临床医学生社区早接触实践课程的现状调查

Internship training of medical students at community health care centers

目的了解临床医学生"社区早接触"课程的参与情况、课程效果和改进建议。方法对2007、2008和2009级临床八年制学生采用问卷调查的方法收集信息(共回收198份问卷);并对2008级同学组织了两轮小组访谈。结果 1)实践课程使学生对社区卫生服务中心的服务对象、工作内容和性质有一定程度的了解;2)该课程设置在四年级下学期和总计18学时的安排较合理,但上午半日去社区中心的安排有待调整;3)学生更期待了解并参与具有社区特色的工作内容,也希望实践前能增加相关的知识培训。结论实践课程为学生提供了认识和了解社区卫生服务的平台,但如何使参与课程的不同社区中心都能达到课程质量要求、利用有限的课程时间实现课程目标仍存在挑战。

Objective To learn the participation of the internship at community health care centers for the preclini- cal medical students of PUMC, the course outcomes and suggestions for the course improvement. Methods The survey was conducted among medical students enrolled from 2007 to 2009. A self-filled questionnaire for all students of 3 years and two focus-group interviews for students of class 2008 were used for data collection. A total of 198 students completed the questionnaire. Results The students who had participated in the internship showed more awareness on the community health care such as predominant population served, major diseases managed, routines activities, and advantages of them. Most respondents thought that it was suitable to arrange the internship in the second semester of the fourth year with a length of 18 hours. But about one half of them suggested visiting community centers in the mornings should be re-considered. They also suggested that the internship should focus more on the activities specific for community health centers and they hope arrange training of knowledge and skills for the students before the internship. Conclusions The internship improved medical＂ students＇ awareness about the community health care, and it is still facing the challenges from the quality control of different centers and achieveaims of the internship in limited course-hours.