从偏见到骄傲:如何防止医学生搬迁
Isabelle Ettori1,2, Mary Lebleu1, Maureen Testu1
1Department of General Medicine, Faculty of Medicine, University of Tours, Tours 37032, France.
Rural and remote health
|August 18, 2025
概括
来自农村地区的医学学生与同龄人一样成功,但缺乏信心. 提供可靠的信息和社区支持可以帮助吸引和保留他们在服务不足的地区.
科学领域:
- 医学教育 医学教育
- 农村健康差异 农村健康差异
- 医生劳动力分布 医生劳动力分布
背景情况:
- 吸引医生到农村和服务不足的地区是一个全球性的挑战.
- 在法国,医学学生在学校所在地区接受培训,这影响了农村医生的可用性.
- 来自农村地区的学生经常参加遥远的医学院,阻碍了区域培训.
研究的目的:
- 调查为什么来自法国农村贫困地区的医学学生不会在他们的家乡地区接受培训.
- 测试这样的假设,即搬迁到遥远的学校加剧了农村地区的医生短缺.
- 确定影响医学学生选择教师和学术成功的因素.
主要方法:
- 一个混合方法研究,结合了定量和定性分析.
- 在三所医学院 (2014-2017年) 的印德县 (农村,服务不足) 的学生入学和通过率的定量分析.
- 对与学生关于教师选择因素 (2017-2018) 的面对面和电话采访进行了定性分析.
主要成果:
- 与远程学院相比,在当地Centre-Val de Loire (CVDL) 学院注册的英德学生较少 (2.0%对6.8%).
- Indre学生的第一年通过率与同龄人相似 (15.5%对16.1%).
- 影响教师选择的关键因素包括接近支持网络,城市印象和同行报告的学校声誉.
结论:
- 农村医学学生在学术上和同龄人一样成功,但低估了他们的能力.
- 从可靠的来源提供可靠的信息和强大的社区支持对于学生的信心和成功至关重要.
- 医学院应该培养社区吸引和支持学生,潜在地改善农村医生保留率.
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