Sharkas Ghazi F, El-Masry Ragaa, Abdel-Ghany Sameh, Baz Ayman El, Abou-Elsaad Tamer, Kassab Amira Adly, Badran Darwish H, Bashir Abdalla Y
Department of Basic Medical Sciences, Faculty of Medicine, Ibn Sina University for Medical Sciences, Amman, 16197, Jordan.
Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
BMC Med Educ. 2024 Dec 18;24(1):1483. doi: 10.1186/s12909-024-06468-x.
The adoption of integrated curricula in medical schools has grown globally, emphasizing the need to understand academic medical staff satisfaction as a crucial factor influencing successful implementation.
This study aimed to assess satisfaction levels among academic medical staff with integrated medical curricula, identifying socio-demographic and work-related predictors of dissatisfaction.
A cross-sectional, online multinational survey was conducted from December 2023 to April 2024 among 525 academic medical staff. A structured, self-reported questionnaire was used to assess satisfaction levels, demographic characteristics, and work-related factors. The data were analyzed using descriptive and inferential statistics, including logistic regression analysis, to identify predictors of dissatisfaction.
The study revealed a low satisfaction rate (44.2%) among medical staff, with significant dissatisfaction influenced by nationality (Jordanian: OR = 7.74, and Egyptian: OR = 4.68), male gender (OR = 3.27), over ten years of teaching experience in integrated curricula (OR = 4.25), and employment in governmental universities (OR = 4.23). Dissatisfaction was particularly high with aspects such as the integration of basic and clinical sciences, assessment methods, and implementation schedules. Faculty from private universities demonstrated significantly higher satisfaction (65.1%) compared to those in governmental institutions (41.3%). Younger staff < 45 years reported higher satisfaction rates (50.9%) compared to their older counterparts ≥ 45 years (39.1%), reflecting greater adaptability to curriculum changes.
The findings highlight substantial dissatisfaction among academic medical staff with the design and implementation of integrated curricula, particularly in governmental institutions and among senior faculty. Institutions must address challenges in curriculum design, resource allocation, and faculty support to enhance satisfaction. Revisiting conventional curriculum components or adopting a hybrid approach may help balance innovation with faculty preferences, fostering a more conducive educational environment.
医学院校采用整合课程在全球范围内不断增加,这凸显了理解学术医务人员满意度作为影响成功实施的关键因素的必要性。
本研究旨在评估学术医务人员对整合医学课程的满意度水平,确定不满的社会人口统计学和工作相关预测因素。
2023年12月至2024年4月对525名学术医务人员进行了一项横断面在线多国调查。使用结构化的自填式问卷来评估满意度水平、人口统计学特征和工作相关因素。使用描述性和推断性统计分析数据,包括逻辑回归分析,以确定不满的预测因素。
研究显示医务人员的满意度较低(44.2%),国籍(约旦人:优势比=7.74,埃及人:优势比=4.68)、男性(优势比=3.27)、在整合课程中有超过十年的教学经验(优势比=4.25)以及在政府大学工作(优势比=4.23)对显著不满有影响。对基础与临床科学整合、评估方法和实施时间表等方面的不满尤为高。私立大学的教师满意度(65.1%)明显高于政府机构的教师(41.3%)。45岁以下的年轻员工报告的满意度(50.9%)高于45岁及以上的年长员工(39.1%),这反映出对课程变化的更强适应性。
研究结果凸显了学术医务人员对整合课程的设计和实施存在严重不满,特别是在政府机构和资深教师中。院校必须应对课程设计、资源分配和教师支持方面的挑战,以提高满意度。重新审视传统课程组成部分或采用混合方法可能有助于在创新与教师偏好之间取得平衡,营造更有利的教育环境。