Objective To survey Introduction to General Practice course taking and knowledge of general practice among medical students in Fudan University.Methods A survey with self-designed questionnaire was conducted in June 2017 among medical students of 5 year program in Fudan University who had taken the course of Introduction to General Practice.Results One hundred and ninety seven questionnaires were distributed and 186 valid ones returned with a recovery rate of 94.42％.The survey showed that 95.16％ of participants (177/186)gained knowledge about the post of general practitioners (GPs) through community practice;97.31％ (181 / 186) thought community practice as necessary;92.47％ (172/186) were very satisfied or fairly satisfied with the community practice course;94.09％ (175/186)gained clear understanding of the duty of GPs through the course study;87.63％ (163/186)completely understood the required capabilities of a GP;74.19％ (138/186)said that the course had opened their mind;64.52％ (120/ 186) said that they had changed their views about general practice;63.44％ (118/186) said that they had acquired new knowledge.The participants also gave some suggestions regarding the content of community practice.Although 96.24％ of the students (179/186)thought that general practitioner had a bright career prospect,only 7 of them (3.76％)were willing to be GPs after graduation;meanwhile 161 of them (86.56％) were willing to be specialists.The main reasons of not willing to be a GP were "wish to be a specialists (82.61％,133/186)","the job was not challenging or difficult for career development (45.34％,73/186)" and "not paid well for GPs (45.34％,73/186)".Conclusion Although many students thought GP would have good career prospect,only few of them are willing to be a GP.How to attract more medical students to chose GP as their career should be paid high attention by education and health authorities.%目的 调查在校医学本科生对《全科医学概论》课程的评价和对全科医学的认知以及择业意愿,为医学院校完善全科医学本科教育提供参考.方法 于2017年6月16-30日采用自行设计的评价问卷对复旦大学上海医学院2017年所有参加《全科医学概论》课程的在校本科生进行调查.结果 发放问卷197份,回收有效问卷186份,有效回收率94.42％.95.16％(177/186)的学生表示,通过社区实践课,对全科医生的岗位有了很多和较多了解;97.31％(181/186)认为有必要开展社区实践课;92.47％(172/186)对社区实践课很满意和较满意.94.09％(175/186)的学生表示,通过《全科医学概论》的学习,清楚了解了全科医生的工作职责;87.63％(163/186)完全了解了全科医生需要具备的能力;学习该课程后,认为开阔了思维、转变观念、增加知识的学生分别为74.19％(138/186)、64.52％(120/186)和63.44％(118/186).96.24％(179/186)的学生认为全科医生有职业发展前景,但是未来选择当全科医生的只有7人(3.76％),选择当专科医生的为161人(86.56％).毕业后不愿意做全科医生的前3位理由分别是更喜欢做专科医生(82.61％,133/186)、社区全科医生工作无挑战性(45.34％,73/186)、全科医生待遇低(45.34％,73/186).结论 全科医生重要性及职业发展前景得到大家认可,但有意从事全科岗位的人员比例太低.如何吸引更多医学生加入全科医师行列,需要教育部门和卫生行政部门共同的重视.
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