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Global Health Education: a cross-sectional study among German medical students to identify needs, deficits and potential benefits (Part 1 of 2: Mobility patterns & educational needs and demands)

机译:全球健康教育:一项针对德国医学生的横断面研究,以确定需求,不足和潜在利益(第1部分,共2部分:出行方式和教育需求)

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Background In recent years, education and training in global health has been the subject of recurring debate in many countries. However, in Germany, there has been no analysis of the educational needs or demands of medical students, or the educational deficits or potential benefits involved in global health education. Our purpose is to analyse international health elective patterns of medical students enrolled at German universities and assess whether or how they prepare for their electives abroad. We examine the exposure of medical students enrolled at German universities to training courses in tropical medicine or global health and assess students' perceived needs and demands for education in global health. Methods Cross-sectional study among medical students in Germany including all 36 medical schools during the second half of the year 2007. All registered medical students were eligible to participate in the study. Recruitment occurred via electronic mailing-lists of students' unions. We developed a web-based, semi-structured questionnaire to capture students' international mobility patterns, preparation before electives, destination countries, exposure to and demand for global health learning opportunities. Results 1126 online-replies were received and analysed from all registered medical students in Germany (N = 78.067). 33.0% of all respondents (370/1126) declared at least one international health elective and of these, 36.0% (133/370) completed their electives in developing countries. 36.0% (131/363) did not prepare specifically at all, 59.0% (214/363) prepared either by self-study or declared a participation in specific preparation programmes. 87.8% of 5th and 6th year students had never participated in a global health course and 72.6% (209/288) had not completed a course in tropical medicine. 94.0% (861/916) endorsed the idea of introducing global health into medical education. Conclusion Students in our sample are highly mobile during their studies. International health electives are common, also in developing countries. Formal preparation beyond self-study is virtually non-existent amongst our sample and the participation rate in courses of tropical medicine or global health is appallingly low. We have identified unmet perceived needs and the demand for more learning opportunities in global health in our sample, urging for reforms to adjust curricula to a globalising world.
机译:背景技术近年来,全球卫生教育和培训一直是许多国家反复讨论的主题。但是,在德国,没有对医学生的教育需求或需求,全球健康教育涉及的教育不足或潜在利益进行分析。我们的目的是分析在德国大学就读的医学生的国际健康选修模式,并评估他们是否或如何为国外选修课做准备。我们研究了在德国大学就读的医学生接受热带医学或全球健康培训课程的情况,并评估了学生对全球健康教育的感知需求。方法2007年下半年在德国的医学生中进行横断面研究,包括所有36所医学院。所有注册的医学生都有资格参加研究。通过学生会的电子邮件列表进行招聘。我们开发了基于网络的半结构化问卷,以捕获学生的国际流动模式,选修课前的准备,目的地国家,对全球健康学习机会的了解和需求。结果收到了来自德国所有注册的医学生的1126份在线回复,并进行了分析(N = 78.067)。在所有受访者中,有33.0%(370/1126)宣布至少参加一项国际健康选修课,其中36.0%(133/370)在发展中国家完成了选修课。 36.0%(131/363)根本没有专门准备,59.0%(214/363)根本不是通过自学或宣布参加特定的准备计划。 5年级和6年级的学生中有87.8%从未参加过全球健康课程,而72.6%(209/288)的学生没有完成热带医学课程。 94.0%(861/916)赞成将全球健康纳入医学教育的想法。结论我们样本中的学生在学习过程中流动性很高。国际卫生选修课在发展中国家也很普遍。在我们的样本中,几乎没有自学以外的形式准备工作,而且热带医学或全球健康课程的参与率极低。在我们的样本中,我们确定了未满足的感知需求和对全球卫生领域更多学习机会的需求,并敦促进行改革,以使课程适应全球化的世界。

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