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Differences in clerkship development between public and private Brazilian medical schools: an overview

机译：公共和私人巴西医学院的职员开发的差异：概述

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Around the world, it is very expensive to become a physician. Although public medical schools are less expensive than private medical schools, tuition fees are charged at public medical schools in the majority of countries. In Brazil, public medical schools, with the exception of municipal schools, are free. There has been little investigation of any differences in conditions offered by paid or free medical schools or what occurs in public and private clerkships in Brazil. We investigated the clerkship conditions offered to the students in both public and private Brazilian medical schools by gathering the opinions of clerkship coordinators and others responsible for clerkships. A cross-sectional, descriptive, analytical study using an electronic questionnaire was answered by clerkship coordinators to compare the clerkships of 30 public and 38 private Brazilian medical schools from all regions of the country. The questionnaires covered various aspects of the clinical environments, student supervision, faculty development, student assessments, rotation evaluations and extracurricular activities developed by students. We observed significant differences between public and private medical schools in several aspects investigated. Based on the opinions of the clerkship coordinators, with the exception of access to university hospitals, which was predominantly offered by public medical schools, private medical schools offer better clerkship conditions. The main differences were related to the number of positions, infrastructure, clinical learning environments, faculty development, student assessments, rotation evaluations and students’ extracurricular activities. This is the first study comparing Brazilian medical clerkships in private and public medical schools and provides a general vision of these programmes. It is necessary to further investigate clerkship development in the Brazilian medical school system and to study the differences between private and public medical schools globally.
机译：成为医生的世界各地，这是非常昂贵的。虽然公共医学院比私人医学院便宜，但在大多数国家的公共医学院都收取了学费。在巴西，公共医学院除了市校外，是免费的。几乎没有调查有偿或免费医学院提供的条件或巴西公共和私人职员发生的任何差异。我们调查了由公共和私人巴西医学院的学生提供的门禁条件，通过收集职员协调员和负责文职人员的其他人的意见。使用电子问卷的横断面，描述性分析研究是由Clerksep协调员回答，以比较来自该国所有地区的30个公共和38名私人巴西医学院的职员。调查问卷涵盖了临床环境的各个方面，学生监督，教师发展，学生评估，旋转评估和学生的课外活动。在调查的若干方面，我们观察到公共和私立医学院之间的显着差异。根据职员协调员的意见，除了高校医院的访问，主要由公共医学院提供，私立医学院提供更好的职员条件。主要差异与职位，基础设施，临床学习环境，教师发展，学生评估，旋转评估和学生的课外活动有关。这是第一次研究私营和公共医学院的巴西医疗职员，并为这些方案提供一般愿景。有必要进一步调查巴西医学院系统的行车统治发展，并研究全球私营和公共医学院之间的差异。

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