医学本科生全科医学社区实习效果研究

目的了解临床医学本科生全科医学2周社区实习效果。方法2016年5月-2016年6月,通过自身对照,在北京市5个城区的6家首都医科大学社区卫生实习基地,对参加社区实习的首都医科大学五年制临床医学的本科生（155名）分别在实习前后采用自设问卷进行现场调查。问卷调查内容包括学生基本情况、实习内容参与情况、实习前后对全科医学的认知和态度等,对于社区实习效果即认知及态度评分在实习前后的差异,采用配对样本t检验进行统计分析,对于认知差异的影响因素,采用多重线性回归进行分析。结果实习前问卷发放145份,实习后发放153份,经匹配后,回收有效问卷139份,参与问卷调查的实习学生对全科医学总的认知情况在实习后评分高于实习前评分（t=-2.241,P=0.008）,对全科医学的态度在实习前、后没有发生变化（t=-1.838,P=0.082）,实习内容种类数是学生对全科医学的认知差异的影响因素。结论本科期间开展社区实习能够增强临床医学生对全科医学的认知,但对于全科医学态度无明显变化。高校应继续完善社区实习内容,改进实习时间,加强带教师资队伍建设,以进一步提高社区实习效果。

Effect of community internship in general practice for medical undergraduates

ObjectiveTo investigate the effect of the 2-week community internship. MethodsFrom May to June 2016, by self-controlled study,155 clinical medicine undergraduates were investigated before and after the internship by questionnaire at 6 community internship bases of Capital Medical University in 5 Beijing districts. The questionnaire content included demographics of students, participation of internship content, cognition and attitude towards general practice before and after internship. The results were analyzed by paired t-test and multiple linear regression. ResultsOne hundred and forty-five questionnaires were sent out before the internship, 153 after the internship, and 139 valid questionnaires were returned. It showed that, after the internship, students perception on general practice is higher than before(t=－2.241, P=0.008), and the attitude towards general practice has not changed(t=－1.838,P=0.082). The number of internship types affected students cognition of general practice. ConclusionThe community internship during undergraduate period could enhance clinical medical students perception of general practice, but there is no significant change in their attitude towards general practice. To further improve the effect of community internship, universities should continue to perfect the community internship content, extend the time of internship, and strengthen the construction of teaching staff.