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佛得角大学医学生的医学培训经历及对未来医疗实践的期望

Medical Training Experience and Expectations Regarding Future Medical Practice of Medical Students at the University of Cape Verde.

作者信息

Delgado Antonio Pedro, Soares Martins Antonieta, Ferrinho Paulo

机构信息

Serviços Académicos. Universidade de Cabo Verde. Praia. Cape Verde; Global Health and Tropical Medicine. Instituto de Higiene e Medicina Tropical. Universidade NOVA de Lisboa. Lisbon. Portugal.

Serviços Académicos. Universidade de Cabo Verde. Praia. Cape Verde.

出版信息

Acta Med Port. 2017 Oct 31;30(10):699-703. doi: 10.20344/amp.8179.

DOI:10.20344/amp.8179
PMID:29268063
Abstract

INTRODUCTION

Cape Verde is a small insular developing state. Its first experience of undergraduate medical education began in October 2015. The purpose of this paper is to describe and analyze the professional expectations and profile of the first class of medical students at the University of Cape Verde.

MATERIAL AND METHODS

A piloted, standardized questionnaire, with closed and open-ended questions, was distributed to registered medical students attending classes on the day of the survey. All data were analyzed using SPSS.

RESULTS

Students decided to study medicine in their mid-teens with relatives and friends having had significant influence over their decisions. Other major reasons for choosing medical training include "to take care of other people", "fascination for the subject matters of medicine" and "I have always wanted to". The degree of feminization of the student population is extremely high (20/25; 80.0%). Medical students are in general satisfied with the training program, and have expectations that the training received will allow them to be good professionals. Nevertheless, they consider the course too theoretical. Medical students know that this represents an opportunity for them to contribute to public welfare. Nonetheless, their expectations are to combine public sector practice with private work. Medical students come mostly from Santiago Island where the Capital of the Country is located. They still do not know about their future area of specialization. But all of those who want to specialize want to do so abroad. They mostly expect to follow hospital careers rather than health administration or family and community medicine.

DISCUSSION

This study contributes to the growing body of knowledge about medical students' difficulties and expectations regarding medical schools or curriculums in lusophone countries. The decision to invest in the training of local physicians is justified by the need to be less dependent on foreigners. Local postgraduate medical training programs are already considered a priority for the immediate future.

CONCLUSION

Cape Verde is pursuing a bold strategy to deal with a shortage of medical doctors. The problems experienced by medical students provide an important insight to help the new medical school to provide a better learning environment for students. The fact that students are not sure about their future area of specialization is an opportunity to guide them towards the areas of the health system with pressing needs. The current feminization of the medical workforce will be sustained with the profile of the present intake, hence the need to take this into account in workforce planning.

摘要

引言

佛得角是一个小型岛屿发展中国家。其本科医学教育的首次尝试始于2015年10月。本文旨在描述和分析佛得角大学首届医学生的职业期望和概况。

材料与方法

在调查当天,向注册上课的医学生发放了一份经过试点的标准化问卷,问卷包含封闭式和开放式问题。所有数据均使用SPSS进行分析。

结果

学生们在十几岁时决定学医,亲戚和朋友对他们的决定有重大影响。选择医学培训的其他主要原因包括“照顾他人”、“对医学主题着迷”和“我一直想(学医)”。学生群体的女性化程度极高(20/25;80.0%)。医学生总体上对培训计划感到满意,并期望所接受的培训能使他们成为优秀的专业人员。然而,他们认为课程过于理论化。医学生知道这是他们为公共福利做出贡献的机会。尽管如此,他们期望将公共部门的实践与私人工作相结合。医学生大多来自该国首都所在的圣地亚哥岛。他们仍不确定自己未来的专业领域。但所有想专业化的人都希望在国外这样做。他们大多期望从事医院工作,而不是卫生管理或家庭与社区医学。

讨论

本研究有助于增加关于葡语国家医学生在医学院校或课程方面的困难和期望的知识体系。投资培训当地医生的决定因减少对外国人的依赖的必要性而合理。当地研究生医学培训项目已被视为近期的优先事项。

结论

佛得角正在推行一项大胆的战略来应对医生短缺问题。医学生所经历的问题为帮助新医学院为学生提供更好的学习环境提供了重要见解。学生不确定自己未来专业领域这一事实是引导他们走向卫生系统迫切需要的领域的机会。鉴于目前招生情况,医疗劳动力当前的女性化现象将持续,因此在劳动力规划中需要考虑到这一点。

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