DOI: https://doi.org/10.22263/2312-4156.2020.4.90
Shevtsova V.V., Mikhnevich E.V., Alfyorova M.V., Kolosova T.V.
Organizational and methodological reserves for improving the quality of general practitioners training
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2020;19(4):90-97.
Abstract.
Health care today is characterized by the development of primary medical care as the main strategy of «achieving health for all». It is aimed at solving such medical and social problems as preserving the country’s labor potential, social protection and affordable medical care for socially vulnerable segments of the population (children, disabled people and the elderly), reducing the risks of developing major noncommunicable diseases. Therefore, the most important task of higher medical education in the context of modernization of the primary link of the health care system is to identify organizational and methodological reserves for improving the quality of general practitioners (GPs) training at the university.
During the study, 180 sixth-year students, serving their subinternship in the specialties: general medical practice, anesthesiology and resuscitation, surgery were surveyed. The authors were interested in: students’ motivation to choose the profession of a doctor; the proportion of matches of the desired specialty with the profile of the subinternship; additional measures taken by students to achieve their goal; interest in research; desired working conditions and position; students’ assessment of their personal qualities necessary for their future work.
It has been revealed that subinterns mastering the specialty «general medical practice» have low motivation regarding the choice of profession and the highest percentage of discrepancy between the desired and received specialties. Almost half of them do not show any interest in scientific research and do nothing to increase the level of knowledge in the specialty and improve their practical skills. Future GPs are least oriented towards career growth, but are more inclined to organize private medical practice; more than one third of them expressed their desire to work in an outpatient setting. Among their personal qualities, they distinguish sociability and industry.
Conclusions. Recommendations are given on optimizing the training of general practitioners at the university: starting from junior courses to inform students about the priority organizational forms of the health care system and to create a positive image of GPs; to instill an understanding of the important role of primary care in the health system; to focus the attention of future GPs on business planning and entrepreneurial activities, as well as professional communication.
Key words: primary medical care, general practitioner, professional activity, primary link of the health care system, educational process quality, motivation for choosing a profession, increase in the level of knowledge, interest in science.
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Information about authors:
Shevtsova V.V. – Candidate of Medical Sciences, associate professor of the Chair of Public Health & Health Service with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University;
Mikhnevich E.V. – senior lecturer of the Chair of Public Health & Health Service with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University;
Alfyorova M.V. – senior lecturer of the Chair of Public Health & Health Service with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University;
Kolosova T.V. – Candidate of Medical Sciences, associate professor of the Chair of Public Health & Health Service with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University.
Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Public Health & Health Service with the course of the Faculty for Advanced Training & Retraining. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Ekaterina V. Mikhnevich.
