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6 个月初级保健指导项目对医学生住院医师专业方向的作用

The Role of a 6-Month Primary Care Mentorship Program on Medical Student Residency Specialty.

机构信息

Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, Mililani, HI (NAKW).

Global Health and International Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (GGM).

出版信息

Hawaii J Health Soc Welf. 2021 Mar 1;80(3):62-67.

Abstract

in the State of Hawai'i, and the shortage is expected to worsen in the coming years. During the 2015-2016 academic year, a 6-month Primary Care Mentorship Program (PCMP) for first-year medical students was launched at the John A. Burns School of Medicine (JABSOM). This study sought to determine (1) whether participation in a PCMP as a first-year medical student correlates with an increased likelihood of matching into a primary care graduate medical education (GME) residency specialty, (2) whether the PCMP medical student participants developed lasting mentorship relationships with their assigned mentor, and (3) whether a PCMP is a worthwhile endeavor for medical schools to incorporate into their structured undergraduate medical education curriculum. Mentees were surveyed before and after the PCMP and after the residency Match. Overall, 105 (36%) of the 288 students in the JABSOM classes of 2019-2022 have applied to participate in the PCMP. Seventeen (85%) of the 20 JABSOM class of 2019 PCMP mentees completed the post-Match reflection survey. The study found as follows: (1) participation in a 6-month PCMP as a first-year medical student does not correlate with an increased likelihood of matching into a primary care GME residency specialty, (2) 7 (41%) participants did continue their mentorship relationship following completion of the PCMP, and (3) overwhelmingly positive qualitative feedback from mentees and the number of mentees who did establish lasting mentorship relationships suggest a PCMP is a worthwhile endeavor for medical schools to implement.

摘要

在夏威夷州,预计这种短缺情况在未来几年将会恶化。在 2015-2016 学年,约翰 A·伯恩斯医学院(JABSOM)为一年级医学生启动了为期 6 个月的初级保健指导计划(PCMP)。本研究旨在确定:(1)作为一年级医学生参加 PCMP 是否与更有可能匹配到初级保健研究生医学教育(GME)住院医师专业相关;(2)PCMP 医学生参与者是否与他们指定的导师建立了持久的指导关系;以及(3)PCMP 是否是医学院将其纳入其结构化本科医学教育课程的一项有价值的努力。在 PCMP 之前、之后和住院医师匹配之后对学员进行了调查。总体而言,在 JABSOM 2019-2022 年班级的 288 名学生中,有 105 名(36%)申请参加 PCMP。20 名 JABSOM 2019 年 PCMP 学员中有 17 名(85%)完成了匹配后反思调查。研究发现:(1)作为一年级医学生参加为期 6 个月的 PCMP 与更有可能匹配到初级保健 GME 住院医师专业无关;(2)7 名(41%)参与者在完成 PCMP 后继续保持指导关系;(3)学员的反馈以及建立持久指导关系的学员数量都非常积极,这表明 PCMP 是医学院值得实施的一项努力。

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