イギリスの医学生の臨床経験の変化

I C McManus¹, P Richards, B C Winder

¹St Mary's Hospital Medical School, Imperial College of Science, Technology and Medicine, London, UK.

Lancet (London, England)

|April 10, 1993

まとめ

イギリスの医学生の臨床経験は,国民保健サービス改革と一致して,過去5年間で著しく減少しました. これは,医師の訓練の質に影響を与える可能性があります.

科学分野:

医療教育医療教育について
保健医療政策について
公衆衛生は公衆衛生である.

背景:

英国の国民保健サービス (NHS) は,大きな改革を進めている.
これらの改革は,医学生の臨床訓練に悪影響を及ぼす可能性があります.
学生による実務経験の量と質について懸念がある.

研究の目的:

イギリスの医学生の2つのコホートにおける実用的な臨床体験を比較するために.
1981年と1986年に研修を開始した学生の臨床経験の変化を評価する.
医療学生の研修に対するNHS改革の潜在的な影響を調査する.

主な方法:

アンケートに基づく評価を用いた比較研究.
医学生の最終臨床年度の終わりに収集したデータ.
1981年と1986年に研修を開始した学生の2つのコホートに調査が行われました.

主要な成果:

医学部間では,急性疾患,外科手術,および実用的な処置に関する経験の有意な違いが観察されました.
臨床経験の顕著な低下は,研究前の5年間で明らかでした.
学生の臨床経験の減少は,NHS改革の導入と相関していた.

結論:

この調査結果は,NHSの最近の改革が,医学生の臨床訓練に悪影響を与えていることを示唆している.
大学ベースの臨床教育から,より分散した,学徒制のスタイルのモデルへの潜在的なシフトがあります.
将来の医師の適切な臨床経験を確保するために,医療訓練構造の緊急の見直しが必要である.

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