基于社区的医学本科教育和通用实践专业之间的协会:在日本的一项纵向研究
Mariko Ishisaka1, Akiko Hanamoto2, Makoto Kaneko3
1Department of Family Medicine and Community Health, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Korean journal of family medicine
|June 22, 2023
概括
在日本医学院增加的通用实践 (GP) 教育并没有显著增加居民选择GP专业. 未来的努力应该集中在提高教育质量,而不是仅仅是数量,以解决GP短缺问题.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 一般的做法一般的做法
背景情况:
- 日本面临着全科医生短缺的问题.
- 日本医学院的通用实践教育有所改善,但仍然不一致.
- 本研究探讨了GP教育量与职业选择之间的联系.
研究的目的:
- 检查医学院期间与一般实践 (GP) 相关的教育量与GP作为专业的选择之间的关系.
- 为增加日本GP居民人数的战略提供信息.
主要方法:
- 在日本一家教学医院进行了一项回顾性队列研究.
- 参与者是住院医生,暴露时间以社区医学的强制性讲座和培训时间来衡量.
- 结果是在2年的初级住院后选择GP专业.
主要成果:
- 在51名居民中,有14人选择了GP专业.
- 在全科医生讲座或培训日数和选择全科医生专业之间没有发现显著的关联.
- 选择GP专业的风险比为2.78 (95% CI,0.88-8.79) 对于>=18小时的讲座和2.40 (95% CI,0.87-6.68) 对于>=12天的培训.
结论:
- 社区医学的强制本科教育的数量与居民选择GP专业的增加无关.
- 提高全科医生教育质量可能更有效地增加全科医生住院人员.
- 需要进一步研究才能得出最终的结论.
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