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基于2018 - 2019年卫生部临床教育标准,从实习生的角度确定设拉子医学院主要科室门诊教育标准的达成率。

Determining the rate of achievement of outpatient education standards in major departments of Shiraz medical school from interns' viewpoints, based on ministry's clinical education standards in 2018-2019.

作者信息

Abbasi Nastaran, Fallahzadeh Mohammad Hossein, Amini Mitra, Rezaee Simin, Goudarzi Alireza, Baseri Ali

机构信息

Department of Pediatric Nephrology, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Pediatric Nephrology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Educ Health Promot. 2020 Sep 28;9:259. doi: 10.4103/jehp.jehp_72_20. eCollection 2020.

DOI:10.4103/jehp.jehp_72_20
PMID:33225003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7657406/
Abstract

INTRODUCTION

In order to improve outpatient education, it is necessary to carry out formative standard evaluation to reveal the strengths and weaknesses to improve planning the quality of clinical education. Due to numerous challenges in clinical education, the present study was conducted to determine the extent to which outpatient education standards were achieved in the major departments of Shiraz Medical School.

METHODS

In this quantitative combined, cross-sectional and practical investigation in the academic year 2018-2019, 178 interns who had passed the outpatient education in the four major wards (internal medicine, pediatrics, gynecology, and surgery) in Shiraz Medical School were randomly selected. A 26-item researcher-made questionnaire, based on the Handbook of the Ministry of Clinical Education (Outpatient Education) for Health and Medical Education's Criteria and indicators, was used in three areas of preparation, timing and implementation; and the psychometric properties of the questionnaire were determined. For quantitative data analysis, SPSS version 22 was used. Furthermore, we performed a qualitative study through semi-structured interviews with 16 interns and analyzed the data using MAXQDA 10 software.

RESULTS

The results of the quantitative study showed that 8.4% of interns evaluated the program as poor, 66.3% moderate, and 25.3% good. The qualitative study showed that number and diversity of patients, instructor's educational model, and number of interns had a significant role.

CONCLUSION

Although the outpatient teaching in the four major departments of Shiraz Medical School was evaluated relatively acceptable, it is far from the ideal point and need to be improved.

摘要

引言

为了改善门诊教育,有必要进行形成性标准评估,以揭示优势与不足,从而改进临床教育质量规划。由于临床教育面临诸多挑战,本研究旨在确定设拉子医学院各主要科室在多大程度上达到了门诊教育标准。

方法

在2018 - 2019学年进行的这项定量综合、横断面及实证研究中,随机选取了178名已在设拉子医学院四个主要科室(内科、儿科、妇科和外科)完成门诊教育的实习生。基于卫生与医学教育部临床教育手册(门诊教育)的标准和指标编制了一份包含26个条目的研究者自制问卷,用于准备、时间安排和实施三个方面;并确定了问卷的心理测量特性。使用SPSS 22版软件进行定量数据分析。此外,我们通过对16名实习生进行半结构化访谈开展了定性研究,并使用MAXQDA 10软件分析数据。

结果

定量研究结果显示,8.4%的实习生将该项目评为差,66.3%评为中等,25.3%评为好。定性研究表明,患者数量和多样性、带教教师的教育模式以及实习生数量起到了重要作用。

结论

尽管设拉子医学院四个主要科室的门诊教学评估结果相对可以接受,但远未达到理想水平,仍需改进。

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