从学员的角度看克尔曼医科大学社区医学系实习和学徒课程的教育服务质量

Q4 Social Sciences Strides in Development of Medical Education Pub Date : 2018-11-11 DOI:10.5812/SDME.57542
A. Khalooei, A. Karbakhsh
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引用次数: 2

摘要

背景:社区医学系在医学生的教育中扮演着重要的角色,以提供初级卫生保健服务。这些部门适当的教育质量在为社区提供有效的健康促进服务方面发挥着重要作用。摘要目的:本研究旨在从实习生与学徒工的角度,评估克尔曼医科大学社区医学系的教育服务质量。方法:本研究采用横断面描述性分析方法,以2016年在克尔曼医科大学社区医学系完成实习或学徒课程的所有医学生为研究人群。采用服务质量测量问卷(SERVQUAL)收集数据,采用独立t检验、配对t检验、单样本t检验及Pearson相关系数进行分析。结果:244名研究对象中,女性占58.2% (n = 142),男性占41.8% (n = 102),实习占57% (n = 139),学徒占43%(105)。从学生的角度来看,教育质量五个维度的感知平均得分显著低于期望得分,这表明教育服务质量在各个维度上都存在负差距(P < 0.001)。反应性维度的质量差距最大(0.86),保证维度的质量差距最小(0.59)。学生对社区医学系教育服务质量的效用水平为84%。医疗服务质量效用水平最高的分别是保证维度(86.4%)和共情维度(86.1%),最低的是反应维度(79.6%)(P < 0.001)。有形维度与自信(r = 0.486)、共情维度与自信(r = 0.708)的相关性最低、最高。结论:在教育服务质量的所有五个维度中,都存在负差距,需要规划质量改进。在提高教育质量的方案中,应尽快考虑修改教育内容和针对未来工作的培训、修改教育方法、增加学生对教育计划的贡献、更新教育设施等问题。
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The Quality of Educational Services for Internship and Apprenticeship Courses at the Community Medicine Department of Kerman University of Medical Sciences, from the Trainees’ View Point
Background: Community medicine departments play a major role in the education of medical students in order to provide primary health care services. The appropriate quality of education in such departments plays an important role in providing effective services for health promotion of communities. Objectives: The current study was aimed to evaluate the quality of educational services at the Community Medicine Department of Kerman University of Medical Sciences from the viewpoint of interns and apprentices. Methods: The current cross sectional, descriptive-analytical study was conducted on all medical students that completed their internship or apprenticeship course at the Community Medicine Department of Kerman University of Medical Sciences in 2016 as the study population. Data were collected by the service quality measurement questionnaire (SERVQUAL), and analyzed by Independent t test, paired t test, and one sample t test, as well as Pearson correlation coefficient. Results: Of 244 participants in the study, 58.2% (n = 142) were female and 41.8% (n = 102) male, 57% (n = 139) were in the internship and 43% (105) in the apprenticeship courses. From the students’ point of view, the mean score of perception in all five dimensions of educational quality was significantly lower than the expectations score, which indicated a negative gap in the quality of educational services in all dimensions (P < 0.001). The greatest quality gap was observed in the responsiveness dimension (0.86) and the lowest in the assurance dimension (0.59). The utility level of the quality of educational services in the Department of Community Medicine was 84% from the viewpoint of the students. The highest level of utility in the quality of medical services was respectively observed in the dimensions of assurance (86.4%) and empathy (86.1%) and the lowest in responsiveness dimension (79.6%) (P < 0.001). The lowest and highest correlations were respectively observed between tangibles and assurance (r = 0.486) and between empathy and assurance (r = 0.708) dimensions. Conclusions: In all five dimensions of the quality of educational services, there were negative gap that required planning for quality improvement. Issues such as modifying educational contents and tailoring training to future jobs, modifying educational methods, increasing the contribution of students to educational planning, and updating educational facilities should be considered more urgently in the education quality promotion programs.
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