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全科医生在农村地区教授医学生的动机——医学教育动机问卷(MoME-Q)的编制

GPs' motivation for teaching medical students in a rural area-development of the Motivation for Medical Education Questionnaire (MoME-Q).

作者信息

Adarkwah Charles Christian, Schwaffertz Annette, Labenz Joachim, Becker Annette, Hirsch Oliver

机构信息

Department of Health Services Research and General Practice, Faculty of Life Sciences, University of Siegen, Siegen, Germany.

Department of General Practice and Family Medicine, University of Marburg, Marburg, Germany.

出版信息

PeerJ. 2019 Jan 24;7:e6235. doi: 10.7717/peerj.6235. eCollection 2019.

Abstract

BACKGROUND

The establishment of a medical education program in the rural area of Siegen is planned to be the first step against a shortage of physicians in this region. General practitioners (GPs) will be extensively involved in this program as Family Medicine (Allgemeinmedizin) will become a core subject in the curriculum nationwide. Based on this situation we aim to figure out GPs motivation to participate in medical education. For this purpose, we had to construct and test a new questionnaire.

METHODS

A survey was conducted among general practitioners (GPs) in the region of Siegen-Wittgenstein regarding their motivation to participate in medical education. For this purpose, the Motivation for Medical Education Questionnaire (MoME-Q), a 24-item questionnaire, was developed. Structural characteristics of GPs, the Maslach Burnout Inventory (MBI) and the Work Satisfaction Questionnaire (WSQ) were used for validation purposes.

RESULTS

A representative number of GPs took part in the study (53.8%). Although the majority had no connection to a university (86%), 83% can imagine participating in the education of medical students. The items of the MoME-Q load on two factors (commitment and personal benefit). The confirmatory factor analysis shows a good model fit. Subscales of the MoME-Q were able to differentiate between physicians with and without authorization to train GP residents, between practices with and without a specialized practice nurse, and between physicians with and without previous experience in medical education. The MoME-Q subscale "commitment" correlated significantly with all three subscales of the MBI. Correlations were in the medium range around |.30|.

CONCLUSION

The MoME-Q seems to be an appropriate tool to assess motivation to participate in medical education of GPs. In our sample, a large number of GPs was motivated to participate in the education of medical students. Future studies with larger number of GPs should be carried out to validate and confirm our findings. Whether the MoME-Q is also appropriate for other specialties should also be shown in further empirical studies.

摘要

背景

在锡根农村地区建立医学教育项目计划作为应对该地区医生短缺问题的第一步。全科医生(GPs)将广泛参与该项目,因为家庭医学(Allgemeinmedizin)将成为全国课程中的核心学科。基于这种情况,我们旨在弄清楚全科医生参与医学教育的动机。为此,我们必须构建并测试一份新问卷。

方法

对锡根 - 维特根斯坦地区的全科医生进行了一项关于他们参与医学教育动机的调查。为此,开发了一份包含24个条目的《医学教育动机问卷》(MoME - Q)。使用全科医生的结构特征、马氏职业倦怠量表(MBI)和工作满意度问卷(WSQ)进行效度验证。

结果

有代表性数量的全科医生参与了研究(53.8%)。尽管大多数人未与大学有联系(86%),但83%的人能够想象参与医学生的教育。MoME - Q的条目载荷于两个因素(投入和个人利益)。验证性因素分析显示模型拟合良好。MoME - Q的子量表能够区分有和没有培训全科医生住院医师授权的医生、有和没有专业执业护士的诊所之间的医生,以及有和没有医学教育先前经验的医生之间的差异。MoME - Q子量表“投入”与MBI的所有三个子量表均显著相关。相关性在|.30|左右的中等范围内。

结论

MoME - Q似乎是评估全科医生参与医学教育动机的合适工具。在我们的样本中,大量全科医生有动机参与医学生的教育。应开展更多全科医生参与的未来研究以验证和确认我们的发现。MoME - Q是否也适用于其他专业也应在进一步的实证研究中予以证明。

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