Perspectives of Health System Sciences Education among Young Physicians in Provincial Settings
Keywords:
Young physician perspective, Health system sciences, Clinical practiceAbstract
Background: Thai Medical Council determines the internship training program in order to develop clinical practice skills of newly graduated physicians, which will be called young physicians in this study, as well as to give the resolution to insufficient physicians in other regions of the country. As a result, every medical graduate must go through the process of training. However, various studies indicated concerns about preparedness of newly graduated physicians as well as solutions and preparations by medical schools.
Objective: To explore and compare perspectives regarding medical school preparation of young physicians graduated from Phramongkutklao College of Medicine (PCM) for clinical practice.
Materials and Methods: This study was observational mixed model cross-sectional study, conducted in workplaces of intern physicians and focused on first-year and second-year intern physicians graduated from PCM. The questionnaire of this study included two parts; quantitative and qualitative sections. Quantitative part included 5-Likert scale covering 6 perspectives toward preparation for clinical practice (knowledge, health system, medical ethics & laws, continuity of medical education, technology usage and communication skills). Qualitative part was comment section. The questionnaire was made online and distributed via messaging applications and stored in online sheet. One-way ANOVA was used to compare all perspectives with independent t-test for comparing perspectives between groups.
Results: Seventy-four young physicians responded of which 62 were first-year interns. Young physicians perceived knowledge about knowledge of health system significantly lesser than other five aspects of preparations from medical school (F=11.082, p=0.001). Military and civilian physicians had different perspectives on preparation for technology usage (t=2.716, p=0.008). Second-year intern had lower knowledge on medical ethics and laws than firstyear intern (t=2.066, p=0.042). Female physicians had lower preparation for communication skills than males (t=2.412, p=0.018). Qualitative data addressed educational issues about patient management, health system sciences and financial management.
Conclusion: Health system education was to be emphasized in medical schools for young physicians’ competencies as well as technology usage, medical laws and ethics, communication skills and financial management.
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