【摘要】 目的:了解全科医学社区见习的现状及需求,为进一步提高全科医学社区见习质量提供参考。方法:对学习全科医学概论课程并参加社区见习的140名七年制医学生实施问卷调查。结果:(1)91.4%的学生认为有必要安排全科医学见习课;(2)多数学生认为通过社区见习加深了对理论课程的理解(72.9%)、是对理论课程的重要补充(83.6%);61.4%的学生认为社区见习能够提高他们对全科医学课程的学习兴趣;对于社区见习中先集中讲课再参观的学习方式,44.3%的学生表示一般或不认可;(3)59.3%的学生不认为通过社区见习后能够坚定自己将来到社区工作的意愿;(4)见习时间较短(39/140)、没有实际体验医患交流(24/140)和参与全科医生的整个诊疗过程(21/140)是全科见习的主要不足。结论:全科医学社区见习是全科医学课程的重要组成部分,在见习过程中发挥学生的主体作用和教师的主导作用是提高见习质量,深入理解全科医学课程的重要手段。更多还原

【Abstract】 Objectives: To investigate the condition and provide references of community clerkships of general practice.Methods: The questionnaire was conducted by 140 students on seven-year medical program who involved in community clerkships of general practice.Results:(1) 91.4% responders agreed the necessary of community clerkships of general practice.(2) 72.9% students understood the theory of general practice and 61.4% of them were interested on the curriculum after community clerkships.But 44.3% students did not think that it was feasible and effective to allocate more time for lecture during clerkships.(3) Working in community as a general practitioner was not the preferred choice to 59.3% students after graduation.(4) The shortages of community clerkships included short time for clerkships(39/140),the lack of participating in clinics(21/140) and communicating with patients(24/140).Conclusions: Community clerkships are important parts in the curriculum of general practice.Interaction between students and patients/teachers is necessary in community clerkships.更多还原