Kasch R, Wirkner J, Hosten N, Hinz P, Napp M, Kessler R
Center for Orthopedics Trauma Surgery and Rehabilitation Medicine, Clinic and Outpatient Clinic for Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Germany.
Department of Biological and Clinical Psychology, Institute of Psychology, Internal Medicine A, University Medicine Greifswald, Germany.
Rofo. 2016 Nov;188(11):1024-1030. doi: 10.1055/s-0042-113612. Epub 2016 Sep 22.
To identify factors influencing medical students to choose radiology in the four-month clinical elective in the final year of medical school following radiology subinternships. A subsample of medical students in a nationwide German online survey evaluated a subinternship in radiology (19 items). They were divided into four groups: Students who could imagine doing a clinical elective in radiology in the practical year based on their experiences during the subinternship ("yes, based on subinternship"), students who could not ("no, based on subinternship") and students who had made this decision prior to the subinternship ("yes, prior to subinternship" and "no, prior to subinternship"). 94 medical students evaluated a radiology subinternship (54.4 % females). Based on their experiences during the subinternship, 54 students (57.4 %) intended to do a final year clinical elective in radiology, 39 of them (41.5 %) being encouraged by the subinternship. 40 (42.6 %) reported having a negative attitude towards a clinical elective in radiology, 16 of them (17.0 %) having made this decision based on their subinternship experience. Groups did not differ regarding gender (p = 0.396) and age (p = 0.853). Students motivated to do a final year clinical elective in radiology experienced excellent academic teaching (p = 0.001) and practical involvement (p = 0.003), achieved their learning goals more often (p = 0.001), were better integrated into the team (p = 0.001), and acquired more practical skills (p = 0.003). Overall satisfaction was higher in these groups (p = 0.001). Satisfaction with a radiology subinternship is crucial for motivating medical students to do a final year clinical elective in radiology. A structured subinternship and continuous mentoring should be targeted to keep students connected to radiology. • Radiology subinternships influence further interest in the specialization.• The quality and structure of teaching critically influence student satisfaction.• Team integration and practical involvement positively affect the attitude towards a specialization. • Kasch R, Wirkner J, Hosten N et al. Subinternship in Radiology - A Practical Start to the Specialization? Fortschr Röntgenstr 2016; 188: 1024 - 1030.
为了确定在医学院最后一年为期四个月的临床选修课中，影响医学生选择放射科的因素，这些学生此前已完成放射科实习。在一项德国全国性在线调查中，抽取了一部分医学生样本，让他们对放射科实习（19个项目）进行评估。他们被分为四组：根据实习经历，能够想象在实习年选择放射科临床选修课的学生（“是，基于实习”）、不能想象的学生（“否，基于实习”），以及在实习前就已做出该决定的学生（“是，实习前”和“否，实习前”）。94名医学生对放射科实习进行了评估（54.4%为女性）。根据实习经历，54名学生（57.4%）打算在最后一年选择放射科临床选修课，其中39名（41.5%）受到实习的鼓励。40名（42.6%）学生表示对放射科临床选修课持消极态度，其中16名（17.0%）是基于实习经历做出这一决定的。各组在性别（p = 0.396）和年龄（p = 0.853）方面无差异。有动力在最后一年选择放射科临床选修课的学生体验到了出色的学术教学（p = 0.001）和实践参与（p = 0.003），更常实现学习目标（p = 0.001），更好地融入团队（p = 0.001），并获得了更多实践技能（p = 0.003）。这些组的总体满意度更高（p = 0.001）。对放射科实习的满意度对于激励医学生在最后一年选择放射科临床选修课至关重要。应开展结构化实习并提供持续指导，以使学生与放射科保持联系。• 放射科实习会影响对该专业的进一步兴趣。• 教学质量和结构对学生满意度有至关重要的影响。• 团队融入和实践参与对学生对某一专业的态度有积极影响。• 卡施R、维尔克纳J、霍斯滕N等。放射科实习——专业学习的实际开端？《德国放射学杂志》2016年；188: 1024 - 1030。
