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2024年苏丹家庭医学课程在提高家庭医学住院医师技能和知识方面的有效性:一项定量和定性调查

Effectiveness of the family medicine curriculum in the improvement of skills and knowledge of family medicine residents in Sudan 2024: a quantitative and qualitative survey.

作者信息

Abdelgadir Hiba Salah, Abdelgadir Hind Salah, Ahmed Nasreldin M, Nasser Adel A, Alghawli Abed Saif Ahmed, Elsayed Amani A K

机构信息

Community Medicine Department, Alzaiem Alazhari University, Khartoum, Sudan.

Faculty of Medicine, Alzaiem Alazhari University, Khartoum, Sudan.

出版信息

Sci Rep. 2025 Aug 17;15(1):30097. doi: 10.1038/s41598-025-14574-z.

DOI:10.1038/s41598-025-14574-z
PMID:40820123
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12358604/
Abstract

Family medicine was established in Sudan in 2006 after the first family medicine master's degree program was established. The objective of this study was to evaluate the effectiveness of the family medicine curriculum in the Sudan Medical Specialization Board (SMSB) and provide baseline and updated data on the strengths and weaknesses of the family medicine training program. A cross-sectional quantitative and qualitative descriptive survey was conducted from February to October 2024. Data was collected through a pretested, pre-coded online questionnaire. Semi-structured in-depth interviews were conducted with the family medicine specialists and trainers in the SMSB. All data were summarized numerically (mean, standard deviation, median) and graphically (frequency tables). The Chi square test was used to determine association among categorized variables. P value < 0.05 is considered statistically significant. Qualitative data was recorded, transcribed, coded, and analyzed using a content analysis approach. A total of 100 family medicine doctors participated in the study. Most of the participants (82%) were females. Regarding the job title (76%) of the participants were residents and the rest (24%) were specialists. More than half of the participants (66%) were from Khartoum state. Most of the participants (87%) reported satisfaction with the family medicine training curriculum in the SMSB and its effectiveness in improving knowledge and practices. Furthermore, (81%) of the participants reported that the lectures and workshops arranged for the residents were sufficient to improve their knowledge. Some of the residents interviewed (30%) complained of dissatisfaction with the research methodology course, and about half of them reported that the course was ineffective and did not improve their knowledge and skills in research. Furthermore, residents reported the family medicine research committee in the SMSB had unclear requirements which was reflected in a high rejection rate of the research proposals submitted by residents. The SMSB Family Medicine curriculum is a well-structured, training-focused program designed to enhance residents' satisfaction, knowledge, and clinical competencies. Significant concerns arise regarding the need for standardized curriculum details, trainer availability, and research support, all of which are crucial for the ongoing development and effectiveness of the program.

摘要

2006年,在首个家庭医学硕士学位项目设立之后,家庭医学在苏丹得以确立。本研究的目的是评估苏丹医学专业化委员会(SMSB)的家庭医学课程的有效性,并提供有关家庭医学培训项目优势与不足的基线数据和更新数据。于2024年2月至10月开展了一项横断面定量和定性描述性调查。数据通过预先测试、预先编码的在线问卷收集。对SMSB的家庭医学专家和培训师进行了半结构化深度访谈。所有数据均以数字形式(均值、标准差、中位数)和图表形式(频率表)进行汇总。采用卡方检验来确定分类变量之间的关联。P值<0.05被认为具有统计学意义。定性数据采用内容分析方法进行记录、转录、编码和分析。共有100名家庭医学医生参与了该研究。大多数参与者(82%)为女性。关于参与者的职称,76%为住院医师,其余24%为专科医生。超过一半的参与者(66%)来自喀土穆州。大多数参与者(87%)报告对SMSB的家庭医学培训课程及其在提高知识和实践方面的有效性感到满意。此外,81%的参与者报告称,为住院医师安排的讲座和研讨会足以提高他们的知识水平。一些接受访谈的住院医师(30%)抱怨对研究方法课程不满意,其中约一半人报告该课程无效,没有提高他们的研究知识和技能。此外,住院医师报告称SMSB的家庭医学研究委员会要求不明确,这反映在住院医师提交的研究提案的高拒稿率上。SMSB家庭医学课程是一个结构良好、以培训为重点的项目,旨在提高住院医师的满意度、知识水平和临床能力。对于标准化课程细节、培训师可用性和研究支持的需求出现了重大问题,所有这些对于该项目的持续发展和有效性都至关重要。

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本文引用的文献

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BMC Prim Care. 2024 Jul 30;25(1):277. doi: 10.1186/s12875-024-02542-x.
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Attitudes of Family Medicine Trainees Towards Patient-Centeredness Practice.家庭医学实习生对以患者为中心实践的态度。
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Fam Syst Health. 2022 Mar;40(1):87-92. doi: 10.1037/fsh0000659. Epub 2021 Dec 16.
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Awareness, attitudes, barriers, and knowledge about evidence-based medicine among family physicians in Croatia: a cross-sectional study.克罗地亚家庭医生对循证医学的认识、态度、障碍和知识:一项横断面研究。
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