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临床前医学生在农村医生特殊领域的学习成果达成情况。

Preclinical Medical Students’ Achievement to Learning Outcomes in Special Tracts of Rural Doctors.

作者信息

Nimkuntod Porntip, Tongdee Pattama

出版信息

J Med Assoc Thai. 2016 Oct;99 Suppl 7:S105-10.

Abstract

BACKGROUND

Preclinical medical students are introduced to application of knowledge in communication skills, and clinical examination in third year of the curriculum including gaining clinical experiences without difference in learning environment and faculty administration to achieving personal and professional success.

OBJECTIVE

To assess perception of medical students and the learning gap between One District One Doctor (ODOD) and Collaborative Project to Increase Production of Rural Doctors (CPIRD) when a special tract is used for rural doctors to achieve learning outcomes and management of the Institute of Medicine to study medicine including academic curriculum, environmental, and social factors.

MATERIAL AND METHOD

A cross-sectional study of third years students of ODOD and CPIRD groups were recruited for this study. Self-administered questionnaire in domain of learning outcomes, motivation, and self-confidence including faculty administration were given to all the participants to assess and analyze the perception of preclinical students. t-test and bivariate analysis were used to evaluate the results.

RESULTS

Thirty-six CPIRD (60%) and 24 ODOD (40%) participants completed the questionnaire. The CPIRD medical students’ perceptions were higher in learning outcomes when compared with ODOD in all domains of cognitive, interpersonal skill, professionalism, and ethic aspect but not statistically significant. Grades before admission were different in special tracts of rural doctors; CPIRD medical students had higher examination scores before admission (63.73±3.37 vs. 56.76±5.22, p<0.05) compared with ODOD group. However, there was no difference in Grade point average (GPA)between the two groups (3.32±0.35 vs. 3.23±0.29, p = 0.33) after finishing in preclinical year. There was no difference between the two groups of medical students in perception in faculty administration including teacher preparation, learning environment, and social environment.

CONCLUSION

No learning gap in learning outcomes, learning environment, and faculty administration between two groups of special tracts of rural doctors after finishing preclinical medical year even when the examination score before admission were different in both groups. After studying in the same learning environment, there was no difference of all learning outcomes and GPA in third year of preclinical medical students.

摘要

背景

临床前医学生在课程的第三年开始接触沟通技能方面的知识应用以及临床检查,包括在相同的学习环境和师资管理下获得临床经验,以实现个人和职业上的成功。

目的

当使用特殊途径培养乡村医生以实现学习成果以及医学研究所对医学学习(包括学术课程、环境和社会因素)的管理时,评估医学生的认知以及“一区一医”(ODOD)和增加乡村医生培养合作项目(CPIRD)之间的学习差距。

材料与方法

本研究招募了ODOD组和CPIRD组的三年级学生进行横断面研究。向所有参与者发放了关于学习成果、动机和自信心(包括师资管理)等方面的自填式问卷,以评估和分析临床前学生的认知。采用t检验和双变量分析来评估结果。

结果

36名CPIRD参与者(60%)和24名ODOD参与者(40%)完成了问卷。在认知、人际技能、专业素养和道德方面的所有领域,与ODOD相比,CPIRD医学生对学习成果的认知更高,但差异无统计学意义。乡村医生特殊途径入学前的成绩有所不同;与ODOD组相比,CPIRD医学生入学前的考试成绩更高(63.73±3.37对56.76±5.22,p<0.05)。然而,临床前学年结束后,两组的平均绩点(GPA)没有差异(3.32±0.35对3.23±0.29,p = 0.33)。两组医学生在师资管理方面的认知没有差异,包括教师准备、学习环境和社会环境。

结论

临床前医学学年结束后,两组乡村医生特殊途径在学习成果、学习环境和师资管理方面没有学习差距,即使两组入学前的考试成绩不同。在相同的学习环境中学习后,临床前医学生三年级的所有学习成果和GPA没有差异。

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