Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA
Family Medicine Unit, Department of Community Health, University of Ghana, Accra, Ghana.
Fam Med Community Health. 2020 Oct;8(4). doi: 10.1136/fmch-2020-000394.
In addition to assessing educational needs of family medicine trainees in Ghana, we sought to assess whether those entering the training programme aimed to pursue an academic career.
A case study using an anonymous cross-sectional survey through collaboration between faculty members from the family medicine departments of Ghana and the University of Michigan.
The family medicine postgraduate trainees and the most recent graduates in the three training sites, Accra, Kumasi and Mampong, as well as modular residents in Ghana served as the targeted participants during data collection between October and November of 2018.
Second and third year family medicine residents, fellows (known as senior residents in Ghana) and recent graduates were invited to participate in this study. Thirty-five of 77 eligible subjects provided responses (46% response rate), but five records were eliminated due to incomplete data to yield a survey completion rate of 39% (30/77).
Participants were mostly men (n=19), and the average age of respondents was 37 years old. The participants indicated the residency programmes needed more faculty 97 (n=29), supervision during outpatient care 87% (n=26) and lectures 83% (n=25). The main reason provided by respondents for entering residency programme in family medicine, which is currently not required for practising primary care in Ghana, was to obtain more education 93% (n=28). Participants who had completed the residency programme were much more likely to be interested in becoming faculty compared with those still in residency (p <0.001).
The research confirms the need for more faculty and the importance of investing in faculty development resources for ensuring a robust programme. These findings provide constructive feedback that could improve residency curricula of the local and regional family medicine training programmes and supports investing in trainees and new graduates as future faculty candidates.
除了评估加纳家庭医学受训者的教育需求外，我们还试图评估那些进入培训计划的人是否旨在从事学术职业。
这是一项使用匿名横断面调查的案例研究，由加纳家庭医学系和密歇根大学的教员合作进行。
在 2018 年 10 月至 11 月期间进行数据收集期间，受训者和最近在阿克拉、库马西和曼蓬三个培训地点的毕业生以及加纳的模块化居民作为目标参与者。
邀请第二和第三年的家庭医学住院医师、研究员（在加纳称为高级住院医师）和最近的毕业生参加这项研究。在 77 名符合条件的受试者中，有 35 名（46%的应答率）提供了回复，但由于数据不完整，有 5 条记录被删除，得出的调查完成率为 39%（30/77）。
参与者主要是男性（n=19），应答者的平均年龄为 37 岁。参与者表示，住院医师计划需要更多的教师（n=29）、门诊护理监督（87%，n=26）和讲座（83%，n=25）。受访者进入家庭医学住院医师计划的主要原因是为了获得更多的教育（93%，n=28），而目前在加纳从事初级保健并不需要住院医师计划。与仍在住院医师计划中的参与者相比，完成住院医师计划的参与者更有可能对成为教师感兴趣（p <0.001）。
这项研究证实了需要更多的教师，并强调了投资于教师发展资源的重要性，以确保一个强大的计划。这些发现提供了建设性的反馈，可以改善当地和区域家庭医学培训计划的住院医师课程，并支持投资于受训者和新毕业生作为未来的教师候选人。
