Department of Medical Education and Skills Laboratory, Faculty of Medicine, Gadjah Mada University, Indonesia.
Med Teach. 2011;33(11):928-32. doi: 10.3109/0142159X.2011.558141. Epub 2011 May 19.
Primary health care (PHC), secondary health care (SHC), and tertiary health care (THC) were compared in search of the most suitable setting for clinical skills training of pre-clinical students.
The Dundee Ready Educational Environment Measure questionnaire was presented to 300 clerkship students of the Faculty of Medicine at Gadjah Mada University, Indonesia who were attached to PHC, SHC, and THC settings. Students were asked to assess their current attachment for suitability for training of pre-clinical students. Semi-structured interviews were held with 46 clinical supervisors based on the three types of settings.
Clerkship students preferred PHC centers over SHC and THC hospitals for clinical skills training of pre-clinical students (p < 0.05). PHC staff felt their centers to be well-equipped to train pre-clinical students, including availability of supervisors' time for teaching, adequate physical facilities and equipment, and suitable patient cases.
In the developing country context, PHC centers seemed more appropriate for clinical skills training of pre-clinical students than SHC and THC hospitals. However, the skills laboratory must guard that clinical skills are trained and performed in the same way in that facility, in PHC centers and in teaching hospitals.
比较初级卫生保健（PHC）、二级卫生保健（SHC）和三级卫生保健（THC），以寻找最适合临床前学生临床技能培训的环境。
向印度尼西亚加札马达大学医学院的 300 名实习学生发放了邓迪准备教育环境量表问卷，这些学生分别在 PHC、SHC 和 THC 环境中实习。学生们被要求评估他们目前的实习环境是否适合培训临床前学生。根据三种类型的环境，对 46 名临床主管进行了半结构化访谈。
实习学生更喜欢 PHC 中心而不是 SHC 和 THC 医院，认为 PHC 中心更适合临床前学生的临床技能培训（p<0.05）。PHC 工作人员认为他们的中心有能力培训临床前学生，包括主管有时间教学、充足的物理设施和设备以及合适的患者病例。
在发展中国家的背景下，PHC 中心似乎比 SHC 和 THC 医院更适合临床前学生的临床技能培训。然而，技能实验室必须确保在同一设施中，无论是在 PHC 中心还是教学医院，临床技能都以相同的方式进行培训和实施。
