校是否开设 CAM 课程与学生对 CAM 的态度、知识和学习动机之间的关系。

方法

从瑞士五所医学院校的网站和一份针对 CAM 教师的在线问卷(n=13)中收集有关 CAM 课程的最新数据。通过匿名在线问卷对所有瑞士高年级医学生(n=640)进行调查。

结果

伯尔尼和苏黎世有两个 CAM 教席,巴塞尔和洛桑有 CAM 熟悉课程由外部教师提供,日内瓦没有 CAM 教育。38.3%的高年级医学生回答了调查。80.0%参加过 CAM 课程的学生表示,他们提高了对 CAM 的了解。CAM 教育的存在与学生自我评估的 CAM 知识显著提高之间没有关系。CAM 教育对学生对 CAM 的看法没有显著影响,也没有显著激发他们深入学习 CAM 的动机。CAM 课程的形式、频率和内容与其他国家一样具有多样性。

结论

瑞士医学院校的 CAM 课程没有协调或标准。我们的结果表明,瑞士医学生对 CAM 总体持积极态度,并对 CAM 有积极的个人体验,但没有发现 CAM 课程的存在与否与学生的态度和知识之间的关系。强烈建议制定一项协调一致的政策,将 CAM 纳入医学课程。

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