Impact of the primary care curriculum and its teaching formats on medical students' perception of primary care: a cross-sectional study
Impact of the primary care curriculum and its teaching formats on medical students' perception of primary care: a cross-sectional study
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DOI：
10.1186/s12875-016-0532-x
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发表时间：
2016-09-15
影响因子：
2.9
通讯作者：
Haller, Dagmar M.
中科院分区：
文献类型：
--
作者：
Chung, Christopher;Maisonneuve, Hubert;Haller, Dagmar M.
背景资料：瑞士正面临着一个即将到来的初级保健劳动力危机，因为几乎一半的初级保健医生预计将在未来十年内退休。只有少数医学生选择初级保健专业，进一步加剧了劳动力短缺。因此，必须确定促进选择基层保健职业的方法。本研究的目的是探讨学生的意见本科初级保健教学课程和不同的教学形式，并评估这些意见对学生的看法初级care.Methods的可能影响：我们调查了五年级医学生从医学系在日内瓦和洛桑，瑞士（n = 285）与四个部分的电子问卷。我们进行了描述性分析，分类数据的频率，平均值和/或中位数连续data.Results：响应率为43%。总体而言，初级保健教学对学生的初级保健形象产生了积极的影响。在洛桑，初级保健课程组成部分的评价比日内瓦更积极。课程的组成部分，不是初级保健教学的一部分，但仍然被一些学生引用，经常被视为具有负面影响。结论：初级保健课程在洛桑和日内瓦大学积极影响学生的看法，这门学科。然而，初级保健和隐性课程的结构和内容都存在缺陷，这可能有助于使这种专业的负面形象永久化。
Background: Switzerland is facing an impending primary care workforce crisis since almost half of all primary care physicians are expected to retire in the next decade. Only a minority of medical students choose a primary care specialty, further deepening the workforce shortage. It is therefore essential to identify ways to promote the choice of a primary care career. The aim of the present study was to explore students' views about the undergraduate primary care teaching curriculum and different teaching formats, and to evaluate the possible impact of these views on students' perceptions of primary care.Methods: We surveyed fifth year medical students from the Medical Faculties in Geneva and Lausanne, Switzerland (n = 285) with a four sections electronic questionnaire. We carried out descriptive analyses presented as frequencies for categorical data, and means and/or medians for continuous data.Results: The response rate was 43 %. Overall, primary care teaching had a positive impact on students' image of primary care. In Lausanne, primary care curricular components were rated more positively than in Geneva. Curricular components that were not part of the primary care teaching, but were nevertheless cited by some students, were frequently perceived as having a negative impact.Conclusions: The primary care curriculum at Lausanne and Geneva Universities positively influences students' perceptions of this discipline. However, there are shortcomings in both the structure and the content of both the primary care and hidden curriculum that may contribute to perpetuating a negative image of this specialization.