摘要
目的了解临床医学专业(全科医学方向)学生对本专业理论与实践教学的满意度及存在问题,分析公共卫生能力培养效果,为教学改革提供有效信息。方法采用整群抽样方法,于2015年6月对湖北医药学院三个年级258名全科医学生开展问卷调查,对管理者、理论与实践任课教师进行关键人物访谈,抽取10名本专业学生进行专题小组讨论;运用SPSS软件,选用χ~2检验比较不同性别、年级组间构成比;采用框架分析法,运用MAXqda软件描述并解释关键问题。结果回收问卷256份,回收率99.2%,其中男生133名(52.0%),女生123名(48.0%)。对理论任课教师的教学水平与全科医学专业教育不满意的学生分别占19.8%(51名)与32.1%(82名);不了解全科医学专业课程设置的学生为27.0%(69名),2010级学生了解情况高于2012级学生(χ~2=11.432,P=0.003)。对本专业开设相关公共卫生课程认同度不高,不同年级学生对开设《社区卫生服务管理》(χ~2=7.639,P=0.022)和《全科医学概论》(χ~2=7.506,P=0.023)的认知不同,反映内容存在重叠现象,对个别课程开设时间存在异议。对完成实践学习的86名2010级学生进行实践教学调查,结果显示47.7%(41名)的学生对本专业实践教学方案不满意,46.5%(40名)的学生觉得应只在三甲医院实习,64.1%(55名)的学生对社区实习表示肯定,但实习效果不理想,仅51.2%(44名)的学生比较熟悉双向转诊制度,实践教学主要存在实习管理制度不完善、学生积极性不高、教师经验不够丰富等问题。结论尽早加强临床医学专业(全科医学方向)学生专业思想教育,强化学生对全科医学专业的认知;整合优化课程体系,调整重叠教学内容,合理设置课程开设时间;完善实习管理制度、推广学习质量评定体系。
Objective To investigate the satisfaction and existing problems of professional theory and practice teaching among college students with clinical medicine major （ general medicine direction ） , to analyze the effect of training on public health ability so as to provide effective information for professional teaching reform. Methods With a cluster sampling method, a question- naire survey was conducted among 258 college students with general medicine majors from three grades in Hubei University of Med- icine in June, 2015. A pivotal figure interview was performed among managers as well as theory and practice teachers, and 10 students were selected to participate in a professional seminar. SPSS19.0 software was used for statistical analysis. Proportion was compared among different age and grade groups by chi-square test. Framework analysis and MAXqda software were employed for desecription and interpretation of key problems. Results Two hundred and fifty-six questionnaires were retrieved, and the re- trieval rate was 99.2%, including 133 （52.0% ） males and 123 （48.0%） females. The majors unsatisfied with teaching quality of theory teachers and professional education in general medicine accounted for 19.8%（51/256 ）and 32.1% （82/256） respectively. 27.0% （69/256）of the majors did not understand the professional curriculum, and the understanding was better in Grade 2010 than in Grade 2012 （X2 = 11.432,P= 0.003 ）. The majors＇ recognition of general-medicine-related public health curriculum was not enough. Different grade majors showed different cognition towards offering curriculums concerning Community Health Service Management （X^2=7.639,P=0.022） and Introduction to General Practice （X2 = 7.506,P= 0.023）. They pointed out that there were overlapped contents in the curriculums and the arrangement time of several curriculums was unreasonable. A survey concern- ing practice education among 86 Grade 2010 majors with finnished practice learning indicated that 47.7% （41/86） of them
作者
刘颖
李国华
郭怀兰
王静
刘锐
LIU Ying LI Guo-hua GUO Huai-lan WANG Jing LIU Rui(Department of Preventive Medicine, School of Public Health and Management, Hubei University of Medicine, Shiyan, Hubei 442000, Chin)
出处
《实用预防医学》
CAS
2017年第5期566-569,共4页
Practical Preventive Medicine
基金
湖北省高等学校省级教学研究重大项目(2013331)
关键词
临床医学生
全科医学
公共卫生能力
培养问题
clinical medicine major
general medicine
public health capacity
cultivation
problem
