Kilimanjaro Christian Medical University College, Moshi, TZ.
Kilimanjaro Christian Medical, Centre Medical Education Partnership Initiative, Durham, North Carolina, US.
Ann Glob Health. 2018 Apr 30;84(1):129-138. doi: 10.29024/aogh.15.
The shortage of medical doctors in sub-Saharan Africa (SSA) has resulted in increased enrolment in medical schools, which has not been matched with increased faculty size or physical infrastructure. This process has led to overcrowding and possibly reduced quality of training. To reduce overcrowding at its teaching hospital, the Kilimanjaro Christian Medical University College introduced eight-week peripheral clerkship rotations in 2012. We explore students' perceptions and attitudes towards peripheral hospital placements.
The clerkship rotations were conducted in eight hospitals operating in the northern Tanzania, after evaluating each hospitals' capabilities and establishing the optimum number of students per hospital. Paper-based surveys were conducted after student rotations from 2014 to 2016.
Overall student satisfaction was moderate (strength of consensus measure (sCns), 77%). The three cohorts exhibited improving trends over three years with respect to satisfaction with clinical skills and attitude towards placements. student-preceptor interaction was rated highly (sCns 81-84%). The first cohort students expressed concerns about limited laboratory support, and poor access to Internet and learning resources. Specific interventions were undertaken to address these concerns.
Student experiences in peripheral rotations were positive with adequate satisfaction levels. Opportunities exist for medical schools in SSA to enhance clinical training and relieve overcrowding through peripheral clerkship rotations.
撒哈拉以南非洲（SSA）的医生短缺导致医学院的入学人数增加，但师资规模或物理基础设施并没有相应增加。这一过程导致了过度拥挤，并可能降低了培训质量。为了减少教学医院的过度拥挤，乞力马扎罗基督教医科大学学院于 2012 年引入了为期八周的周边实习轮转。我们探讨了学生对周边医院实习的看法和态度。
在评估了每家医院的能力并确定了每个医院的最佳学生人数后，在坦桑尼亚北部的八家医院进行了实习轮转。2014 年至 2016 年，在学生轮转后进行了纸质问卷调查。
总体而言，学生满意度中等（共识度量强度（sCns）为 77%）。三个队列在三年内对临床技能的满意度和对实习的态度都表现出了改善的趋势。学生与导师的互动评价很高（sCns 为 81-84%）。第一队列的学生对实验室支持有限、互联网和学习资源获取困难表示关注。已经采取了具体的干预措施来解决这些问题。
学生在周边轮转中的经历是积极的，满意度足够高。撒哈拉以南非洲的医学院有机会通过周边实习轮转来加强临床培训并缓解过度拥挤的问题。
