Global Health Education: a cross-sectional study among German medical students to identify needs, deficits and potential benefits (Part 1 of 2: Mobility patterns & educational needs and demands).

Global Health Education: a cross-sectional study among German medical students to identify needs, deficits and potential benefits (Part 1 of 2: Mobility patterns & educational needs and demands).
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DOI:
10.1186/1472-6920-10-66
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发表时间:
2010-10-08
影响因子:
3.6
通讯作者:
Tinnemann P
Tinnemann P
中科院分区:
医学3区
文献类型:
--
作者:
Bozorgmehr K;Schubert K;Menzel-Severing J;Tinnemann P

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近年来,全球卫生教育和培训一直是许多国家反复辩论的主题。然而,在德国,没有对医学生的教育需要或需求进行分析,也没有对全球健康教育所涉及的教育缺陷或潜在利益进行分析。我们的目的是分析在德国大学注册的医科学生的国际健康选修模式,并评估他们是否或如何为国外的选修课程做准备。我们研究了在德国大学注册的医科学生对热带医学或全球健康培训课程的接触情况,并评估了学生对全球健康教育的感知需求和要求。2007年下半年对德国所有36所医学院的医科学生进行的横断面研究。所有注册的医学生都有资格参加研究。招生是通过学生会的电子邮件列表进行的。我们开发了一份基于网络的半结构化问卷,以了解学生的国际流动模式、选修课前的准备、目的地国家、对全球卫生学习机会的接触和需求。收到并分析了来自德国所有注册医学生的1126份在线回复(N = 78.067)。所有答复者中33.0%(370/1126)宣布至少选修一门国际卫生选修课,其中36.0%(133/370)在发展中国家完成了选修课。36.0%(131/363)根本没有专门准备,59.0%(214/363)通过自学或宣布参加了专门的准备课程。87.8%的五年级和六年级学生从未参加过全球健康课程,72.6%(209/288)的学生没有完成热带医学课程。94.0%(861/916)赞同将全球健康纳入医学教育的想法。我们样本中的学生在学习期间是高度流动的。国际健康选修课很常见,在发展中国家也是如此。在我们的样本中,除了自学之外的正式准备几乎不存在,热带医学或全球健康课程的参与率低得惊人。在我们的样本中,我们确定了未满足的感知需求和对更多全球卫生学习机会的需求,并敦促进行改革,以调整课程以适应全球化的世界。
In recent years, education and training in global health has been the subject of recurring debate in many countries. However, in Germany, there has been no analysis of the educational needs or demands of medical students, or the educational deficits or potential benefits involved in global health education. Our purpose is to analyse international health elective patterns of medical students enrolled at German universities and assess whether or how they prepare for their electives abroad. We examine the exposure of medical students enrolled at German universities to training courses in tropical medicine or global health and assess students' perceived needs and demands for education in global health. Cross-sectional study among medical students in Germany including all 36 medical schools during the second half of the year 2007. All registered medical students were eligible to participate in the study. Recruitment occurred via electronic mailing-lists of students' unions. We developed a web-based, semi-structured questionnaire to capture students' international mobility patterns, preparation before electives, destination countries, exposure to and demand for global health learning opportunities. 1126 online-replies were received and analysed from all registered medical students in Germany (N = 78.067). 33.0% of all respondents (370/1126) declared at least one international health elective and of these, 36.0% (133/370) completed their electives in developing countries. 36.0% (131/363) did not prepare specifically at all, 59.0% (214/363) prepared either by self-study or declared a participation in specific preparation programmes. 87.8% of 5th and 6th year students had never participated in a global health course and 72.6% (209/288) had not completed a course in tropical medicine. 94.0% (861/916) endorsed the idea of introducing global health into medical education. Students in our sample are highly mobile during their studies. International health electives are common, also in developing countries. Formal preparation beyond self-study is virtually non-existent amongst our sample and the participation rate in courses of tropical medicine or global health is appallingly low. We have identified unmet perceived needs and the demand for more learning opportunities in global health in our sample, urging for reforms to adjust curricula to a globalising world.
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