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谁将成为明日的放射科医生?德国“实践年”期间的放射学调查。

Who will be the Radiologists of Tomorrow? A survey of radiology during the "Practical Year" in Germany.

作者信息

Dettmer Sabine, Fischer Volkhard, Paeßens Carolin, Meyer Simone, Wacker Frank K, Rodt Thomas

机构信息

Department for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.

Dean's Office for Medical Education, Hannover Medical School, Hannover, Germany.

出版信息

Rofo. 2017 Oct;189(10):967-976. doi: 10.1055/s-0043-112338. Epub 2017 Jul 11.

DOI:10.1055/s-0043-112338
PMID:28697528
Abstract

Aim of our study was to evaluate the motivation of medical students in their final year of medical school to choose radiology for further specialization by means of a Germany-wide survey.  The survey was performed during the 2015/16 semester among German medical students in their four months radiology elective during the final year. Invitations for the study were distributed by the Student Secretariats of each university. The survey was web-based with EvaSys 7.0 software. Questions on radiology contents during medical studies and "practical year" were part of the survey. Plans for residency and possible advantages and disadvantages of radiology as medical specialty were inquired. Descriptive statistics and group comparisons were used as analysis methods.  89 students participated in the survey at the beginning and 60 students at the end of the practical year. Of these 39 students could be identified who answered both questionnaires. Most students were satisfied with their final year radiology elective (mean 1.8 on a range from 1 to 5). Nevertheless, they criticized mentoring during routine work (mean 2.1) and a lack of educational courses (mean 2.1). Most students (83 %) were uncertain about their residency choice at the beginning of their "practical year" and about one fifth changed their plans. From the students' point of view main advantages of radiology included contact with many other clinical disciplines (87 %) and the working conditions (68 %). The reduced patient contact (42 %), the large amount of work at a computer (43 %), and the dependency on referring physicians (42 %) were regarded as the main disadvantages. The students regarded the way radiology is taught during the studies as not practical enough. With regard to radiology the majority of students (63 %) felt poorly prepared for their future work.  The "practical year" is important regarding the choice of future specialization. There was a high degree of satisfaction with the "practical year" in radiology. The mentoring during routine work and a lack of educational courses was mildly criticized. These factors provide room for improvement to foster students' interest in radiology.   · The "practical year" is important regarding the choice of further specialization.. · Criticisms of radiology in the "practical year" were mentoring and courses.. · Students feel poorly prepared for their future work regarding practical radiological skills.. · Dettmer S, Fischer V, Paeßens C et al. Who will be the Radiologists of Tomorrow? A survey of radiology during the "Practical Year" in Germany. Fortschr Röntgenstr 2017; 189: 967 - 976.

摘要

我们研究的目的是通过一项全德范围的调查,评估医学院校最后一年医学生选择放射科进行进一步专科化学习的动机。该调查于2015/16学年学期期间,在德国医学生最后一年为期四个月的放射科选修课期间进行。各大学的学生秘书处负责分发该研究的邀请函。调查采用基于网络的EvaSys 7.0软件。关于医学学习期间和“实习年”的放射科内容的问题是调查的一部分。询问了住院医师培训计划以及放射科作为医学专科可能存在的优缺点。分析方法采用描述性统计和组间比较。实习年开始时有89名学生参与调查,结束时有60名学生参与调查。其中39名学生能够被确定同时回答了两份问卷。大多数学生对最后一年的放射科选修课感到满意(评分范围为1至5,平均分为1.8)。然而,他们批评日常工作中的指导(平均分2.1)以及缺乏教育课程(平均分2.1)。大多数学生(83%)在“实习年”开始时对住院医师培训的选择不确定,约五分之一的学生改变了他们的计划。从学生的角度来看,放射科的主要优点包括与许多其他临床学科的接触(87%)以及工作条件(68%)。减少的患者接触(42%)、大量的电脑工作(43%)以及对转诊医生的依赖(42%)被视为主要缺点。学生们认为医学学习期间放射科的教学方式不够实用。关于放射科,大多数学生(63%)觉得对未来工作准备不足。“实习年”对于未来专科化的选择很重要。学生对放射科的“实习年”满意度较高。日常工作中的指导和缺乏教育课程受到了轻微批评。这些因素为提高学生对放射科的兴趣提供了改进空间。·“实习年”对于进一步专科化的选择很重要。·“实习年”中对放射科的批评是指导和课程。·学生们觉得自己在实际放射技能方面对未来工作准备不足。·德特默S、菲舍尔V、派森斯C等。谁将成为未来的放射科医生?德国“实习年”期间放射科的一项调查。《进展放射学》2017年;189:967 - 967。 (注:原文中最后参考文献部分的页码范围有误,应为967 - 976,译文按正确页码翻译)

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