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教还是不教?私人全科医生教学的成本效益分析。

To teach or not to teach? A cost-benefit analysis of teaching in private general practice.

机构信息

Adelaide to Outback GP Training Program, Adelaide, SA, Australia.

出版信息

Med J Aust. 2010 Nov 15;193(10):608-13. doi: 10.5694/j.1326-5377.2010.tb04072.x.

DOI:10.5694/j.1326-5377.2010.tb04072.x
PMID:21077819
Abstract

OBJECTIVE

To identify the financial costs and benefits associated with teaching in private general practice.

DESIGN

Cost-benefit analysis of teaching in private general practice across three levels of training--undergraduate medical training, prevocational training and general practice vocational training--using data from a 2007 survey of general practitioners in South Australia.

SETTING AND PARTICIPANTS

GPs and practices teaching in association with the Adelaide to Outback GP Training Program or the Discipline of General Practice at the University of Adelaide.

MAIN OUTCOME MEASURE

Net financial outcome per week.

RESULTS

The net financial outcome of teaching varied across the training levels. Practices incurred a net financial cost from teaching medical students that was statistically significantly different from zero. With respect to vocational training and teaching junior doctors, there were small net financial benefits to practices, although the mean estimates were not statistically significantly different from zero.

CONCLUSIONS

This study shows a net financial cost for practices teaching medical students, while at the prevocational and vocational training levels, adequate levels of subsidies and income generated by the trainees help offset the costs of teaching. Our results suggest that a review of subsidies for undergraduate teaching is necessary, particularly as the demand for teaching practices will increase substantially over the next 5 years.

摘要

目的

确定与私人全科医学教学相关的财务成本和收益。

设计

对南澳大利亚州的全科医生进行的 2007 年调查数据进行了私人全科医学教学的成本效益分析,涉及三个培训层次——本科医学培训、职业前培训和全科医学职业培训。

地点和参与者

阿德莱德内陆 GP 培训计划或阿德莱德大学全科医学系相关的教学全科医生和诊所。

主要观察指标

每周的净财务结果。

结果

教学的净财务结果因培训水平而异。实践教学给学生带来了净财务成本,这与零有统计学显著差异。对于职业培训和教学初级医生,实践教学有少量的净财务收益,但平均估计值与零无统计学显著差异。

结论

本研究表明,实践教学医学生的净财务成本,而在职业前和职业培训水平上,受训人员的足够补贴和收入水平有助于抵消教学成本。我们的研究结果表明,需要对本科教学的补贴进行审查,特别是因为未来 5 年内对教学实践的需求将大幅增加。

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