英国医学学生不断变化的临床经验
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
概括
英国医学学生的临床经验在五年内显著下降,与国家卫生服务改革相吻合. 这可能会影响医生培训质量.
科学领域:
- 医学教育 医学教育
- 医疗保健政策 医疗保健政策
- 公共卫生 公共卫生
背景情况:
- 英国国家卫生服务 (NHS) 正在进行重大改革.
- 这些改革可能会对医学学生的临床培训产生负面影响.
- 对学生获得的实践经验的数量和质量存在担忧.
研究的目的:
- 为了比较两组英国医学学生的实践临床经验.
- 评估1981年和1986年开始培训的学生之间临床经验的变化.
- 调查NHS改革对医学学生培训的潜在影响.
主要方法:
- 一项使用基于问卷的评估进行的比较研究.
- 在医学学生的最后临床年底收集的数据.
- 调查了1981年和1986年开始培训的两个学生队伍.
主要成果:
- 医学院之间在急性疾病,外科手术和实践程序方面的经验有显著差异.
- 在研究之前的五年里,临床经验明显下降.
- 学生临床经验的下降与NHS改革的引入有关.
结论:
- 这些发现表明,NHS最近的改革对医学学生的临床培训产生了不利影响.
- 有一个潜在的转变,从基于大学的临床教育向一个更分散的,学徒式的模型.
- 迫切需要对医疗培训结构进行审查,以确保未来的医生有足够的临床经验.
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