CAJ | 학술논문

目的评价临床医学生在疾病预防控制中心(center of disease control and preven-tion,CDC)的见习效果.方法整群抽样2007级(大三)临床医学生,随机分为教改组和非教改组,非教改组98人在校内实验室进行以讲授和讨论为主的传统实践,教改组79人到CDC见习.采用问卷与访谈法评价学生的预防医学认知、兴趣及就业意愿等.采用EpiData 3.1录入数据,纠错核对后采用SPSS 17.0软件进行统计分析,率和构成比的组间比较采用r检验,自评分的组间比较采用秩和检验.结果教改组中,将H1N1正确归为乙类的为76.0％,计划免疫了解程度自评分为4.0,H1N1报告程序熟悉程度自评分为4.0,督导短程化疗(directly observed treatment,short-course,DOTs)策略了解程度自评分为3.0,慢性非传染性疾病管理了解程度自评分为5.0,预防医学的兴趣度自评分为4.0,将CDC列为就业选择的比例为73.3％;分别高于非教改组的相应数据,40.4％、2.9分、2.9分、2.0分、4.0分、3.8分和28.7％(均P＜0.05).结论 CDC见习有益于提高临床学生预防医学学习兴趣,使其了解预防相关知识,转变择业观念.
목적 평개림상의학생재질병예방공제중심(center of disease control and preven-tion,CDC)적견습효과.방법 정군추양2007급(대삼)림상의학생,수궤분위교개조화비교개조,비교개조98인재교내실험실진행이강수화토론위주적전통실천,교개조79인도CDC견습.채용문권여방담법평개학생적예방의학인지、흥취급취업의원등.채용EpiData 3.1록입수거,규착핵대후채용SPSS 17.0연건진행통계분석,솔화구성비적조간비교채용r검험,자평분적조간비교채용질화검험.결과 교개조중,장H1N1정학귀위을류적위76.0％,계화면역료해정도자평분위4.0,H1N1보고정서숙실정도자평분위4.0,독도단정화료(directly observed treatment,short-course,DOTs)책략료해정도자평분위3.0,만성비전염성질병관리료해정도자평분위5.0,예방의학적흥취도자평분위4.0,장CDC렬위취업선택적비례위73.3％;분별고우비교개조적상응수거,40.4％、2.9분、2.9분、2.0분、4.0분、3.8분화28.7％(균P＜0.05).결론 CDC견습유익우제고림상학생예방의학학습흥취,사기료해예방상관지식,전변택업관념.
Objective To evaluate on novitiate of medical students in center of disease control and prevention(CDC).Methods Junior medical students of Grade 2007 were selected randomly by Cluster sampling method and classified into teaching reform group(novitiate in CDC,n=79) and control group.Traditional lecture and discussion were used in the laboratory of the school to 98 students of the control group,while 79 students of the teaching reform group became CDC trainees.Questionnaire and qualitative interviews were used to evaluate the trainees' preventive medicine cognition,their interest and employment intention.Questionnaire data was proofread and entered in EPIdata (version 3.1),and was analyzed by using Statistical Package for Social Sciences(SPSS version 17.0),and ratio or rate between groups were compared by x2 test,and scores of two groups were compared by using Wilcoxon test.Results In teaching reform group,rate of H1N1 correctly classified as category B was 76.0％,score of knowledge of Programme on Immunization,knowledge of H 1N 1 reporting procedures,knowledge of DOTs strategy,knowledge of chronic non-communicable disease management,and self-interest in preventive medicine was 4.0,4.0,3.0,5.0 and 4.0(points) respectively,and the proportion of regarding CDC as an employment options was 73.3％,respectively higher than 40.4％,2.9,2.9,2.0,4.0,3.8 points and 28.7％ in control group(all P＜0.05).Conclusion Novitiate in CDC is helpful to increasing students' interest in learning preventive medicine,learning knowledge of preventive medicine,and changing employment concept.