Johnson George, Blinkhorn Anthony
Health Research and Project Coordinator, University of Sydney, Sydney, AUSTRALIA.
Eur J Dent. 2012 Jul;6(3):235-43.
To evaluate the effectiveness of a rural clinical placement on students' self-perceived clinical skills and work location choice post-graduation.
A one month rural placement program was introduced in 2008-2009 for 4(th) year dental undergraduates. Student's views on the rural exercise were collected by pre and post self-completion questionnaires, which were distributed to rural placement students and to the students who did not participate in the placement. Information was collected on self-reported skill levels in various clinical techniques using Likert scales and future rural work intentions. Clinical supervisors and University Faculty Members opinions on the students clinical work were also collected via interviews.
The mean age of the respondents was 27 years and the majority were female (57%). All the placement students (volunteers) completed pre and post placement questionnaires and (67%) of the non-placement students completed the pre questionnaire and (65%) a post questionnaire. When the two groups were compared in terms of their Likert scores, there was a significantly (P<.02) larger increase in skill level in the rural group. Clinical supervisors confirmed volunteers increased in confidence and ability in clinical skills post placement. The majority (96%) of students who completed a placement reported that they were more likely to work in a rural environment after graduation.
The rural placement improved the self-perceived clinical skills of the volunteers and enhanced positive attitudes towards working in a rural location.
评估农村临床实习对学生自我认知的临床技能以及毕业后工作地点选择的有效性。
2008 - 2009年为牙科本科四年级学生引入了为期一个月的农村实习项目。通过实习前后学生自行填写的问卷收集他们对农村实习的看法,问卷分发给参加农村实习的学生和未参加实习的学生。使用李克特量表收集学生在各种临床技术方面自我报告的技能水平信息以及未来在农村工作的意向。还通过访谈收集临床督导和大学教员对学生临床工作的意见。
受访者的平均年龄为27岁,大多数为女性(57%)。所有参加实习的学生(志愿者)都完成了实习前后的问卷,67%未参加实习的学生完成了实习前问卷,65%完成了实习后问卷。当比较两组的李克特得分时,农村实习组的技能水平有显著更高的提升(P <.02)。临床督导证实志愿者在实习后临床技能方面的信心和能力有所增强。完成实习的学生中大多数(96%)报告称他们毕业后更有可能在农村地区工作。
农村实习提高了志愿者自我认知的临床技能,并增强了他们对在农村地区工作的积极态度。