Graduate School of Medicine, University of Wollongong, Wollongong, Australia.
Centre for Faculty Development, The Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Int J Circumpolar Health. 2024 Dec;83(1):2404274. doi: 10.1080/22423982.2024.2404274. Epub 2024 Sep 16.
Doctors who work in areas of workforce shortage, such as regional, rural and remote areas or areas of low socioeconomic means need to be more self-motivated, adaptable and self-directed than their metropolitan counterparts. This study aimed to examine the goal orientation and learning characteristics of students recruited into two medical programmes, one from the Northern hemisphere and one from the Southern hemisphere; both with a commitment to producing doctors to practice medicine in rural locations. Three survey tools were administered to 263 medical students: 1. achievement goal orientation survey; 2. learning characteristics survey and 3. the study process questionnaire. Medical students from both cohorts showed a learning goal orientation, which significantly increased with age (P0.007). In terms of learning characteristics, the students from the south had significantly higher scores for curiosity (P0.003), while the northern students had significantly higher scores for methodical ( < 0.001). Both cohorts were similar for adaptability and consciousness. Across the entire student cohort, three of the four learning disposition characteristics were also seen to correlate with learning goal orientation. In both cohorts of medical students deep learning scores exceeded surface learning scores. Selection of students with a learning goal orientation and learning characteristics of curiosity, adaptability and conscientiousness could potentially help students to flourish in rural placement environments.
在劳动力短缺地区（如区域、农村和偏远地区或社会经济水平较低的地区）工作的医生，需要比大都市同行更有积极性、适应性和自我导向性。本研究旨在考察从南半球和北半球各选取一个医学项目的学生的目标取向和学习特征；这两个项目都致力于培养在农村地区行医的医生。共向 263 名医学生发放了 3 种调查工具：1. 成就目标取向调查；2. 学习特征调查和 3. 学习过程问卷。两个队列的医学生都表现出学习目标取向，且随着年龄的增长（P0.007）显著增加。在学习特征方面，南方学生的好奇心得分明显更高（P0.003），而北方学生的系统性得分明显更高（ < 0.001）。两个队列在适应性和自觉性方面都很相似。在整个学生群体中，四个学习倾向特征中有三个也与学习目标取向相关。在两个医学生队列中，深度学习分数均超过了浅层学习分数。选择具有学习目标取向和好奇心、适应性和自觉性的学生，可能有助于学生在农村实习环境中茁壮成长。
