Asuzu M C
Department of Preventive and Social Medicine, University College Hospital, Ibadan, Nigeria.
Afr J Med Med Sci. 1989 Dec;18(4):245-50.
A study of a cohort of Nigerian medical students before entry and at the completion of their clinical years of training, has shown that their overall attitude towards rural medical practice deteriorated slightly but not significantly in the process. The attitude had improved slightly in students who had grown up largely in rural areas and deteriorated in those brought up in the townships. Similarly, clinical training did not significantly affect their attitude towards the compulsory 1 year National Youth Service Corps which may involve their service in the rural areas after graduation. Factors which were important in the development of these attitudes, as volunteered by the students, included the area of upbringing (urban or rural), the individual's life plan, and professional exposure before and during training. The importance of the knowledge gained from this study in the educational and health service planning in Nigeria are discussed.
一项针对尼日利亚医学生入学前和临床培训结束时的队列研究表明，他们对农村医疗实践的总体态度在此过程中略有下降，但不显著。在农村地区长大的学生态度略有改善，而在城镇长大的学生态度则有所恶化。同样，临床培训对他们对毕业后可能在农村地区服务的为期1年的义务国家青年服务团的态度没有显著影响。学生们自愿提出的、对这些态度形成重要的因素包括成长地区（城市或农村）、个人生活计划以及培训前和培训期间的专业接触。文中讨论了该研究所得知识在尼日利亚教育和卫生服务规划中的重要性。
