醫學生短期社區醫學訓練成效之介入性研究

An Interventional Study to Assess the Learning of Community Medicine by Medical Students Participating in a Short-Term Community Medical Training Program

溫瓊容(Chiung-Jung Wen) ； 劉宜廉(Yi-Lien Liu) ； 李龍騰(Long-Teng Lee) ； 高有志(Yu-Chi Kao) ； 陳慶餘(Ching-Yu Chen) ； 邱泰源(Tai-Yuan Chiu)

《台灣家庭醫學雜誌》 17卷2期 (2007/06) Pp. 73-84

https://doi.org/10.7023/TJFM.200706.0073

摘要

To have medical students participate in community medicine at an early stage in their training is essential in medical education. Hence, the quality and effect of community medicine training for medical students require more attention. In this research, the knowledge about, and the attitude toward, community medicine by medical students was evaluated. The results are discussed in light of their contribution to the future design of community medicine programs for medical students.
A questionnaire was completed before and after a one-day community medicine training course by 60 medical students who attended the course. The results had accurate response rates of 0.5 and 0.54 in the pre-and post-courses, respectively (range 0-1; t=-3.240; p＜0.001). The results also revealed that the students made significant progress after the training course (p＜0.05) in only two of twenty questions pertaining to knowledge of community medicine. It is noteworthy that the medical students scored lower than 50% correctly on the nine questions relating to the current domestic healthcare system. Moreover, the accurate response rate showed a significant increase (p＜0.05) in six questions regarding positive beliefs in community medicine, while there was significant improvement in three questions pertaining to negative beliefs (p＜0.05). The majority of medical students (81.7%) were willing to participate in this community medicine course, whereas 18.3% of the students had a neutral opinion prior to this course. However, after the training course, 100% of the students showed an interest in all aspects of the community medicine course.
This research concludes that for sixth year medical students, the effects of a one-day training course in community medicine knowledge were limited. However, the course had a significant impact on improving the negative beliefs held by medical students in community medicine and their awareness of vital concepts to community medicine. The design of this course also benefited students in terms of learning about community medicine learning and can thus be considered as the reference for a future training plan.

並列摘要

To have medical students participate in community medicine at an early stage in their training is essential in medical education. Hence, the quality and effect of community medicine training for medical students require more attention. In this research, the knowledge about, and the attitude toward, community medicine by medical students was evaluated. The results are discussed in light of their contribution to the future design of community medicine programs for medical students.
A questionnaire was completed before and after a one-day community medicine training course by 60 medical students who attended the course. The results had accurate response rates of 0.5 and 0.54 in the pre-and post-courses, respectively (range 0-1; t=-3.240; p＜0.001). The results also revealed that the students made significant progress after the training course (p＜0.05) in only two of twenty questions pertaining to knowledge of community medicine. It is noteworthy that the medical students scored lower than 50% correctly on the nine questions relating to the current domestic healthcare system. Moreover, the accurate response rate showed a significant increase (p＜0.05) in six questions regarding positive beliefs in community medicine, while there was significant improvement in three questions pertaining to negative beliefs (p＜0.05). The majority of medical students (81.7%) were willing to participate in this community medicine course, whereas 18.3% of the students had a neutral opinion prior to this course. However, after the training course, 100% of the students showed an interest in all aspects of the community medicine course.
This research concludes that for sixth year medical students, the effects of a one-day training course in community medicine knowledge were limited. However, the course had a significant impact on improving the negative beliefs held by medical students in community medicine and their awareness of vital concepts to community medicine. The design of this course also benefited students in terms of learning about community medicine learning and can thus be considered as the reference for a future training plan.

並列關鍵字

community medicine ； medical students ； knowledge ； attitude

參考文獻

Phibbs CS,Holty JE,Goldstein MK(2006).The effect of geriatrics evaluation and management on nursing home use and health care costs: results from a randomized trial.Med Care.44,91-95.

行政院衛生署(2004)。衛生統計動向。台北:行政院衛生署。

陳慶餘、劉文俊(2004)。社區醫學訓練手冊。台北:財團法人醫院評鑑暨醫療品質策進會。

謝博生(2003)。一般醫學教育。台北:台大醫學院。

謝博生(2003)。醫療與社會。台北:台大醫學院。