2024-03-29T13:01:48Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02016251
2022-02-22T04:44:24Z
1642838163960:1642838198944:1642838199408:1642838227712
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[調査報告]学生企画のフィールドワーク型地域実習に関する報告
Report of student-led fieldwork in the community
羽柴, 淳
川木, 詠美
上原, 周悟
座間味, 知子
武村, 克哉
Hashiba, Jun
Kawaki, Emi
Uehara, Shugo
Zamami, Tomoko
Takemura, Katsuya
open access
琉球医学会
community-based medical education
rural areas
fieldwork
student-led program
interchange
INTRODUCTION: Health workforce shortages are major issues in rural areas. Japanese medical schools have implemented numerous community-based medical educations aimed at increasing medical graduates' willingness to work in rural areas. However, these educations were usually initiated by educators, and there is considerable doubt whether they considered the needs of students engaged in those programs. Under the support of University of the Ryukyus, we conducted a community-based medical education program in May 2011, in which each participating student was assigned to, and performed fieldwork in one of 9 rural areas: 2 northern regions of Okinawa Main Island and 7 isolated islands around the island. This study assessed the impacts of the student-led program on students' notion, appreciation and attitudes of communitybased medicine. We also explored the importance of interchange with students of different universities and faculties who have more or less interest in community healthcare. METHODS: In the study, questionnaires were distributed to 39 students who were engaged in the fieldwork before and after the program; 35 (89.7%) responded. Students were asked about their preferred location for future practice, their beliefs about regional healthcare, the impact of the program on their understandings, the significance of interchange among students of different backgrounds who share a common interest in community-based healthcare, and the roles for students to play in rural healthcare. RESULTS AND CONCLUSION: Almost all the students showed moderate-to-marked willingness to work in rural areas after postgraduate practice. Many students indicated that they enriched their understandings through the fieldwork. Moreover, some of them nourished positive attitudes to improve the current situations of underserved community healthcare by making themselves integrating with rural communities. During the program, most students felt that they learned diversified values in regional healthcare, different medical problems and countermeasures in different regions. Although the report was not subjectively-assessed due to the limited sample size, biased sample, and not-well-organized analytical process, the result suggests that student-led medical program can have the potential to positively impact on students' interests in community-based healthcare.
論文
琉球医学会
jpn
journal article
VoR
http://hdl.handle.net/20.500.12000/0002016251
https://u-ryukyu.repo.nii.ac.jp/records/2016251
1346-888X
0289-1530
AN10369445
琉球医学会誌 = Ryukyu Medical Journal
30
1-4
61
67
https://u-ryukyu.repo.nii.ac.jp/record/2016251/files/v30(1-4)p61.pdf