Early community-based family practice elective positively influences medical students' career considerations - a Pre-post-comparison
Early community-based family practice elective positively influences medical students' career considerations - a Pre-post-comparison
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DOI：
10.1186/1471-2296-14-24
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发表时间：
2013-02-21
影响因子：
2.9
通讯作者：
Sandholzer, Hagen
中科院分区：
文献类型：
--
作者：
Deutsch, Tobias;Hoenigschmid, Petra;Sandholzer, Hagen
背景：人口变化和家庭诊所的招聘问题日益威胁着许多国家充足的初级保健劳动力。因此，吸引年轻医生进入该领域非常重要。本研究的目的是检验早期基于社区的 28 小时家庭实践选修课和一对一辅导对医学生将家庭实践作为职业选择的考虑、他们对基于办公室的工作的兴趣以及对家庭医生工作的具体方面的几种看法的影响。一对一 由训练有素的家庭医生进行指导。结果：我们发现，选修课后选择家庭医生作为职业选择的学生比例明显更高（32.7% vs. 26.0%，p = 0.039）。此外，家庭实践在其他考虑的职业选择中的排名有所提高（p = 0.002）。未来在办公室工作的考虑因素没有发生重大变化。在长期医患关系和复杂疾病模式治疗的可能性方面，人们对家庭医生工作的看法发生了积极的变化。大多数学生将各自家庭医生导师的认同视为职业榜样，并增加了对专业的兴趣。 结论：我们的结果表明，在医学教育早期进行短期的基于社区的家庭实践选修课可能会对医学生对家庭实践职业的考虑产生积极影响。此外，对对其吸引力有重大影响的专业的看法可能会得到积极调整。需要进一步的研究来评估家庭实践课程的不同组成部分对年轻医生毕业后实际职业决策的影响。
Background: Demographic change and recruitment problems in family practice are increasingly threatening an adequate primary care workforce in many countries. Thus, it is important to attract young physicians to the field. The purpose of the present study was to examine the effect of an early community-based 28-h family practice elective with one-to-one mentoring on medical students' consideration of family practice as a career option, their interest in working office-based, and several perceptions with regard to specific aspects of a family physician's work.Methods: First-and second-year medical students completed questionnaires before and after a short community-based family practice elective, consisting of a preparatory course and a community-based practical experience with one-to-one mentoring by trained family physicians.Results: We found a significantly higher rate of students favoring family practice as a career option after the elective (32.7% vs. 26.0%, p = 0.039). Furthermore, the ranking of family practice among other considered career options improved (p = 0.002). Considerations to work office-based in the future did not change significantly. Perceptions regarding a family physician's job changed positively with regard to the possibility of long-term doctor-patient relationships and treatment of complex disease patterns. The majority of the students described identification with the respective family physician tutor as a professional role model and an increased interest in the specialty.Conclusions: Our results indicate that a short community-based family practice elective early in medical education may positively influence medical students' considerations of a career in family practice. Furthermore, perceptions regarding the specialty with significant impact on its attractiveness may be positively adjusted. Further research is needed to evaluate the influence of different components of a family practice curriculum on the de facto career decisions of young physicians after graduation.