农村准备的路线:加强医生助理的临床培训经验
Eric H Larson1,2,3,4,5,6, Natalia V Oster1,2,3,4,5,6, Andrew D Jopson1,2,3,4,5,6
1Eric H. Larson, PhD, is a research professor emeritus, University of Washington School of Medicine, Seattle, Washington.
概括
面向农村的医生助理 (PA) 计划面临的挑战包括学生住房和培训位的竞争. 成功的农村临床培训需要热情的学生和理解农村社区的支持性教师.
科学领域:
- 医学教育 医学教育
- 农村卫生 农村卫生
- 医生助理研究 医生助理研究
背景情况:
- 农村地区面临医疗保健提供者短缺的问题.
- 医生助理 (PA) 计划对于为各种环境培训医疗保健专业人员至关重要.
- 了解农村临床培训的细微差别对于PA教育至关重要.
研究的目的:
- 描述面向农村的医生助理 (PA) 培训计划的实践和经验.
- 为了确定促进者和障碍在提供农村临床培训的PA学生.
- 探索PA项目主管和农村临床教师的观点.
主要方法:
- 对178名PA项目主管 (PD) 进行了关于计划特征和农村培训的调查.
- 采访了来自农村导向计划的13名PD.
- 采访了13名农村临床预防医生 (CP).
- 内容分析以确定关键主题.
主要成果:
- 61%的响应PA计划是以农村为导向的,积极招募农村学生并解决农村问题.
- 成功的农村培训取决于有支持的教师,他们喜欢教学,并培养学生对农村社区的理解.
- 对农村实践真正感兴趣的热情学生是成功培训的关键.
- 系统性障碍包括学生住房,生产率下降,培训时段的竞争和行政负担.
结论:
- 学生可以通过积极参与轮换和展示社区兴趣来增强他们的农村临床经验.
- 增加PA农村临床培训的关键系统性挑战包括学生住房,空位竞争和缺乏财务激励.
- 解决这些障碍对于维持和扩大农村PA培训机会至关重要.
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