Department of Community and Family Medicine, Fukushima Medical University.
Fukushima Centre for General Physicians, Fukushima Medical University.
Fukushima J Med Sci. 2022 Apr 8;68(1):19-24. doi: 10.5387/fms.2021-24. Epub 2022 Feb 8.
In order for general practice / family medicine clerkships to be improved in undergraduate medical education, it is necessary to clarify the impacts of general practice / family medicine clerkships. Using text mining to analyze the reflective writing of medical students may be useful for further understanding the impacts of clinical clerkships on medical students.
The study involved 125 fifth-year Fukushima Medical University School of Medicine students in the academic year 2018-2019. The settings were three clinics and the study period was 5 days. The clerkships included outpatient and home visits. Students' reflective writing on their clerkship experience was collected on the final day. Text mining was used to extract the most frequent words (nouns) from the reflective writing. A co-occurrence network map was created to illustrate the relationships between the most frequent words.
124 students participated in the study. The total number of sentences extracted was 321 and the total number of words was 10,627. The top five frequently-occurring words were patient, home-visit, medical practice, medical care, and family. From the co-occurrence network map, a co-occurrence relationship was recognized between home-visit and family.
Data suggest that medical students may learn the necessity of care for the family as well as the patient in a home-care setting.
为了改进本科医学教育中的全科/家庭医学实习，有必要阐明全科/家庭医学实习的影响。使用文本挖掘分析医学生的反思性写作可能有助于进一步了解临床实习对医学生的影响。
本研究纳入了 2018-2019 学年福岛医科大学医学院的 125 名五年级学生。实习地点为三个诊所，研究期间为 5 天。实习内容包括门诊和家访。在实习的最后一天，学生们收集了他们对实习经历的反思性写作。使用文本挖掘技术从反思性写作中提取最常见的单词（名词）。创建共现网络地图以说明最常见单词之间的关系。
124 名学生参与了研究。共提取了 321 个句子，单词总数为 10627 个。出现频率最高的五个词是患者、家访、医疗实践、医疗保健和家庭。从共现网络地图中，可以看出家访和家庭之间存在共现关系。
数据表明，医学生可能会在家庭护理环境中学习到照顾患者和家庭的必要性。
