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评估影响佐治亚州社区教师指导健康专业学生满意度的因素。

Assessing Factors that Influence the Satisfaction of Community-Based Faculty with Precepting Health Professions Students in the State of Georgia.

作者信息

Odo Nadine, Ruffa Alyssa, Gillies Ralph A, Ballance Darra, Kornegay Denise, Heboyan Vahé

机构信息

Anesthesiology and Perioperative Medicine, Medical College of Georgia, Augusta University, Augusta, GA, USA.

Medical College of Georgia, Augusta University, 1120 15th Street, Augusta, GA, BI-2144, USA.

出版信息

J Community Health. 2025 Apr 1. doi: 10.1007/s10900-025-01464-8.

Abstract

Community-based preceptors provide the clinical training necessary to prepare health professions students for clinical practice. The number of students in need of clinical placement is growing as the number of preceptors declines. The mission of the Georgia Area Health Education Centers is to increase access to primary care services in underserved rural and urban areas by recruiting, training, and retaining health professionals. A survey of preceptors in the State of Georgia was conducted in 2023 to gain insight into motivations for, satisfaction with, and barriers to precepting. Of 11,174 clinicians who had precepted within the past 5 years, 1,270 completed the survey (11% response rate). The survey revealed that, while preceptors reported satisfaction with the precepting experience and impact of students on their practice, they were less satisfied with the incentives provided. Current preceptors were younger, male, and precepted for a longer period of time and for more rotations per year. A regression analysis revealed that satisfaction with precepting was somewhat higher among preceptors who were 60 years old or older, a physician or PA, and practicing in a nonrural clinical site. Satisfaction was also somewhat higher among those who precepted for 2 or fewer years, for 10 or more rotations per year, and intended to continue teaching over the next 5 years. An analysis 114 free-text comments revealed themes that reinforce the concepts of teaching as an enjoyable and rewarding endeavor, the effect of teaching on clinical productivity, and a desire for better compensation for their efforts.

摘要

以社区为基础的带教教师为健康专业学生提供临床实践所需的临床培训。随着带教教师数量的减少,需要临床实习的学生数量在增加。佐治亚地区健康教育中心的使命是通过招募、培训和留住健康专业人员,增加在农村和城市服务不足地区获得初级保健服务的机会。2023年对佐治亚州的带教教师进行了一项调查,以深入了解带教的动机、满意度和障碍。在过去5年内带教过学生的11174名临床医生中,有1270人完成了调查(回复率为11%)。调查显示,虽然带教教师对带教经历以及学生对其临床实践的影响表示满意,但他们对所提供的激励措施不太满意。现任带教教师更年轻,男性居多,带教时间更长,每年带教的轮转次数更多。回归分析显示,60岁及以上、医生或执业助理医师、在非农村临床场所执业的带教教师对带教的满意度略高。带教年限为2年及以下、每年带教10次及以上、且打算在未来5年内继续教学的人员,满意度也略高。对114条自由文本评论的分析揭示了一些主题,这些主题强化了教学是一项愉快且有意义的工作、教学对临床工作效率的影响以及希望为其努力获得更好报酬的观念。

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