Abstract：Objective To investigate the satisfaction and existing problems of professional theory and practice teaching among college students with clinical medicine major (general medicine direction), to analyze the effect of training on public health ability so as to provide effective information for professional teaching reform. Methods With a cluster sampling method, a questionnaire survey was conducted among 258 college students with general medicine majors from three grades in Hubei University of Medicine in June, 2015. A pivotal figure interview was performed among managers as well as theory and practice teachers, and 10 students were selected to participate in a professional seminar. SPSS19.0 software was used for statistical analysis. Proportion was compared among different age and grade groups by chi-square test. Framework analysis and MAXqda software were employed for desecription and interpretation of key problems. Results Two hundred and fifty-six questionnaires were retrieved, and the retrieval rate was 99.2%, including 133 (52.0%) males and 123 (48.0%) females. The majors unsatisfied with teaching quality of theory teachers and professional education in general medicine accounted for 19.8%(51/256)and 32.1%(82/256)respectively. 27.0% (69/256)of the majors did not understand the professional curriculum, and the understanding was better in Grade 2010 than in Grade 2012 (χ2=11.432,P=0.003). The majors’ recognition of general-medicine-related public health curriculum was not enough. Different grade majors showed different cognition towards offering curriculums concerning Community Health Service Management (χ2=7.639,P=0.022) and Introduction to General Practice (χ2= 7.506,P=0.023). They pointed out that there were overlapped contents in the curriculums and the arrangement time of several curriculums was unreasonable. A survey concerning practice education among 86 Grade 2010 majors with finnished practice learning indicated that 47.7%(41/86) of them were not satisfied with the practice teaching plan and 46.5%(40/86) considered that the practice learning should be only conducted in the 3A-grade hospitals. 64.1%(55/86) thought practice in communities was necessary, but it did not achieve good effect. Only 51.2%(44/86) were familiar with the two-way referral system. There existed some problems in the practice teaching, including imperfect practice management system, lack of professional enthusiasm in majors and lack of rich experience in teachers. Conclusions For the students with general medicine major, it is necessary to strengthen the professional ideological education, intensify the student’s professional perception of general medicine, integrate and optimize the curriculum system, adjust the overlapped teaching contents, set up reasonable opening time of the curriculums, improve the practice management system and promote the learning quality evaluation system as soon as possible.
刘颖, 李国华, 郭怀兰, 王静, 刘锐. 湖北某学院全科医学专业学生公共卫生能力培养的问题及对策[J]. 实用预防医学, 2017, 24(5): 566-569.
LIU Ying, LI Guo-hua, GUO Huai-lan, WANG Jing, LIU Rui. Problems and countermeasures of cultivation of public health capacity among general medicine majors in a institute in Hubei. , 2017, 24(5): 566-569.
2017, Vol. 24 
