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加纳本科医学教育五年:警钟敲响!

Five Years Of Family Medicine Undergraduate Education In Ghana: A Wake-Up Call!

作者信息

Essuman Akye, Lawson Henry, Nortey David, Gyakobo Mawuli, Ofori-Amankwah Gerhart, Ndanu Thomas A, Gold Katherine J

机构信息

Family Medicine Unit, Department of Community Health, School of Public Health, University of Ghana, Accra, Ghana.

Department of Family Medicine (Polyclinic), Korle-Bu Teaching Hospital, Accra, Ghana.

出版信息

Ghana Med J. 2017 Jun;51(2):50-55.

Abstract

OBJECTIVES

Given the introduction in 2008 of undergraduate family medicine in the University of Ghana, the study aimed to identify the perceptions of medical students in Ghana about family medicine with regard to knowledge and relevance as well as specialty preferences.

DESIGN

A cross-sectional survey.

METHOD

Investigators conducted yearly surveys of first clinical year students at the University of Ghana School of Medicine and Dentistry over a 5-year period (2008-2012) using a semi-structured questionnaire. Data was analysed using the first class group as baseline for comparison.

MAIN OUTCOME MEASURES

Trends in respondents' awareness of different aspects of family medicine, their attitudes towards the specialty and their expressed preference or lack of preference for family medicine as a potential specialty for themselves.

RESULTS

Over the five-year period, 748 of 893 eligible first year students participated which comprised 84% of students. Awareness of family medicine as a medical specialty remained high but insignificantly declined over the period of study (88% to 80%, p=0.058). Preference for family medicine as career choice remained low at 4%, but an increase from 2% baseline though insignificant (p=0.397). The primary reason for not listing family medicine as career choice was unfamiliarity with the specialty (80%).

CONCLUSION

Although awareness of family medicine among medical students in Ghana remains relatively high, their knowledge is insufficient to influence their career decisions for family medicine. This is a wake-up call!

FUNDING

None declared.

摘要

目的

鉴于2008年加纳大学引入了本科家庭医学专业,本研究旨在确定加纳医学生对家庭医学在知识、相关性以及专业偏好方面的看法。

设计

横断面调查。

方法

研究人员在5年期间(2008 - 2012年)使用半结构化问卷对加纳大学医学院和牙科学院临床一年级学生进行年度调查。以一年级班级作为基线进行比较分析数据。

主要观察指标

受访者对家庭医学不同方面的认知趋势、他们对该专业的态度以及他们对家庭医学作为自身潜在专业的明确偏好或无偏好情况。

结果

在这五年期间,893名符合条件的一年级学生中有748名参与,占学生总数的84%。作为医学专业,对家庭医学的认知度一直较高,但在研究期间略有下降(从88%降至80%,p = 0.058)。将家庭医学作为职业选择的偏好仍然很低,为4%,但从2%的基线有所增加,不过不显著(p = 0.397)。不将家庭医学列为职业选择的主要原因是对该专业不熟悉(80%)。

结论

尽管加纳医学生对家庭医学的认知度仍然相对较高,但他们的知识不足以影响他们选择家庭医学作为职业。这是一个警钟!

资金来源

未声明。

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