Ossai Edmund N, Azuogu Benedict N, Uwakwe Kenechi A, Anyanwagu Uchenna C, Ibiok Ntat C, Ekeke Ngozi
Department of Community Medicine, College of Health Sciences, Ebonyi State University, Abakaliki, Nigeria.
Department of Community Medicine, College of Medicine, Imo State University, Owerri, Nigeria.
Rural Remote Health. 2016 Jan-Mar;16(1):3632. Epub 2016 Mar 3.
The aim of the study was to determine whether final year medical students in medical schools of south-east Nigeria were satisfied with rural community posting.
A cross-sectional descriptive study design was used. All final year medical students in the six medical schools in south-east Nigeria who had completed their rural community posting and were willing to participate were included in the study. The students were interviewed using a pretested, self-administered questionnaire.
A total of 457 medical students participated in the study, representing a response rate of 86.7%. Only a minor proportion of the students (22.5%) were satisfied with rural community posting. The most common reason for dissatisfaction among the students was lack of interest in rural communities. Most students (68.7%) were of the opinion that a good rural community posting could influence the students to practise in a rural area after graduation. Factors associated with satisfaction with rural community posting included being a student in a federal institution (adjusted odds ratio (AOR)=0.6, 95% confidence interval (CI)=0.4-0.9), being a male student (AOR=2.4, 95%CI=1.5-3.9) and intention to specialize in community medicine after graduation (AOR=2.7, 95%CI=1.2-6.0).
Most students were dissatisfied with rural community postings and the major reason for dissatisfaction was lack of interest in rural communities. A properly organized rural community posting is capable of changing the negative attitude of the students towards life and medical practice in the rural area. Adequate orientation of the students on the relevance of the posting, good community exposure and enhanced student lecturer interactions during the posting period could ensure satisfaction of the students. There should be a targeted evaluation of the rural community posting at the various medical schools in the country with the aim of strengthening and modifying the posting where necessary so as to ensure its purpose is realized.
本研究旨在确定尼日利亚东南部医学院校的医学专业最后一年学生是否对农村社区实习感到满意。
采用横断面描述性研究设计。纳入尼日利亚东南部六所医学院校中所有已完成农村社区实习且愿意参与的医学专业最后一年学生。使用预先测试的自填式问卷对学生进行访谈。
共有457名医学生参与研究，回复率为86.7%。只有一小部分学生（22.5%）对农村社区实习感到满意。学生不满的最常见原因是对农村社区缺乏兴趣。大多数学生（68.7%）认为良好的农村社区实习可以影响学生毕业后在农村地区执业。与对农村社区实习满意度相关的因素包括就读于联邦机构（调整优势比（AOR）=0.6，95%置信区间（CI）=0.4 - 0.9）、为男学生（AOR=2.4，95%CI=1.5 - 3.9）以及毕业后打算专攻社区医学（AOR=2.7，95%CI=1.2 - 6.0）。
大多数学生对农村社区实习不满意，不满的主要原因是对农村社区缺乏兴趣。组织得当的农村社区实习能够改变学生对农村地区生活和医疗实践的消极态度。在实习期间对学生进行关于实习相关性的充分指导、提供良好的社区接触以及加强学生与讲师的互动可以确保学生满意。应该对该国各医学院校的农村社区实习进行有针对性的评估，以便在必要时加强和改进实习，从而确保其目标得以实现。
