Leonard Sophia M, Dixon Katelyn Sanner, Ayres Jack M, Cordner Keith, Greiner K Allen, Parente Daniel J
University of Kansas Medical Center School of Medicine, Kansas City, KS.
Carle Illinois College of Medicine, Urbana, IL.
PRiMER. 2023 May 15;7:14. doi: 10.22454/PRiMER.2023.758379. eCollection 2023.
: Health educators have had difficulty introducing health policy and public health training into an already intensive medical school curriculum. Although the COVID-19 pandemic may have changed perspectives on the importance of public health, it may not change educational approaches. Assessment of medical student opinions and perceptions of health policy and public health might influence the weight given to these topics in medical education.
We used a 39-item instrument to cross-sectionally survey medical students, to assess their perceptions of the value of public health and health policy within their professional education.
One hundred two students completed the survey (13% response rate). Most students reported an interest in public health (94.1%) and health policy (92.2%). Although interested, most students lacked confidence in their knowledge of public health and health policy on both state (health policy 34.3% confident; public health 43.1%) and national (health policy 41.0%; public health 44.1%) levels. Most students perceived that their institution has not sufficiently prepared them to understand health policy (34% felt prepared) and most reported insufficient information to participate in policy discussions (30.3% sufficiently informed).
Medical students reported an interest in public health and health policy while also reporting a lack of confidence in their level of preparedness to understand and participate in these fields, thus demonstrating a need for increased public health and health policy education within medical school curricula.
健康教育工作者很难将健康政策和公共卫生培训纳入本就密集的医学院课程中。尽管新冠疫情可能改变了人们对公共卫生重要性的看法，但可能不会改变教育方式。评估医学生对健康政策和公共卫生的意见及看法，可能会影响医学教育中对这些主题的重视程度。
我们使用一份包含39个条目的调查问卷对医学生进行横断面调查，以评估他们在专业教育中对公共卫生和健康政策价值的看法。
102名学生完成了调查（回复率为13%）。大多数学生表示对公共卫生（94.1%）和健康政策（92.2%）感兴趣。尽管感兴趣，但大多数学生对自己在州（健康政策方面34.3%有信心；公共卫生方面43.1%）和国家（健康政策方面41.0%；公共卫生方面44.1%）层面的公共卫生和健康政策知识缺乏信心。大多数学生认为他们的院校没有充分让他们做好理解健康政策的准备（34%觉得做好了准备），并且大多数学生表示缺乏参与政策讨论的足够信息（30.3%信息充分）。
医学生表示对公共卫生和健康政策感兴趣，但同时也表示对自己理解和参与这些领域的准备程度缺乏信心，因此表明医学院课程中需要加强公共卫生和健康政策教育。
