|
|
Analysis of the effect and influencing factors of community integrated practice learning |
CAO Jun1 NIE Shengnan1 CHEN Mingxuan2 TUO Anxie3 |
1.College of Clinical Medicine, Jiangxi Medical College, Jiangxi Province, Shangrao 334000, China; 2.College of Nursing, Jiangxi Medical College, Jiangxi Province, Shangrao 334000, China; 3.College of Humanities, Guizhou Medical University, Guizhou Province, Guiyang 550025, China |
|
|
Abstract Objective To meet the training needs of medical students in the new medical background, to investigate the current situation and influencing factors of community interns’ practical abilities, and to provide reference for practical teaching of medical students. Methods Convenient sampling method and practical ability assessment scale were adopted. From March to May 2022, interns in community health service institutions in Shangrao and surrounding areas were selected as the observation group, and medical students who had not yet entered clinical practice were selected as the control group for questionnaire survey. Results A total of 468 questionnaires were sent out, and 436 were effectively collected, with an effective recovery rate of 93.16%, including 224 in the community practice learning group and 212 in the control group. The scores of clinical learning, clinical task, and practical ability in the practice learning group were higher than those in the control group, and the teaching environment was lower than that in the control group, with statistical significance (P<0.05). Multivariate linear regression analysis showed that male students, undergraduate students, provincial capital cities, the number of practical teaching skills training (> four times), the working years of teaching teachers (>10 years), the years of practical teaching units (> 10 years), and the overall teaching effect were all included in the regression equation, and could explain 26.5% of the total variation. Conclusion The practical ability of medical students in community practice has been significantly improved, and the practical ability of medical students is affected by gender, city where they live, training experience and other factors.
|
|
|
|
|
[1] 中共中央 国务院.印发《“健康中国2030”规划纲要》[J].中华人民共和国国务院公报,2016(32):5-20. [2] 周艳.四川省基层卫生人才培养存在的问题与对策研究[D].成都:四川大学,2022. [3] Frenk J,Chen L,Bhutta ZA,et al. Health professionals for a new century:transforming education to strengthen health systems in an interdependent world [J]. Salud Publica Mexico,2011,53(2):199-200. [4] Serafimov A,Gilliar W,Byrne P,et al. Using medical education as a tool to train doctors as social innovators [J]. BMJ Innov,2022,8:1075-1080. [5] 赵越,刘兰秋.英国和美国社区居家安宁疗护服务模式及其对我国的启示[J].中国全科医学,2022,25(19):2330- 2335. [6] 路冬梅,何玉兰,周自琴,等.医联体内模式下的继续教育对提升基层医师临床能力的作用[J].广西医学,2021, 43(12):1522-1523. [7] 张渊,杨华,王天浩,等.上海市社区全科师资基本能力评估指标体系的建立[J].中华全科医师杂志,2011,10(4):232-236. [8] 李航,刘素珍,陶琳,等.社区医院师资实践教学能力现状及影响因素研究[J].中华护理教育,2022,19(5):442- 447. [9] 陈祖琨,柏跃华.浅谈加强医学实践性教学的方法[J].中国医药导刊,2007,48(1):66-67. [10] Yan W,Sun G. Income,workload,and any other factors associated with anticipated retention of rural doctors? [J]. Prim Health Care Res,2022,23:e12. [11] 黄丹丹.社区卫生服务中心医生的工作稳定性与满意度、职业认同感现状及关系研究[D].福州:福建医科大学,2018. [12] 姚俊明,邢丹.基于社区服务性学习的医学人文素质培养研究与实践[J].医学教育研究与实践,2020,28(5):781-785,865. [13] 宋凤梅,张朝晖,黄波,等.社区实践提升预防医学生公共卫生服务能力初探[J].教育教学论坛,2018(1):19-20. [14] 孙力,刘志军,葛敏,等.临床医学专业本科生社区实践教学效果评价指标体系构建研究[J].中国全科医学,2022,25(28):3550-3555. [15] 王慧新,邵萍,胡国华.中医院校医学生社区实践的探索与思考[J].中国高等医学教育,2011(3):38,52. [16] 李云.社区护士角色职能及职业发展规划阻碍因素的质性研究[J].全科护理,2022,20(24):3441-3444. [17] 李朝辉,周玥,张婷婷.执业药师继续教育实施情况的调查分析[J].中国医药导刊,2022,24(12):1253-1257. [18] Mutter M,Lampe M,Guth TA. A clinical skills dashboard for medical student assessment [J]. Med Educ,2022,56(11): 1119-1120. [19] 张茜.本科、专科医学生学业拖延的现状及其影响因素分析[J].教育观察,2021,10(18):8-10. [20] 王思远,杭苒枫,韦莹珏,等.我国乡镇卫生院服务能力现状及影响因素研究[J].中国农村卫生事业管理,2023, 43(1):47-51. [21] 赵世超,朱凤霞,刘倩,等.新医改背景下基层卫生政策对乡镇卫生院的影响机制分析——基于乡镇卫生院院长访谈的实证研究[J].中国卫生政策研究,2020,13(5):54-59. [22] 刘利,秦晓明,胡小琦,等.四川秦巴山区乡镇卫生院基本公共卫生服务现状调查分析[J].社区医学杂志,2021, 19(3):191-194. [23] 叶响裙.全面加强基层医疗卫生服务体系建设[J].中国国情国力,2020,334(11):12-15. [24] 周登远,刘晨阳,曹玥,等.疫情防控督导制度在加强基层医疗机构发热哨点中的应用探讨[J].中国医疗管理科学,2023,13(2):113-116. [25] 郭洪福.加强基层卫生健康服务能力建设[J].人口与健康,2021,284(4):61-62. [26] Golden S,Weaver J,Russell E,et al. Educational Value of an Intern-Directed Vascular Access Team at a Community Teaching Hospital [J]. Am Surgeon,2022,88(6):1159- 1162. [27] 郭佩华,郑树国,施相如,等.口腔医学生应用PDCA项目开展社区实习的教学探讨[J].中国高等医学教育,2022(8):1-3. [28] 朱君君,苏沁凝.广东省某中医高校农村订单定向医学生课程设置现状的调查研究[J].现代医院,2022,22(10): 1611-1614. [29] 李少雄,廖林.导师小组模式在全科医师规范化培训中的应用[J].继续医学教育,2020,34(12):29-30. |
|
|
|