背景:美国许多医学院都有学生经营的免费诊所。虽然许多人在成年无家可归或没有保险的人群中工作,很少与儿科人群合作。我们调查了在免费的参与前体育诊所志愿服务对医学生的教育动机的影响,学校参与,对他们的临床技能充满信心,与社区的联系,和自我效能感。
方法:在参与前体育诊所志愿服务的一年级和二年级本科医学生有资格参加这项研究。30名学生参加了这项研究,一些人多次志愿服务,共进行55项志愿服务后调查。志愿服务前后的调查是通过REDCap进行的。调查采用李克特量表和一般自我效能感量表设计。使用配对的两个尾t检验来分析志愿服务前后的数据。
结果:学生对儿科人群的信心有统计学上的显着增加,进行标准体检,在跨学科的环境中工作,与病人沟通。他们还表明,他们与行医理由和更大的当地社区的联系感在统计上显着增加。
结论:这项研究表明,参与的医学生对临床技能的积极性和信心有了可衡量的提高。这是医学生的宝贵经验,也是其他医学院可以采用的模式,以帮助多样化和加强他们的课程。在未来,我们希望收集更多的数据来进一步评估志愿服务对医学生的影响,病人,家庭,和其他社区利益相关者。
BACKGROUND: Student-run free clinics are present at many medical schools throughout the United States. While many work with adult homeless or uninsured populations, few work with pediatric populations. We investigated the impact of volunteering at a free preparticipation sports physical clinic on medical students\' educational motivation, school engagement, confidence in their clinical skills, connectedness to community, and self-efficacy.
METHODS: First and second year undergraduate medical students who volunteered at a preparticipation sports physical clinic were eligible for the study. 30 students participated in the study, some volunteering multiple times, for a total of 55 post-volunteering surveys. Pre- and post-volunteering surveys were administered via REDCap. The surveys were designed using Likert scales and the General Self-Efficacy scale. Paired two tailed t-tests were used to analyze pre- and post-volunteering data.
RESULTS: Students had statistically significant increases in their confidence in working with pediatric populations, performing a standard physical exam, working in an interdisciplinary setting, and communicating with patients. They also demonstrated statistically significant increases in their feelings of connectedness to their reason for practicing medicine and to the greater local community.
CONCLUSIONS: This research demonstrated measurable increases in motivation and confidence in clinical skills for medical students that participated. This is a valuable experience for medical students and is a model that other medical schools can adopt to help diversify and strengthen their curriculum. In the future, we would like to collect more data to further evaluate the impact of this volunteering on medical students, patients, families, and other community stakeholders.