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要不要成为全科临床实习医学生的导师:来自挪威的问卷调查研究。

To be or not to be supervisors for medical students in general practice clinical placements: a questionnaire study from Norway.

机构信息

Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

National Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Bergen, Norway.

出版信息

Scand J Prim Health Care. 2024 Sep;42(3):442-449. doi: 10.1080/02813432.2024.2337063. Epub 2024 Apr 11.

DOI:10.1080/02813432.2024.2337063
PMID:38602196
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11332298/
Abstract

OBJECTIVE

Many countries experience challenges in recruiting and retaining general practitioners (GPs) as supervisors for medical students in clinical placements. We aimed to investigate the opportunities, capacities and limitations of Norwegian GPs to become supervisors.

DESIGN

Web-based cross-sectional questionnaire study.

SETTING

Norwegian general practice.

SUBJECTS

All GPs in Norway, including locums and those on leave, both active supervisors, and GPs who are not presently supervising medical students.

MAIN OUTCOME MEASURES

GPs' terms of salary, office facilities, limiting factors, capacity and needs for becoming or continuing as supervisors.

RESULTS

Among 5145 GPs, 1466 responded (29%), of whom 498 (34%) were active supervisors. Lack of a dedicated student office was the most reported limitation for both active supervisors (75%) and other GPs (81%). A high proportion (67%) of active supervisors reported that they could host more students per year, given financial support for equipped offices and higher salaries. With this kind of support, 48% ( = 461) of the GPs who were not supervisors for medical students were positive about a future supervisor role. By adjusted regression analysis, female GPs had lower likelihood of being supervisors, OR (95% CI) 0.75 (0.59-0.95) than male colleagues. GPs in the North, Mid and West regions had higher odds (OR 3.89, 3.10 and 2.42, respectively) than those in the South-East region. Teaching experience also increased the odds (2.31 (1.74-3.05).

CONCLUSIONS

There seems to be capacity among both active and potential supervisors if increased salaries and financial support for office facilities are made available.

摘要

目的

许多国家在招募和留住全科医生(GP)担任医学生临床实习导师方面都面临挑战。本研究旨在调查挪威 GP 成为导师的机会、能力和限制。

设计

基于网络的横断面问卷调查研究。

地点

挪威普通实践。

对象

包括临时医生和休假医生在内的所有挪威全科医生,包括正在担任导师的医生和目前未指导医学生的医生。

主要观察指标

GP 的薪酬条款、办公设施、限制因素、成为或继续担任导师的能力和需求。

结果

在 5145 名全科医生中,有 1466 名(29%)做出了回应,其中 498 名(34%)是正在担任导师。缺乏专门的学生办公室是正在担任导师的医生(75%)和其他医生(81%)报告的最常见限制因素。大多数正在担任导师的医生(67%)报告称,在有资金支持配备办公设施和提高工资的情况下,他们每年可以多接收几名学生。在这种支持下,48%(461 名)的非医学生导师对未来担任导师角色持积极态度。通过调整后的回归分析,女性 GP 担任导师的可能性低于男性同事,OR(95%CI)为 0.75(0.59-0.95)。与东南部地区的 GP 相比,北部、中部和西部地区的 GP 担任导师的可能性更高(OR 分别为 3.89、3.10 和 2.42)。有教学经验的 GP 担任导师的可能性也更高(OR 2.31,1.74-3.05)。

结论

如果提高工资并为办公设施提供资金支持,似乎有能力增加活跃和潜在的导师数量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29e/11332298/f09487a119d8/IPRI_A_2337063_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29e/11332298/f09487a119d8/IPRI_A_2337063_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29e/11332298/f09487a119d8/IPRI_A_2337063_F0001_B.jpg

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Impact of clinical placement sites on general practice as a career preference for Australian medical students.临床实习基地对澳大利亚医学生选择全科医学职业的影响。
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Career destinations of graduates from a medical school with an 18-week longitudinal integrated clerkship in general practice: a survey of alumni 6 to 8 years after graduation.以全科医学为基础的 18 周纵向综合实习的医学院毕业生的职业去向:毕业后 6 至 8 年的校友调查。
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Towards research-based learning outcomes for general practice in medical schools: Inaugural Barbara Starfield Memorial Lecture.迈向医学院校全科医学基于研究的学习成果:首届芭芭拉·斯塔菲尔德纪念讲座
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