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Interest in neurology during medical clerkship in three Nigerian medical schools

机译:三个尼日利亚医学院医学职务中神经内科的兴趣

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Background This study sought to ascertain perception of Nigerian medical students of neurology in comparison with 7 other major medical specialties. To also determine whether neurology was the specialty students consider most difficult and the reasons for this and to appraise their opinion on how neurosciences and neurology were taught in their different universities. Methods Self-administered questionnaires were used to obtain information from randomly selected clinical students from 3 medical colleges in Nigeria (University of Ibadan, Ibadan; University of Ilorin, Ilorin; Ladoke Akintola University of Technology, Osogbo). Results Of 320 questionnaires sent out, 302 were returned given 94% response rate. Students felt they knew neurology least of all the 8 medical specialties, and were not confident of making neurological diagnoses. About 82% of the students indicated they learnt neurology best from bedside teaching, followed by use of medical textbooks. Close to 15% found online resources very useful for learning neurology and 6% indicated that group discussion was quite useful in the acquisition of knowledge on neurology. Histology and biochemistry were the preclinical subjects participants opined were least useful in learning neurology. The most frequent reasons students felt neurology was difficult were problems with understanding neuroanatomy (49%), insufficient exposure to neurological cases (41%), too many complex diagnoses (32%) and inadequate neurology teachers (32%). Conclusions Nigerian medical students perceived neurology as the most difficult medical specialty and are not interested in specializing in it. Neurology education could be improved upon by provision of more bedside tutorials and increased availability of online resources to enhance learning. There is need to emphasize increased frequency of small group discussions amongst students so that they will be used to teamwork after graduation.
机译:背景技术与7家其他主要医学专业相比,本研究试图确定对神经内科的尼日利亚医学生的看法。还要确定神经科是否是专业学生认为最困难的原因,并评估他们对其不同大学如何教授神经科学和神经学的意见。方法采用自我管理的问卷来获取来自尼日利亚3名医学院的随机选择的临床学生(Ibadan大学,Ilorin大学,Ilorin; Ladoke Akintola Theily Theily,Osogbo)。结果320问卷发出,返回302份申请率为94%。学生们感受到他们至少知道所有8所医学专业的神经科,并且对制作神经系统诊断并不充满信心。大约82%的学生表明他们从床边教学中获得了神经学,然后使用医疗教科书。接近15%的人发现在线资源对于学习神经学非常有用,6%表示,群体讨论在获取神经内科知识方面非常有用。组织学和生物化学是临床前受试者参与者在学习神经病学中最重要的参与者。最常见的原因,学生感受到神经病学是理解神经肿瘤(49%)的问题,神经系统(41%)暴露不充分,过多的复杂诊断(32%)和不足的神经学教师(32%)。结论尼日利亚医学生感染神经科是最困难的医学专业,并对专业化并不感兴趣。通过提供更多的床头们教程和在线资源的可用性来提高学习,可以改善神经病学教育。有必要强调学生之间的小组讨论的增加频率,以便毕业后将用于团队合作。

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