Department of Medical Education, KIST Medical College, Lalitpur, Nepal.
Hum Resour Health. 2012 Aug 31;10:27. doi: 10.1186/1478-4491-10-27.
The Federal Democratic Republic of Nepal is a developing country in South Asia with a population of 29.8 million. In September 2011, there were 18 medical schools with 14 being in the private sector. KIST Medical College is a private school in Lalitpur district. The present study was conducted to obtain information on student perceptions about working in rural Nepal after graduation.
The study was conducted among first- and second-year undergraduate medical students using a semi-structured questionnaire developed by the authors using inputs from the literature and their experiences of teaching medical students. Year of study, gender, method of financing of medical education, place of family residence and occupation of parents were noted. Participant responses were analysed, grouped together and the number of respondents stating a particular response was noted.
Of the 200 students, 185 (92.5%) participated with 95 being from the first year and 90 from the second. Most students were self-financing and from urban areas. Regarding the question of working in rural Nepal after graduation, 134 (72.4%) said they will work after their undergraduate course. Students preferred to work in the government or nongovernmental sector. Student felt doctors are reluctant to serve in rural Nepal due to inadequate facilities, low salary, less security, problems with their professional development, less equipment in health centres, decreased contact with family and difficulties in communicating with an illiterate, rural population. About 43% of respondents felt medical education does not adequately prepare them for rural service. Repeated rural exposure, postings in rural hospitals and health centres, and training students to diagnose and treat illness with less technology were suggested. The median monthly salary expected was 60 000 Nepalese rupees (US$ 820) and was significantly higher among first-year students.
The majority of respondents were in favour of working in rural Nepal after graduation. They wanted facilities in rural areas and health centres to be improved. Changes in the education system were suggested. Providing relatively better facilities for rural doctors compared with urban doctors and reorienting medical education for producing doctors for rural Nepal can be considered. Further studies are required in other private medical schools.
尼泊尔联邦民主共和国是南亚的一个发展中国家，拥有 2980 万人口。2011 年 9 月，全国共有 18 所医学院校，其中 14 所为私立学校。KIST 医学院是位于拉利特布尔区的一所私立学校。本研究旨在了解医学生毕业后在尼泊尔农村工作的意愿。
本研究采用半结构式问卷，对一、二年级本科生进行调查。问卷由作者根据文献资料和教学经验编写。记录学生的学习年限、性别、医学教育经费来源、家庭住址和父母职业。对学生的回答进行分析、分组，并记录表示特定回答的应答者数量。
在 200 名学生中，有 185 名（92.5%）参与了调查，其中 95 名来自一年级，90 名来自二年级。大多数学生为自费生，来自城市地区。关于毕业后在尼泊尔农村工作的问题，有 134 名（72.4%）学生表示本科毕业后会去农村工作。学生们希望在政府或非政府部门工作。学生们认为医生不愿意在尼泊尔农村服务，原因是设施不足、工资低、安全性差、职业发展受限、卫生中心设备少、与家人接触减少以及与文盲农村人口沟通困难。约 43%的受访者认为医学教育没有为他们在农村地区的服务做好充分准备。建议增加农村实习机会、安排学生到农村医院和卫生中心工作，并培训学生用较少的技术来诊断和治疗疾病。期望的月平均工资为 60000 尼泊尔卢比（820 美元），一年级学生的期望工资明显更高。
大多数受访者毕业后愿意在尼泊尔农村工作。他们希望改善农村地区和卫生中心的设施。建议对教育系统进行改革。可以考虑为农村医生提供相对较好的设施，并重新调整医学教育，以培养适合尼泊尔农村的医生。还需要在其他私立医学院校开展进一步的研究。
