Reshmi Panchasheela S, Lunagariya Ruchita, Patel Hiren, Patel Nikhil, Chauhan Dixit, Patel Ravi
Department of Community Medicine, Sal Institute of Medical Sciences, Ahmedabad, Gujarat, India.
Department of Community Medicine, GMERS Medical College, Vadnagar, Gujarat, India.
Indian J Community Med. 2024 Jul-Aug;49(4):610-616. doi: 10.4103/ijcm.ijcm_58_23. Epub 2024 Jul 9.
National Medical Commission (NMC) in their recent notification included Family Adoption Program (FAP) in the undergraduate curriculum to provide a learning opportunity towards community-based health care to Indian medical graduates. This study is carried out to explore and know strengths, weaknesses, opportunities, and challenges of FAP.
FAP were used to gather data using Focus Group Discussion (FGD) and in-depth interviews of the stakeholders of the program. FGD of students was conducted. In-depth interviews of families, Sarpanch, Panchayat members, ASHA workers of the village, faculties, and Head of the Department of Community Medicine were conducted. Data analysis was done by using deductive-inductive content analysis method using computer software NVivo.
Four main categories or themes were formed: strengths, weaknesses, opportunities, and challenges. Strengths include increased understanding about Community Medicine subject, beneficence to students, and community. Weakness includes difficulties in field with respect to time and availability and implementation of programs. Opportunities include early field exposure and FAP as a platform for primary healthcare. Challenges include competencies not aligned with phasewise curriculum and difficulties in adopting five families per student.
The family adoption program needs to be adopted and implemented as a part of curriculum for MBBS students as there are many strengths and opportunities, while weaknesses and challenges need to be addressed.
国家医学委员会（NMC）在其最近的通知中，将家庭收养计划（FAP）纳入本科课程，为印度医学毕业生提供基于社区的医疗保健学习机会。本研究旨在探索并了解FAP的优势、劣势、机会和挑战。
采用焦点小组讨论（FGD）和对该计划利益相关者的深入访谈来收集有关FAP的数据。对学生进行了焦点小组讨论。对家庭、村长、村委会成员、村里的ASHA工作人员、教师以及社区医学系主任进行了深入访谈。使用计算机软件NVivo，采用演绎-归纳内容分析法进行数据分析。
形成了四个主要类别或主题：优势、劣势、机会和挑战。优势包括对社区医学学科的理解增强、对学生和社区有益。劣势包括在实地存在时间、可及性和项目实施方面的困难。机会包括早期实地接触以及FAP作为初级医疗保健的平台。挑战包括能力与分阶段课程不匹配以及每个学生收养五个家庭存在困难。
家庭收养计划作为MBBS学生课程的一部分，需要采用并实施，因为它有许多优势和机会，同时劣势和挑战也需要解决。
