Goethe-University Frankfurt/Main, Institute of Occupational, Social and Environmental Medicine, Frankfurt/Main, Germany.
Goethe-University Frankfurt/Main, Institute of Biostatistics and Mathematical Modelling, Frankfurt/Main, Germany.
GMS J Med Educ. 2021 Feb 15;38(2):Doc45. doi: 10.3205/zma001441. eCollection 2021.
Inadequate treatment is one of the factors interfering with a successful social and working life. Among students, it can impair their health and learning progress. In the field of medicine the problem of inadequate treatment seems widespread. This study examines wether inadequate treatment in internships differs between medicine and other academic disciplines. Using a questionnaire, the frequency, forms and severity of inadequate treatment among students were compared between the disciplines of medicine, civil engineering and teaching. 69,3% of medical students reported inadequate treatment during their internships, about twice as many as students of other disciplines. The ratios of verbal, non-verbal and organisational inadequate treatment were similar between the different academic disciplines. However, medical students executed tasks without receiving sufficient safety precautions or training significantly more often (sevenfold) than students of other disciplines. In total however, the experienced incidents of inadequate treatment were seen as similarly severe across the different academic fields. Inadequate treatment of students during internships is a larger problem in medicine than in civil engineering or teaching, particularly concerning the performance of unsafe tasks. With regard to the health of students and patients, inadequate treatment in the medical education should be tackled. Previous studies suggest that this goal can be achieved only through longtime extensive measures on the level of students, lecturers, faculty and teaching hospitals.
治疗不足是影响患者社交和工作生活的因素之一。在学生群体中,它会影响他们的健康和学习进度。在医学领域,治疗不足的问题似乎很普遍。本研究旨在探讨实习中的治疗不足在医学和其他学科之间是否存在差异。
本研究使用问卷比较了医学、土木工程和师范专业学生在实习期间治疗不足的频率、形式和严重程度。结果显示,69.3%的医学生在实习期间经历过治疗不足,是其他学科学生的两倍多。言语、非言语和组织治疗不足的比例在不同学科之间相似。然而,与其他学科的学生相比,医学生执行没有足够安全预防措施或培训的任务的情况明显更为常见(七倍)。然而,从整体上看,不同学科的学生认为实习中的治疗不足同样严重。
实习期间学生治疗不足在医学领域比土木工程或师范专业更为严重,尤其是在执行不安全任务方面。考虑到学生和患者的健康,医学教育中的治疗不足问题亟待解决。先前的研究表明,只有通过学生、讲师、学院和教学医院层面的长期广泛措施,才能实现这一目标。