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Pilot phase evaluation of the elective general practice class: results of student surveys of the first two years

机译:选修普通实践课的试点阶段评估:前两年的学生调查结果

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>Background: Primary health care in rural regions is currently undergoing a global crisis in respect of the next generation of practitioners. National and international recommendations advise placing greater emphasis upon practical skills and competences in medical studies. It is also in the interest of training the next generation to include mentoring and longitudinal integration of contact to teaching practices for general medicine in an early stage. Consequently, the General Practice Class (KAM) was introduced in Halle in 2011 as an elective with 20 individually mentored students per year, beginning with the first subject-related semester. We are now reporting on the results of the evaluation for the first two years. >Method: A standardised online survey was carried out with all students who took part in the KAM in the two years 2011 and 2012 (N=38). For both years the survey was made at the end of the first summer semester on the basis of an adapted version of the Heidelberger Inventar zur Lehrevaluation (Heidelberg Inventory for the Evaluation of Teaching, HILVE-II) and the Berliner Evaluationsinstrument für selbsteingeschätzte, studentische Kompetenzen (Berlin Evaluation Instrument for the self-assessment of student competences, BEvaKomp). Furthermore, each year the preference for the choice of specialty and location of a medical practice was queried. Predictors for the preference of the chosen specialty and the location of a medical practice were estimated by binary logistic regression analysis. Via univariate evaluations the number of students who reported an increase in knowledge in different areas of competence as a result of the KAM was counted. Correlations between the intention to remain in the KAM and the quality of teaching were evaluated on the basis of bivariate correlations. >Results: 48% of the students agreed partly or fully that the KAM seminars enhanced their specialist competence. This individual acquiring of competence in the model project represented a significant predictor for the preferred choice of the area (OR 7.98; 95% CI [1.27-50.27], p=0.027). Students who assessed the commitment (r=0.504), support (r=0.526) and interaction management (r=0.529) of the mentors positively were more likely inclined to continue their participation in the KAM.>Conclusion: The successful conveyance of care-relevant competences to students proved to be an important predictor in our project for the preference of the specialty general practice. This requires that the medical mentors are suitably trained and that the students are specifically prepared for practical experience.
机译:>背景:农村地区的初级卫生保健目前正遭受下一代从业者的全球危机。国家和国际建议建议更加重视医学研究的实践技能和能力。同样有益的是,在早期阶段培训下一代,以包括指导和纵向接触将其与普通医学的教学实践相结合。因此,从第一个与学科相关的学期开始,2011年在哈雷引入了通用实践课(KAM),作为选修课,每年有20名单独指导的学生。我们现在在报告头两年的评估结果。 >方法:对2011年和2012年这两年内参加KAM的所有学生进行了标准化的在线调查(N = 38)。这两年的调查都是在第一学期结束时根据改版的海德堡发明家评估书(海德堡教学评估书,HILVE-II)和柏林人评估工具书而进行的。 (用于学生能力自我评估的柏林评估工具,BEvaKomp)。此外,每年都会询问对专业选择和医疗地点的偏爱。通过二元logistic回归分析来估计所选专业的偏好和医疗机构的位置。通过单变量评估,统计了由于KAM而报告了不同能力领域知识增长的学生人数。在双变量相关性的基础上,评估了保留在KAM中的意愿与教学质量之间的相关性。 >结果:48%的学生部分或完全同意KAM研讨会增强了他们的专业能力。在模型项目中,这种个人能力的获得代表了区域首选的重要预测因素(OR 7.98; 95%CI [1.27-50.27],p = 0.027)。积极评估导师的承诺(r = 0.504),支持(r = 0.526)和互动管理(r = 0.529)的学生更倾向于继续参加KAM。>结论:对于我们的项目而言,成功地将与护理相关的能力传达给学生是重要的预测因素,因为我们偏爱专业普通科。这要求对医学导师进行适当的培训,并为学生提供专门的实践经验。

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