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激发对全科医学的兴趣:英国创新教育策略转变医学生观念。

Revitalising interest in general practice: innovative educational strategies to transform medical student perceptions in the UK.

机构信息

North End Medical Centre, Hammersmith and Fulham Partnership, London, UK.

Research and Development Unit, Hammersmith and Fulham PCN, London, UK.

出版信息

Educ Prim Care. 2024 May-Jul;35(3-4):113-122. doi: 10.1080/14739879.2024.2364869. Epub 2024 Jun 22.

Abstract

BACKGROUND

The UK faces a decline in medical students' interest in general practice (GP), crucial for its healthcare system. This trend endangers primary care sustainability and broader healthcare infrastructure, necessitating innovative educational approaches to improve perceptions of general practice.

OBJECTIVE

To assess the impact of a pilot programme integrating innovative educational strategies on medical students' perceptions of general practice, aiming to highlight potential reforms for medical education and primary care's future in the UK.

METHODS

A longitudinal pilot study with eighteen fifth-year medical students from Queen Mary University of London employed a diverse educational approach over thirty-six months. The programme encompassed mentorship, storytelling, community home visits, interactive patient cases, and GP speciality clinics, covering six GP practice domains. Data were collected through mid-placement and end-of-placement questionnaires to evaluate students' perceptions and interest in GP careers.

RESULTS

The programme significantly improved students' perceptions of general practice. Mentorship and storytelling saw an 83% to 94% increase in appreciation for GP complexities and impact. Community home visits enhanced cultural sensitivity and holistic health views among 67% to 89% of participants. Interactive patient cases and GP speciality clinics notably advanced understanding of GP's multidisciplinary nature. Exposure to GP-led research and business initiatives heightened awareness of entrepreneurial and innovative opportunities within general practice.

CONCLUSIONS

Innovative educational strategies can substantially influence medical students' perceptions and interest in general practice. The study suggests that enriching medical education with real-world experiences, mentorship, and comprehensive general practice exposure can counter declining interest, showcasing general practice as a dynamic and fulfilling career.

摘要

背景

英国正面临医学生对普通科(GP)兴趣下降的问题,这对其医疗体系至关重要。这一趋势危及了初级保健的可持续性和更广泛的医疗保健基础架构,因此需要创新的教育方法来改善对普通科的看法。

目的

评估整合创新教育策略的试点计划对医学生对普通科看法的影响,旨在突显英国医学教育和初级保健未来的潜在改革。

方法

采用纵向试点研究,来自伦敦玛丽女王大学的十八名五年级医学生在三十六个月内接受了多样化的教育方法。该计划包括导师指导、故事讲述、社区家访、互动患者病例和全科医生专科诊所,涵盖六个全科医生实践领域。通过中期和期末调查问卷收集数据,以评估学生对全科医生职业的看法和兴趣。

结果

该计划显著改善了学生对普通科的看法。导师指导和故事讲述使对全科医生复杂性和影响的欣赏度提高了 83%至 94%。社区家访使 67%至 89%的参与者提高了文化敏感性和整体健康观。互动患者病例和全科医生专科诊所显著提高了对全科医生多学科性质的理解。接触到以全科医生为主导的研究和商业计划提高了对普通实践中创业和创新机会的认识。

结论

创新教育策略可以极大地影响医学生对普通科的看法和兴趣。该研究表明,通过真实体验、导师指导和全面的普通科接触来丰富医学教育,可以应对兴趣下降的问题,展示普通科作为一个充满活力和充实的职业。

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