广州医学院周志衡全科医学专业方向本科生对全科医学的学习需求及影响因素分析.docVIP

全科医学专业方向本科生的学习需求、择业意向及影响因素分析 周志衡1 王彩霞2 杨华杰1 张荣华1 肖垣婷1 王家骥1﹡ (1 广州医学院公共卫生学院，广州,510182) （2广州医学院附属市一医院内科，广州,510180） [摘要] 目的 了解全科医学专业方向本科生对全科医学的学习需求及择业意向状况，探讨其主要影响因素。方法 采用整群调查方法，对广州医学院的全科医学专业方向一至四年级的559名本科生进行问卷调查，分析他们对全科医学的学习需求、毕业后择业意向状况及其主要影响因素。结果 在被调查的学生中，乐意学习全科医学相关课程、全科医学专业方向和免费订单式培养全科医师项目、毕业后乐意攻读全科医学专业硕士和参加全科医师规范化培训项目的比例分别为44.5%、50.8％、46.1％、45.1％和41.9％；有281人（占50.3%）认为应该从医学院校本科教育开始培养全科医生；有239人（占42.8%）认为在医学院校采取全科医学专业方向教育是最适合方法；择业需求方面：有237名（占42.4％）学生表示毕业后乐意成为全科医师，而他们不愿意成为全科医师的原因中排在前3位的是：收入低（264人，26.9％）、发展空间少(242人，24.7％)和社会地位不高（191人，19.5％）；多元logistic回归分析显示：家庭经济状况(OR=1.238)、第一志愿报读全科医学(OR=0.597) 、学习成绩状况(OR=1.281)、是否乐意学习全科医学(OR=0.336)是学生毕业后乐意成为全科医师的主要影响因素。结论 全科医学专业方向本科生对全科医学的学习需求和择业意愿有待提高，应继续加强医学院校的全科医学教育，正确引导学生对全科医学的学习需求和择业取向。 [关键词] 全科医学，学习需求，就业意向，影响因素 Analysis of the Learning Needs, Job-hunting Intention and Its’ Influence Factors about General Practice Among General Practice Students ZHOU Zhi-heng1, WANG Cai-xia2, WANG Hua-jie1, et al .1.School of public health , Guangzhou Medical university, Guangzhou 510182, China. 2.Department of internal medicine of the first hospital of guangzhou, 510180,China. [Abstract] Objective To explore the learning needs, job-hunting intention and its’ influence factors about general practice(GP) among general practice students. Methods Totally 559 students(from freshman year to senior year) were selected as the subjects, who majored in clinical medical students (general practice). The questionnaire including the learning needs, job-hunting intention and its’ influence factors about GP. The results were statistically analyzed by SPSS13.0. Results The rates of learning needs for the curriculums of GP, GP specialty education in clinical medicine, GP directededucation, study for masters degree in GP, Standardized GP training were 44.5%、50.8％、46.1％、45.1％ and 41.9％. Among the 559 subjects, 50.3% believed that GP education should be carried out in medical college, 42.8% believed that GP specialty education was the best teaching met