Landstrom Bjorn, Mattsson Bengt, Nordin Per, Rudebeck Carl E
Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
The Skaraborg Institute, Stationsgatan 12, SE-541 30 Skövde, Sweden.
Int J Med Educ. 2014 Mar 15;5:51-5. doi: 10.5116/ijme.530e.3e4e.
The aim of the study was to investigate medical students' views on general practice based on their experiences in training, and to find out whether there were certain views associated with the intention to become a GP.
A questionnaire, based on our earlier studies about GP working behaviour, was handed out to medical students in terms 1, 3, 5, 7, 10 and 11 of undergraduate studies in Gothenburg, Sweden. The analysis comprised statistical descriptions and comparisons.
The students regarded general practice positively. They found the work environment good, the GP's awareness of patients' living conditions necessary, and that GP work requires medical breadth. The status of the GP in the medical profession was not considered high. One-fourth of the students strongly agreed with the possibility of a future as a GP. This attitude was statistically associated with support to the statements that general practice offers a good work environment and should be a major component in undergraduate training. Students with a negative attitude to working as GPs were also negative to having a major component of general practice in undergraduate training.
Medical students with a positive stated attitude towards becoming GPs support changes in undergraduate training to include more general practice. The risk of increasing a negative attitude should be considered when changes are discussed.
本研究旨在根据医学生的培训经历调查他们对全科医学的看法,并了解是否存在与成为全科医生意愿相关的特定观点。
基于我们早期关于全科医生工作行为的研究设计了一份问卷,分发给瑞典哥德堡大学本科1、3、5、7、10和11年级的医学生。分析包括统计描述和比较。
学生们对全科医学持积极态度。他们认为工作环境良好,全科医生了解患者生活状况很有必要,且全科医生工作需要具备医学广度。他们认为全科医生在医学专业中的地位不高。四分之一的学生强烈认同未来成为全科医生的可能性。这种态度在统计学上与支持以下观点相关:全科医学提供良好的工作环境,且应成为本科培训的主要组成部分。对从事全科医生工作持消极态度的学生,对本科培训中包含大量全科医学内容也持消极态度。
明确表示对成为全科医生持积极态度的医学生支持本科培训变革,以纳入更多全科医学内容。在讨论变革时,应考虑增加消极态度的风险。