How do young physicians assess their medical studies in retrospect?: Results of a medical graduates' survey in Germany
How do young physicians assess their medical studies in retrospect?: Results of a medical graduates' survey in Germany
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DOI：
10.1055/s-2004-812705
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发表时间：
2004-01-01
期刊：
影响因子：
1.1
通讯作者：
Br채hler, E
中科院分区：
文献类型：
--
作者：
Jungbauer, J;Kamenik, C;Br채hler, E
目的：德国医学毕业生在期末考试后被要求回顾他们的医学学习。调查结果应该为医学教学的改进提供线索。方法：2002年4月至2002年12月，对德国7所大学的671名医学毕业生进行了访谈。通过问卷调查的方式，被试被要求详细说明他们的学习动机和职业目标，此外，他们被要求给他们的医学研究的回顾性评估。研究结果：决定学习医学和成为一名医生的主要动机是希望与人合作，并帮助他们。关于他们的职业目标，大多数毕业生希望成为一名医学专家，特别是内科医生或全科医生。至于医学教学，临床研究阶段的科目被认为比临床前研究阶段的科目更适合未来的专业实践。许多批评集中在缺乏与实践相关的医学教学。研究参与者认为，实际技能和社会心理技能的传授都极为不足。只有37.9%的年轻医生感到很好或非常好的准备，以未来的临床任务后，他们的最后学术examination.Discussion：研究结果证实，医学的专业知识，应重新考虑更重视教学更实用的技能。医学教学应包括与临床实践联系更紧密的训练模块和方法。特别是应实施医患关系和问题导向课程的基本技能培训，将临床和心理社会方面结合起来。
Objective: German medical graduates were asked to assess their medical studies in retrospect after their final academic exam. The survey's findings should provide clues for improvements in medical teaching. Method: Between April 2002 and December 2002 n = 671 medical graduates from 7 Universities in Germany were interviewed. By means of a questionnaire the subjects were asked to specify their study motivation and occupational aims; furthermore they were required to give a retrospective assessment of their medical studies. Findings: The main motive for the decision to study medicine and to be a doctor is the desire to work with people and to be helpful to them. Regarding their occupational aims, most graduates wish to be a medical specialist, especially an internist or a general practitioner. As to the medical teaching, the subjects of the clinical study period are considered much more relevant for the future professional practice than the subjects of the pre-clinical study period. Much criticism focusses on the lack of practice-related medical teaching. The study participants judge the imparting of both practical and psycho-social skills as extremely deficient. Only 37.9% of the young physicians feel well or very well prepared to future clinical tasks after their final academic exam. Discussion: The findings confirm that the medical curriculze should be reconsidered with greater emphasis on teaching more practical skills. Medical teaching should comprise training modules and methods that are more closely connected with clinical practice. In particular, basic skills training of doctor-patient relationship and problem-oriented classes should be implemented, integrating clinical and psychosocial aspects.