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通过基于社区的教育项目培养职业认同感:医学生的体验

Nurturing professional identity through a community based education program: medical students experience.

作者信息

Ahmad Anisa, Bahri Yusoff Muhamad S, Zahiruddin Wan Mohammad Wan M, Mat Nor Mohd Z

机构信息

Medical Education Department, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Community Medicine Department, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

出版信息

J Taibah Univ Med Sci. 2018 Feb 3;13(2):113-122. doi: 10.1016/j.jtumed.2017.12.001. eCollection 2018 Apr.

Abstract

OBJECTIVES

Community-based education (CBE) has an impact on the types of medical students produced at the end of medical training. However, its impact on professional identity development (PID) has not been clearly understood. This study thus explores the effect of the CBE program on PID.

METHODS

A qualitative phenomenological study was conducted on a group of Universiti Sains Malaysia medical students who had finished the Community and Family Case Study (CFCS) program. Data were gathered through focused group discussions and student reflective journals. Participants were sampled using the maximal variation technique of purposive sampling. Three steps of thematic analysis using the Atlasti software were employed to identify categories, subthemes, and themes.

RESULTS

Personal, role, social, and research identities were generated that contribute to the PID of medical students through the CFCS program. The results indicate that the CFCS program nurtured personal identity through the development of professional skills, soft skills, and personal values. Pertaining to role identity, this is related to patient care in terms of primary care and interprofessional awareness. Pertaining to social identity, the obvious feature was community awareness related to culture, society, and politics. A positive outcome of the CFCS program was found to be its fostering of research skills, which is related to the use of epidemiology and research methods.

CONCLUSION

The findings indicate that the CFCS program promotes PID among medical students. The current data highlight and provide insights into the importance of integrating CBE into medical curricula to prepare future doctors for their entry into the profession.

摘要

目的

基于社区的教育(CBE)会对医学培训结束时所培养的医学生类型产生影响。然而,其对职业身份发展(PID)的影响尚未得到明确认识。因此,本研究探讨了CBE项目对PID的影响。

方法

对一组完成了社区与家庭案例研究(CFCS)项目的马来西亚理科大学医学生进行了定性现象学研究。通过焦点小组讨论和学生反思日志收集数据。采用目的抽样的最大变异技术对参与者进行抽样。使用Atlasti软件进行了三个步骤的主题分析,以确定类别、子主题和主题。

结果

通过CFCS项目产生了个人、角色、社会和研究身份,这些身份有助于医学生的PID。结果表明,CFCS项目通过培养专业技能、软技能和个人价值观来培育个人身份。关于角色身份,这与初级保健和跨专业意识方面的患者护理有关。关于社会身份,明显的特征是与文化、社会和政治相关的社区意识。发现CFCS项目的一个积极成果是其对研究技能的培养,这与流行病学和研究方法的使用有关。

结论

研究结果表明,CFCS项目促进了医学生的PID。当前数据突出并提供了有关将CBE纳入医学课程以让未来医生为进入该职业做好准备的重要性的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a516/6694961/6cc62255f5cf/gr1.jpg

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