在南非西开普省评估新的家庭医学实习计划
Lauren N Hutton1, Louis S Jenkins, Robert Mash
1Department of Family and Emergency Medicine, Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; and Knysna Hospital, Garden Route District, Western Cape Department of Health, Knysna. lauren.hutton@westerncape.gov.za.
概括
南非新的家庭医学实习改善了实习生的信心和技能. 然而,这些项目需要加强社区培训和结构化教学,以获得最佳的初级保健准备.
科学领域:
- 医疗教育 医学教育
- 主要医疗保健是主要的医疗保健.
- 家庭医学培训 家庭医学培训
背景情况:
- 南非在2021年实施了一项新的6个月的家庭医学和初级保健实习.
- 这项研究评估了西开普省这一轮换的初始阶段.
研究的目的:
- 评估新的家庭医学实习轮流的有效性并确定需要改进的领域.
- 收集实习生和主管对轮换结构和内容的反.
主要方法:
- 作为混合方法研究的一部分,进行了一项描述性调查.
- 数据是通过向实习生及其主管管理的问卷收集的.
- 使用社会科学统计包 (SPSS) 进行了统计分析.
主要成果:
- 实习生报告说,独立性,信心和性增加,在管理不分化和慢性疾病方面取得了显著的收益.
- 在接触社区服务和护理连续性方面发现了差距.
- 监督通常是充足的,但许多实习生缺乏结构化的教学计划.
结论:
- 实习轮换在很大程度上实现了其目标,准备实习生参加社区服务.
- 需要在面向社区的初级保健,公共卫生和息护理暴露方面进行改进.
- 对于未来的代,建议改进内部定向和监督结构.
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