The Analysis And Research Of The Training System Of Clinical Medicine In Kunming Medical University And The Prince Of Songkhla University, Thailand

Objectives This study reviewed the existing training system of the five-year clinical medical modules in Kunming Medical University, general family medicine and the cooperation project is CPIRD(Collaborative Project to Increase Production of Rural Doctors) between the Prince of Songkhla University and Hat Yai Medical Education Center in terms of the students’satisfaction evaluation, and the two university administrators’suggestions. Finally, combining with the current reality of Yunnan province, the cultivate students "five-star" standard training system and improving general family medicine education system are proposed to solve the current problem of lacking rural health human resources in Yunnan province. It bought new idea of providing high quality students who can "staying unconditionally and completing better jobs", and they can meet the needs of rural areas.Methods This research adopts the theory of epidemiological cross-sectional survey. After literature review and expert consultation, graduate student questionnaire is designed by talking to administators of Kunming Medical University, the students of the first term general family medicine, the student of the Prince of Songkhla University, the administators of Hat Yai Medical Education Center. Based on the interview, the survey was systematically analysed and the interview data and suggestions were consolidated.Results1.The required course in five-year clinical medicine of Kunming Medical University contains public foundation courses, professional foundation courses and professional courses. The number of class hour is29.90%,38.69%and31.41%. The time of internship is51weeks; The graduates of clinical medical in2013, GMER (Global Mininmum Essential Requirements in Medical Education) rating scores is normally distributed (x±s=22.41±3.64). The students are not satisfied with the curriculum account for40.70%, satisfactory accounted for59.30%. Respectively65.76%and71.96%of the students suggest that the class hour of professional courses and internship should be increased. GMER different vibrations for the course of satisfaction evaluation score difference is statistically significant (x2=33.840, P=0.000). Students are more inclined to heuristic teaching accounted for82.34%. They prefer teaching facilities cannot meet the requirement is61.54%. The number of weak practice is61.29%; the employment is71.46%. The39.45%of students consider employment problem in the fifth year; they willing to the grassroots employment is42.68%. The influencing factors of grass-roots employment factor: multiariable logistic regression analysis, into the regression equation (P<0.05) are the ideal salary (OR=1.501), tuition waiver (OR=1.896). The students need to follow future career development policy should be tilted is33.50%.2. The required course in general medicine of Kunming Medical University contains public foundation courses, professional foundation courses and professional courses. The class hour is28.52%,37.77%and33.71%, respectively. The time of internship is74weeks. The curriculum adds the preventive health care, diagnosis, treatment, rehabilitation and health management. The general medical students of2010think that the class hour of professional foundation courses and internship is appropriate, the number of that is65.00%and60.00%; they think it is important to increase interview, which is75.00%; there are94.00%of students more inclined to heuristic teaching. They think weak of practice is88.00%. The teaching facilities cannot meet the requirement is67.00%; the reason of choosing general medicine is bad economic conditions, the number of that is57.00%.3. The curriculum of the Prince of Songkhla University and Hat Yai Medical Education Center divided into basic courses, integrated courses and practice internship. The time of second year to fifth year has community health courses; the graduates of CPIRD in2013who satisfied with the course is97.44%; The students think interview selection important is89.74%;They think teaching facilities can not meet the requirement is33.33%. They think poor of teaching management is35.90%; The reason of choosing CPIRD is contribute to basic medical and health is69.23%.Conclusions1. The medical courses of Kunming Medical University are subject-oriented. The higher GMER score, the more satisfaction of the curriculum. Most students of the general medical think the class hour of internship are suitable;2. The training mode is tendency to "early clinical, more clinical and repeated clinical", but the magnitude of the implementation is not enough. Most of the students think teaching facilities can not meet the requirements in evaluation of training mode;3. The five-year clinical medical graduates in2013, most of the students of five-year clinical medical in2013find jobs. Most of students address employment problem at fifth year. The factors of grassroots employment are ideal salary and tuition; Most of the students of general medicine in2013think it’s important to increase the interview. Most the reason of choosing general medicine is bad economic conditions.2. The medical courses of the Prince of Songkhla University mix together. The courses of community healthcare take the leading factor. The graduates of CPIRD in2013take the higher satisfaction evaluation to the curriculum; most students think it’s important to the interview selection. Most of the reason to choose CPIRD is contribute to basic medical and health. Because of the mandatory service policy, students must go to primary health care institutions after graduation.Suggestions The curriculum should be integrated. The curriculum content should reinforce practicability. The class hour of trainee should be increased. The practice teaching center should be open; the interview should be increased, and the quality of students should be improved. The network courses should be set up. The teaching mode is a variety of combination way. The general medical students should be contacted early at the grass-roots level, and the basic service consciousness should be improved. To strengthen students’ psychological counseling, their learning attitude needs to be corrected. The general practitioner training of "5+3" standardization of continuing education after graduation should be strengthened; the employment guidance course should be increased before graduation. The grassroots medical workers hold lectures, understanding of basic medical and health services; the incentive mechanism of the grass-roots level should be improved. That can provide basic health service security. The grassroots health workers give appropriate policy tilt.