Velavan Jachin, Marcus Tessa S
Department of Distance Education, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Family Medicine, University of Pretoria, South Africa.
J Family Med Prim Care. 2024 Aug;13(8):3143-3149. doi: 10.4103/jfmpc.jfmpc_47_24. Epub 2024 Jul 26.
India's lean cadre of 250,000 general practitioners and 30,000 government doctors has limited options to update themselves. Since 2006, Christian Medical College (CMC) Vellore has run blended-learning programs in family medicine, namely, postgraduate diploma in family medicine (PGDFM) and master in medicine in family medicine (M.MED FM) training more than 3000 doctors. A graduate follow-up study was undertaken in 2022.
The aim of the study was to describe the socio-demographic characteristics of family physicians (FPs) in India who graduated between 2008 and 2018 from the FM blended-learning programs run by the CMC, Vellore.
Informed by an empirical-analytic paradigm, this descriptive study used a cross-sectional survey design to uncover graduate FPs' profiles, practices and experiences.
Using a purposively designed, piloted and validated electronic questionnaire, data were collected between March and July 2022, deidentified and analysed using Statistical Package for Social Sciences (SPSS) and Epi Info.
Among the 438 FP respondents (36%), there was an almost even split in gender (49.3% male, 50.7% female). Moreover, 25.8% were below the age of 40 years, 37.4% were in the 40-49 age group, and 33.8% were 50 years of age or older; 86% lived and worked in urban areas. The PGDFM or M.MED FM was the highest educational qualification of 64.4% of the doctors. Male FPs pursued postgraduate studies at a significantly younger age and earned significantly more than their female counterparts.
The blended learning model creates an important pathway for doctors, especially women, to pursue higher education with flexibility. Preferential selection criteria can target rural-based physicians. Strong policy-level advocacy is needed to establish FM as a specialty with equitable pay scales. Socio-demographic profiling can be used as an effective advocacy tool.
印度仅有25万名全科医生和3万名政府医生的精简队伍,他们提升自身水平的选择有限。自2006年以来,韦洛尔基督教医学院(CMC)开展了家庭医学混合学习项目,即家庭医学研究生文凭(PGDFM)和家庭医学医学硕士(M.MED FM),培训了3000多名医生。2022年进行了一项毕业生随访研究。
本研究的目的是描述2008年至2018年期间从韦洛尔CMC开展的家庭医学混合学习项目毕业的印度家庭医生(FP)的社会人口学特征。
本描述性研究以实证分析范式为指导,采用横断面调查设计来揭示毕业家庭医生的概况、实践和经历。
使用经过有目的设计、预试验和验证的电子问卷,于2022年3月至7月收集数据,进行去识别处理,并使用社会科学统计软件包(SPSS)和Epi Info进行分析。
在438名FP受访者(36%)中,性别分布几乎均匀(男性49.3%,女性50.7%)。此外,25.8%的人年龄在40岁以下,37.4%的人年龄在40 - 49岁之间,33.8%的人年龄在50岁及以上;86%的人在城市生活和工作。PGDFM或M.MED FM是64.4%医生的最高学历。男性FP进行研究生学习的年龄显著更小,收入也显著高于女性同行。
混合学习模式为医生,尤其是女性,提供了一条灵活接受高等教育的重要途径。优先选拔标准可以针对农村医生。需要强有力的政策层面宣传,以将家庭医学确立为具有公平薪酬标准的专业。社会人口学概况分析可作为一种有效的宣传工具。