Community-based clinical education increases motivation of medical students to medicine of remote area: comparison between lecture and practice.
In this study, we administered a questionnaire to medical students to evaluate the effect of community-based clinical education on their attitudes to community medicine and medicine in remote area. Questionnaires were given 4 times to all the students from first-year to sixth-year. Of 95 students, 65 students (68.4%) who completed all questionnaires, were used in this study. The intensity of students' attitudes was estimated by using visual analogue scale. The intensity of interest, a sense of fulfillment and passion in medicine of remote area was significantly increased after the community-based practice. On the other hand, the level of understanding in medicine in remote area was increased by the lecture not by the practice. The intensity of desire both to become a generalist and a specialist was significantly increased when the grade went up. Most of sixth-year students desired to have abilities of a generalist and a specialist simultaneously. This study shows that the community-based practice is more meaningful in increasing motivation in medicine in remote area than the lecture, and suggests that it is important to prepare more courses to experience community medicine to increase the number of physicians who desire to work in remote area.
Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School.
Kenji
K
Tani
Harutaka
H
Yamaguchi
Saaya
S
Tada
Saki
S
Kondo
Ryo
R
Tabata
Shino
S
Yuasa
Shingo
S
Kawaminami
Yoshinori
Y
Nakanishi
Jun
J
Ito
Nobuhiko
N
Shimizu
Fumiaki
F
Obata
Teruki
T
Shin
Hiroyasu
H
Bando
Mitsuhiro
M
Kohno
D001290:Attitude; D002321:Career Choice; D004501:Education, Medical / Q000379:methods*; D006801:Humans; D008511:Medicine; D009042:Motivation; D012424:Rural Population; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D013663:Teaching; D064232:Visual Analog Scale