Investigation Of The Cognition Of General Practice And Intention Of Grass-roots Work For The Partial Undergraduate Medical College Students In Yunnan

Objectives:To know the recognition of general medicine, the intention of grass-roots work and the reasons why they want or do not want to be a general practitioner in the partial undergraduate medical college students and discuss the relevant factors of affecting the intention of being a practitioner, since general practice education course was offered in Yunnan medical colleges. To provide basis for medical colleges to improve general education further more and cultivate more and more general practice talents. To provide reference for the governments to develop general practice, attract and retain general practice talents better.Methods:Adopting stratified cluster sampling method, using self-compiled questionnaire, choosing 1925 undergraduate students from 2 medical colleges in Yunnan province, field investigation was conducted by the professional staff. The objects of investigation are freshman, sophomore junior students and clinical medicine, preventive medicine, rehabilitation medicine, medical imaging, anesthesiology and traditional Chinese medicine. The investigation contents basic information, the recognition of general medicine and the intention of grass-roots work(See attached list).1925 questionnaires were issued.1911 effective questionnaires were taken back. The questionnaire effective rate was 99.3%. Epidata3.1 software was used to input data, while SPSS 17.0 statistical software analysis. Count data was analyzed by descriptive analysis, chi-square test and logistic analysis.Results:1、Basic information:In the 1911 valid questionnaires, there are 554 males, 1357 females,852 urban residents,1059 people live in the countryside,647 freshmen,626 sophomores,638 junior student,587 clinical medicine students, 252 preventive medicine students,196 rehabilitation medicine students,263 medical imaging students,256 anesthesiology students and 357 traditional Chinese medicine students. There are 950 students have studied the required courses of "Introduction to General Practice",94 students have chose the elective class, while 867 students have not learned.2、Acknowledge of general medicine:In the 1911 valid questionnaires, agree, uncertain and do not agree with the general practitioner should provide health care, disease prevention and treatment and rehabilitation for all residents accounted for 84.7%,12.5%,2.9%. Agree, uncertain and do not agree with-the general practitioner should be the management of emergency critical illness accounted for 26.7%,42.2%,31.1%.63.9% of the students don’t know the proportion of GP in our country.35.7% of the students don’t know the ideal proportion of GP of a country or region. Agree, uncertain and do not agree With more than 90% health problems of the crowd can be resolved at the grassroots level hospital accounted for 53.8%, 25.2%,21%; 72.9% of the students think that the new medical reform in China focuses on accelerating the training of general practitioners; 72.3% of the students think that China’s implementation of grading clinics and the system of first treatment in community are good. Junior, sophomore students and anesthesiology, clinical medicine, medical imaging, preventive medicine students respectively are better than freshmen, traditional Chinese medicine and rehabilitation medicine students on the acknowledge of general medicine.3、Intention of grass-roots work:In the 1911 valid questionnaires,1479 (77.4%) students are willing to and consider to participate in the general resident standardization training to become a general practitioner after graduation.921 (62.3%) students choose urban community hospital employment, while 321 (21.7%) students select village health centers. The reasons why the students are willing to become a general practitioner in the first three in turn are it is easy to be employed(43.5%), they will have a better development in this field(39.8%) and just for interest(36.7%). The reasons why the students do not want to become general practitioners in the top three in turn are the development is poorly(53.1%), with no interest (47.1%) and low income(34.7%).4、Grade, professional, whether or not approve that the grass-roots hospital can solve more than 90% health problems of the population, and the attitude on grading clinics and the system of first treatment in community are factors which affects the wish of becoming general practitioners in medical students.Conclusions:1、The acknowledge of general practice of Students from freshmen to junior students in Yunnan medical colleges is superficial. Students which studied the " Introduction to General Practice "know better than students which did not study this course.2、Medical students have high willingness to become a general practitioner and go to community hospital in the cities, while village health centers are left out.3、Little development space of general practitioners,no interests and low income are the main reason why students do not want to become a general practitioner.