D'Amore Angelo, Mitchell Eleanor K L, Robinson Catherine A, Chesters Janice E
Department of Rural and Indigenous Health, School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia. angelo.d’
Aust J Rural Health. 2011 Oct;19(5):259-66. doi: 10.1111/j.1440-1584.2011.01221.x.
The aim of this study was to determine senior medical student (year 3-5) opinions of their early-year (year 1-2) rural placement.
We assessed the impact of MBBS early-year rural placements through a follow up of this cohort in their later years using a cross-sectional questionnaire.
The questionnaire was administered to year 3-5 medical students at their clinical school.
There were 97 participants (49% response rate) in the study. Twenty-nine per cent were male and 71% were female; 44% were from a rural background and 56% were from a metropolitan background; 48% were year 3 students, 32% were year 4 students and 20% were year 5 students; and 59% of the students were, at the time, situated at a rural clinical school and 41% were at a metropolitan clinical school.
Closed-ended questions were quantified and statistically analysed. Open-ended responses were thematically analysed to determine what their experience of early-year rural placements were like.
Seventy-nine per cent of students considered the year 1 placement length as 'about right'. Overall, most students found year 1 rural placements positive and grasped the placement aims and objectives. Most students were also pleased with year 2 rural placements, mainly due to the clinical aspects.
Medical students appear to prefer shorter early-year rural placements and understand the benefits and importance of such placements. They also have a desire for greater clinical exposure during these early-year placements.
本研究旨在确定高年级医学生(3 - 5年级)对其低年级(1 - 2年级)农村实习的看法。
我们通过在后续几年对该队列学生进行横断面问卷调查,评估了医学学士低年级农村实习的影响。
问卷在临床医学院向3 - 5年级医学生发放。
本研究有97名参与者(回复率为49%)。29%为男性,71%为女性;44%来自农村背景,56%来自大都市背景;48%为3年级学生,32%为4年级学生,20%为5年级学生;当时59%的学生在农村临床医学院,41%在大都市临床医学院。
对封闭式问题进行量化和统计分析。对开放式回答进行主题分析,以确定他们低年级农村实习的经历如何。
79%的学生认为1年级的实习时长“合适”。总体而言,大多数学生认为1年级的农村实习是积极的,并且理解实习的目的和目标。大多数学生对2年级的农村实习也很满意,主要是因为临床方面的内容。
医学生似乎更喜欢低年级较短的农村实习,并理解此类实习的益处和重要性。他们也希望在这些低年级实习期间有更多临床接触机会。