上海市社区带教医师对全科医学课程结构的认知与政策建议

Cognition on general practice curriculum structure of clinical teachers in Shanghai communities and policy suggestion

目的旨在了解上海市临床五年制医学生见习所在社区卫生服务中心带教医师对于全科课程实践的认知,并提出相应建议。方法对13家社区教学负责人及300名带教医师进行问卷调查与个案访谈。结果带教医师认为前期全科课程很重要,应在早期就完成;社区见习课程的全科课程不但重要,而且学生更感兴趣。结论为了加强医学生全科医学教育,应足量开设前期全科课程,完善培养体系;延长社区实训时间,丰富实训内容;统一带教师资考评标准,完善激励机制。

Objective To understand the practice cognition on general practice courses of teachers tutoring program medical students from community health service centers （CHS） in Shanghai, and to propose relevant Methods Questionnaire survey method and case interviews were conducted among 300 teachers of 13 CHSs five -year advises. Results Tutorial doctors believed that early general trainings were essential and should be taken before practice, and practicing general trainings at CHS were also very important and students were more interested in these trainings. Conclusion In order to improve the general medical trainings, we should provide adequate early general training, perfect the training system, extend practice time at CHS, enrich training contents, adopt the same evaluation standard of tutorial teachers, and improve the incentive mechanism.