Medical Training Experience and Expectations Regarding Future Medical Practice of Medical Students at the University of Cape Verde

Abstract

RESUMOIntrodução: Cabo Verde é um pequeno estado insular em desenvolvimento. A sua primeira experiência em educação médica pré-graduada começou em outubro de 2015. O objetivo deste artigo é descrever e analisar as expectativas profissionais e o perfil da primeira turma de estudantes de medicina na recente escola de medicina de Cabo Verde. Material e Métodos: Um questionário padronizado, dirigido, com perguntas fechadas e abertas, foi distribuído aos estudantes de medicina inscritos que frequentaram as aulas no dia da pesquisa. Todos os dados foram analisados usando SPSS. Resultados: Os alunos decidiram estudar medicina a meio da adolescência. Parentes e amigos parecem ter tido uma influência importante nessa decisão. Outras razões principais para escolher a formação médica incluem "para cuidar de outras pessoas", "fascínio para os assuntos da medicina" e "meu desejo desde sempre". O grau de feminização dessa população estudantil é extremamente alta (20/25; 80,0%). Os estudantes de medicina estão, em geral satisfeitos com o programa de formação e têm expectativas de que a formação recebida lhes permitirá ser bons profissionais. No entanto, eles consideram o curso muito teórico. Os estudantes de medicina consideram que isso pode representar a sua oportunidade para contribuir para o bem-estar público e suas expectativas são para combinar o uso do sector público com o trabalho privado. Os estudantes de medicina vieram principalmente da ilha de Santiago, onde está localizada a capital do país e que também é o local preferido para a prática futura. Eles ainda não decidiram sobre a sua futura área de especialização. Mas todos aqueles que querem se especializar, querem fazê-lo no estrangeiro. A maioria deles espera seguir carreira hospitalar em vez de trabalho baseado na administração de saúde ou nos centros de saúde. Discussão: Este estudo contribui para o crescente conhecimento sobre as dificuldades do estudante de medicina e expectativa das escolas médicas ou programas de ensino médico nos países lusófonos. A decisão de investir na formação local de médicos justificase pela necessidade de se ser menos dependente do estrangeiro no processo. Programas locais de pós-graduação médica são considerados uma prioridade para o futuro imediato. with closed and open-ended questions, was distributed to registered medical students attending classes on the day of the survey. All data were analyzed using SPSS.Results: Students decided to study medicine in their mid-teens with relatives and friends having had significant influence over their decisions. Other major reasons for choosing medical training include "to take care of other people", "fascination for the subject matters of medicine" and "I have always wanted to". The degree of feminization of the student population is extremely high (20/25; 80.0%). Medical students are in general satisfied with the training program, and have expectations that the training received will allow them to be good professionals. Nevertheless, they consider the course too theoretical. Medical student...

Medical education needs to counter urban bias and hospital‐centrism of medical students

“…Despite the efforts to transform medical education in Brazil, 4,14,15 the idea that the hospital is the place to crave for a respectable professional practice still remains in the minds of young people who start medical school, which also reflects the prevailing professional reality that more than half of doctors in the Brazilian public sector practice in a hospital. 16 This finding is similar to that from other countries [6][7][8][9][10][11][12][13] but more striking in Brazil, where only two students considered the possibility of specializing in family medicine, which, if not changed, will perpetuate the deficit of doctors that already exists in primary care. 17 In addition, about two-thirds of the students mentioned some family influence in their decision to embrace the medical course, which may suggest both the weight of the experience of family members who already work in the health field, and the family pressure for the social prestige often associated to hospital practice.…”

“…[1][2][3] At a time of transformation of medical education in Brazil 4 and elsewhere, 5 it is important for teachers to listen to their students as early as possible during medical training, to correct and adapt their training path in order to guide them along a socially desirable route. With that purpose in mind, the authors conducted a small cross-sectional analytical study, with data obtained by means of a semi-structured questionnaire, tested in other contexts, [6][7][8][9][10][11][12][13] applied by one of the Faculty's professor (FPCDB) in classroom conditions to 35 of the 110 freshman students present in November 2017 at the Faculty of Medicine of the Federal University of Goiás in Goiânia. A descriptive statistical analysis was carried out.…”

“…Compared to the results of similar studies in other Portuguese-speaking countries (Angola, Cape Verde, Guinea-Bissau, Mozambique, East Timor) [6][7][8][9][10][11][12][13] the Goianian results are very similar in terms of the urban bias and the hospitalpractice preference, but reflect a more vigorous and sustainable private market (hence the stronger attraction for dual practice), a greater confidence in the support systems that the Faculty offers their students and greater confidence in Brazil's ability to train specialists.…”

“…16,19 This preference is similar to that described for students in other Portuguese-speaking countries. [6][7][8][9][10][11][12][13] This is probably related to the observation that a third of students in the first year after graduation expect to earn an annual income higher than what would be possible through a practice exclusively in the public sector (about R $120 000).…”

Medical Faculty Profile is an Important Determinant of Student Profile and Future Practice Expectations of Medical Students in Angola

“…The administration of the questionnaire was subcontracted to a commercial rm. The questionnaire applied was similar to the one applied in other studies of medical students in Portuguese speaking countries (5,(17)(18)(19)(20)(21).…”