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Assessment Of Teaching Of The Medical Students In General Medicine
Tıp Öğrencilerine Verilen Genel Tıp Eğitiminin Değerlendirilmesi
Tsvetelina Valentinova

 

How to cite / Atıf için: Valentinova Ts. Assessment Of Teaching Of The Medical Students In General Medicine. Euras J Fam Med 2016;5(1):9-12

 

Original Research / Orijinal Araştırma


ABSTRACT

Aim: This study aims to investigate the views of medical students about the training in general medicine as a part of their studies in medicine.

Methods: Data was collected with a self-administered anonymous questionnaire from 83 students. It is performed in the end of their training on general medicine, after the terminal exam of the discipline.

Results: On the question, whether the training in General Medicine corresponds with the preliminary expectations, the majority of them (78%) answered fully; fewer (10%) answered to some extent; 7% had no expectations and at 5 % the answer was "no."

Conclusions: The proposed training in general medicine in the department is received and studied well by the surveyed students. The results showed considerable satisfaction of respondents of the course.

Keywords: general medicine, students, education

ÖZET

Amaç: Bu çalışmada tıp öğrencilerinin tıp eğitimi kapsamında genel tıp eğitimleri hakkındaki görüşlerinin araştırılması amaçlanmıştır.

Yöntem: Veriler 83 öğrenciden, isimsiz olarak kendi başlarına doldurdukları bir anket ile toplanmıştır. Anket genel tıp eğitimlerinin bitiminde, final sınavından sonra uygulanmıştır.

Bulgular: Genel tıp eğitimlerinin başlangıç beklentilerine uygunlukları sorgulandığında, katılımcıların çoğunluğu (%78) “tamamen”, daha azı (%10) “bir yere kadar” diye yanıt verirken, %7‘sinin beklentisi yoktu ve %5 “hayır” olarak cevaplandırdı.

Sonuç: Uygulanan genel tıp eğitiminin öğrenciler tarafından iyi algılandığı ve öğrenildiği saptanmıştır. Sonuçlar katılımcıların eğitim programından yeterince tatmin olduklarını göstermektedir.

Anahtar kelimeler: genel tıp, öğrenciler, eğitim


Introduction

The general medicine is a relatively new discipline in the student training of medical students in Bulgaria. The reform of the health care system was started in 2000. As a result of its primary health care was organized in a new way on the basis of individual or group practice of general medicine. They cover the whole country and are responsible for the necessary primary health care for the population. When you need a specialized medical care or when the general practitioner cannot cope with the problem presented to him, he refers the patient to the appropriate specialist from the next levels of the health care system. This stimulates the need for the training of medical students to include the study of discipline "General Medicine" and creates at Medical Universities Departments of General Medicine. Medical University in Pleven was the first in the country that created this Department and first began training in general medicine to medical students in the academic year 1997/1998. For the past 17 years this training has undergone some changes to reach the form that exists today. Training in General Medicine at the Medical University of Pleven takes place in the form of lectures and seminaries, equally distributed in the second, third and fifth course of 6 years medical training. Material in these lectures and seminaries aims to provide a minimum of knowledge about the nature of general medicine, its philosophy, place and meaning in modern health care, the main functions and tasks of the physician in general practice, the special features of work and relationships doctor-patient in this practice. The students study the basic approaches to work with the patient in general practice: a bio-medical, sociological, psychological, bio-psycho-social, anthropological and transactional. The education considers the problems related to the management, teamwork and motivation of staff, as well as some specific issues such as the work of the physician with the patient's family, the realization of communication with difficult patients, breaking bad news, dealing with conflict situations and ethical dilemmas encountered in general practice. It pays special attention to the work of the General Practitioner with psychosomatic diseases, psychotherapy and empathy. Clinical skills and specific nosological units students learn in their training in other clinical disciplines set out in their training period from the second to the sixth course (1-4).

The aim of this study was to investigate the opinion of the medical students about the usefulness and effectiveness of their training in general medicine as a compulsory discipline, taught in the second, third and fifth year of their studies.  

Methods 

The study was conducted among medical students from fifth year, trained in "General Medicine" of the Medical University of Pleven in the 2011/2012 academic year (second year) 2012/2013 (third year) and 2014/2015 (fifth year). It was conducted by self-administered anonymous questionnaire in January 2015 at the end of the training course, after the terminal exam of the discipline. The study used a self-administered anonymous questionnaire with 12 questions (5-8). The data are processed with software of Stat graphics and Excel.

Results 

The questionnaires were distributed to all 89 Bulgarian fifth year students, specialty "medicine". Of these, are returned 83 valid surveys; with a smaller proportion of them, 23 (28%) were filled by men, and more than half, 60 (72%) of women. On the question: whether the training in General Medicine corresponds with the preliminary expectations, the majority of them (78%) answered fully; fewer (10%) answered to some extent; 7% had no expectations and at 5 % the answer was "no." Two of the participants explained their negative response. One of them was expecting education of nosological units, and for second the topics were not interesting. Asked to assess the lectures and seminaries on several criteria on 6-grade scale, respondents were given the following ratings (Table 1).

 

Table 1.  Evaluation of lectures and exercises in General Medicine

 

The students preferred a mini-lecture with discussion, followed by the classic lecture and seminar as the methods for training in the discipline (Figure 1).

 

Figure 1. Preferred methods of training (respondents gave more than one answer)

 

Of the forms and methods of training used by teachers in this discipline, students identified as most preferred the work in small groups on tasks, followed by case studies, participation in role-playing games and videos (Figure 2).

 

Figure 2. Preferred forms of training (respondents gave more than one answer)

 

Preferred form of examination is oral examination by discussion, followed by testing and case studies (Figure 3).

 

Figure 3. Preferred forms of testing (respondents gave more than one answer)

 

Discussion

Currently the exam conducted in the Department is combined with an entrance test followed by an examination by discussion. The surveyed students have shown good results: 88% have very good and excellent evaluation (5 and 6 on the six-point rating scale) and 12% have lower ratings. To the question  on whether received exam’s assessment is objective, the majority of respondents (92%) answered positively. The students are invited to suggest new topics for the course, a small proportion of them (10%) have given new proposals, others believe that the topics are currently appropriate. Suggested topics are related to psychology of the patient's behavior, the practical organization of work in a general practice, the rights of the physician during the health reform in the country and work with different groups of patients.

Conclusion

The proposed training in general medicine in the department is received and studied well by the surveyed students. The themes, presentation of the material and the behavior of teachers are highly appreciated by the participants in the study. Improving the quality of education can be found in the frequent updating of the curriculum, good feedback with students and ensuring more opportunities for practical training and monitoring the work of real general medical practice.

 

References

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