Park Eal Whan
Department of Family Medicine and Division of Medical Education, Dankook University College of Medicine, Cheonan, Korea.
Korean J Med Educ. 2013 Sep;25(3):229-37. doi: 10.3946/kjme.2013.25.3.229. Epub 2013 Sep 30.
Medical students must be taught community medicine to understand common community-wide health problems and develop the skills that are needed to solve them. In this study, community-oriented primary care (COPC) projects were undertaken by premedical students in a community medicine course, and their experience was assessed.
We analyzed the final reports of 570 premedical students who completed their community group projects from 2000 to 2012.
Eighty-nine community projects were completed by the students. The average number of students per project was 6.3 (range, 3-9). The total number of project themes was 39. Sex education for high school students, guidance on learning for low socioeconomic children, and education on smoking cessation for high school students were the most frequently selected topics. The most common subjects in the projects were high school students, preschool children, elderly people, and hospice patients. With regard to methodology, the students administered questionnaires in 58 cases and held health education programs in 48 cases. In 42 cases, students used social welfare-related community resources. In their final reports, many students felt that an understanding of their identities as future physicians and of the health care and social welfare systems was meaningful.
Premedical students' experiences in COPC projects varied and were positive. Teaching community medicine in a premedical course increased students' confidence with their future role as compassionate, socially responsible physicians and their understanding of community resources in a health care network.
必须向医学生传授社区医学知识,使其了解常见的社区范围的健康问题,并培养解决这些问题所需的技能。在本研究中,医学预科学生在社区医学课程中开展了以社区为导向的初级保健(COPC)项目,并对他们的经历进行了评估。
我们分析了570名医学预科学生在2000年至2012年期间完成的社区小组项目的最终报告。
学生们完成了89个社区项目。每个项目的学生平均人数为6.3人(范围为3 - 9人)。项目主题总数为39个。高中生性教育、低社会经济地位儿童学习指导以及高中生戒烟教育是最常被选择的主题。项目中最常见的对象是高中生、学龄前儿童、老年人和临终关怀患者。在方法方面,学生们在58个案例中进行了问卷调查,在48个案例中举办了健康教育项目。在42个案例中,学生们利用了与社会福利相关的社区资源。在他们的最终报告中,许多学生认为了解自己作为未来医生的身份以及医疗保健和社会福利系统是有意义的。
医学预科学生在COPC项目中的经历各不相同且是积极的。在医学预科课程中教授社区医学增强了学生对自己未来作为有同情心、对社会负责的医生角色的信心,以及他们对医疗保健网络中社区资源的理解。