Alam Kinza, Safdar Chaudhry Aqeel, Munir Tahir Ahmad, Ghani Zeeshan
J Ayub Med Coll Abbottabad. 2014 Oct-Dec;26(4):539-42.
In Pakistan there is a dearth of male practitioners in obstetrics and gynaecology (ObG) to cater for emergent needs. The Study was done to explore views of male medical students towards ObG as part of curriculum and to identify the problems during clerkship and its impact on selection of ObG as career.
The study used a 20-item questionnaire-based survey at Shifa College of Medicine from November 2010 to December 2011. Third and fourth year male students (n=124) who completed ObG rotation were the participants. Inquiries were made regarding patient doctor interaction under residents and faculty members, perception of gender- bias during clerkship, inclusion of ObG in curriculum and subsequently as career. Results were analyzed using binary regression analysis.
Sixty percent students were satisfied though embarrassed and under pressure during gynaecological examination in consultant supervision. Another 61% said that ObG should be a part of curriculum (p-0.013) and necessary for male students (p-0.008). 62% of the respondents were of the view that faculty has a major role in encouraging the students to take up ObG as career. 84% students replied in negative to adopt it as profession (p 0.002).
Although basic obstetric curricular objectives are important for medical practitioners, our social set up discourages male students to have concrete clinical interaction. The faculty needs to take a special supportive role to encourage learning and motivation for this specialty.
在巴基斯坦,妇产科领域缺乏男性从业者以满足紧急需求。本研究旨在探讨男性医学生对妇产科作为课程一部分的看法,并确定实习期间的问题及其对选择妇产科作为职业的影响。
2010年11月至2011年12月,在希法医学院采用基于20项问卷的调查。完成妇产科轮转的三年级和四年级男学生(n = 124)作为参与者。询问了他们在住院医师和教员指导下与患者的互动情况、实习期间对性别偏见的看法、妇产科纳入课程以及随后作为职业的情况。结果采用二元回归分析。
60%的学生在顾问监督下进行妇科检查时虽感到尴尬和有压力,但仍表示满意。另有61%的学生表示妇产科应成为课程的一部分(p = 0.013)且对男学生来说是必要的(p = 0.008)。62%的受访者认为教员在鼓励学生选择妇产科作为职业方面起主要作用。84%的学生回答不会选择该专业(p = 0.002)。
虽然基本的产科课程目标对医学从业者很重要,但我们的社会环境阻碍了男学生进行具体的临床互动。教员需要发挥特殊的支持作用,以鼓励对该专业的学习和积极性。