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德国妇产科医师执照第二部分考试预备课程——在实习年前的职业决策过程中招募新住院医师的潜在工具?

Exam preparatory course for the 2nd part of the German medical examination in obstetrics and gynecology - a potential tool for the recruitment of new residents during the occupational decision process before the practical year?

机构信息

Department of Gynecology and Obstetrics, Heidelberg University Hospital, Heidelberg, Germany.

Department of Gynecology and Obstetrics, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.

出版信息

BMC Med Educ. 2019 Jan 17;19(1):24. doi: 10.1186/s12909-019-1457-6.

Abstract

BACKGROUND

The "Second Stage of the Physician Exam" at the end of the 5th year of medical school in Germany is the final step before the "Practical Year." An exam preparatory class can cover the complete content of Obstetrics and Gynecology (OB/GYN) in two days. We raise the question of whether such training might promote students' interest in the given specialty during occupational decision making and whether it could even be used by hospitals as a recruitment tool. This investigation is even more important in the context of fierce competition among young professionals at clinics and in different specialties.

METHODS

We conducted a multimodal course evaluation for four exam preparatory courses (each of which lasted two days and involved 8.5 h of teaching), including pre- and post-course tests with 20 multiple-choice questions to quantify the level of skill gain. Additionally, a standardized evaluation of course satisfaction was performed, followed by a post-exam questionnaire that dealt with studying activities and individual professional objectives.

RESULTS

Overall, n = 197 students took part in four identical courses. Among them, n = 121 completed the pre-/post-course tests, n = 170 completed the evaluation, and n = 110 completed the post-exam questionnaire. An average improvement from 13.9 to 17.2 correct answers was observed (max. 20; pre-/post-difference 95%-CI: [2.77; 3.86], t-test: p < 0.0001). By trend, the students noted that course participation positively influenced their later choice of specialty training (m = 3.63; scale 1 = "strongly disagree," 5 = "strongly agree").

CONCLUSIONS

In addition to self-studying, condensed classroom training is effective and reasonable and might also increase the attractivity of OB/GYN among students and have a positive effect on recruitment.

摘要

背景

在德国医学院的第 5 年结束时的“医师考试第二阶段”是“实习年”之前的最后一步。一个考试预备课程可以在两天内涵盖妇产科(OB/GYN)的全部内容。我们提出了这样的问题,即这种培训是否可以在职业决策中促进学生对该专业的兴趣,以及医院是否可以将其用作招聘工具。在诊所和不同专业的年轻专业人员之间竞争激烈的情况下,这种调查更为重要。

方法

我们对四门考试预备课程(每门课程持续两天,包含 8.5 小时的教学)进行了多模式课程评估,包括课前和课后测试,共 20 个多项选择题来量化技能增益水平。此外,还进行了课程满意度的标准化评估,然后是考试后的问卷,涉及学习活动和个人专业目标。

结果

共有 197 名学生参加了四门相同的课程。其中,n=121 人完成了课前/课后测试,n=170 人完成了评估,n=110 人完成了考试后的问卷。平均而言,正确答案从 13.9 个提高到 17.2 个(最高 20 个;课前/课后差异 95%-CI:[2.77; 3.86],t 检验:p<0.0001)。通过趋势,学生们注意到课程参与对他们后来选择专业培训产生了积极影响(m=3.63;量表 1=“强烈不同意”,5=“强烈同意”)。

结论

除了自学外,浓缩的课堂培训是有效且合理的,它还可以提高妇产科在学生中的吸引力,并对招聘产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b96b/6335710/18b7194b34ea/12909_2019_1457_Fig1_HTML.jpg

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