Readiness of medical graduates to self-guided work in primary health care organizations
https://doi.org/10.15829/1728-8800-2023-3829
EDN: VIBRRT
Abstract
Aim. To study the opinion of senior medical students about their readiness for self-guided practice in primary health care organizations.
Material and methods. In 2023, a continuous cross- sectional social study was conducted among 5th and 6th year students of the Northern State Medical University (Arkhangelsk), of which 137 were from pediatric faculty (5th year — 70, 6th year — 65), 266 — general medicine faculty (5th year — 140, 6th year — 126).
Results. An insufficient level of readiness of medical graduates for self-guided practice in primary health care facilities was revealed. Only 19,0%, after passing the primary accreditation, aim to immediately work as a local pediatrician and a local general practitioner, while 44,2% are not ready to begin independent practical activity. The main work direction of a local physician is considered to be prevention by 67,2% and 28,6% of senior pediatric and general medicine students, respectively. More than 75% of graduates are ready to work independently in a medical information system, but 15,1% of respondents are not sure that they will be able to independently make an electronic sick note, while 41% — a referral for disability examination, and about a third of graduates — fill out a statistical electronic form.
Conclusion. The study results confirm the need to strengthen the practice in the training of medical students and introduce a mentoring system in primary health care facilities.
About the Authors
Zh. L. Varakina
Northern State Medical University
Russian Federation
Russian Federation
Arkhangelsk
N. Yu. Shkerskaya
Arkhangelsk City Clinical Hospital № 7
Russian Federation
Russian Federation
Arkhangelsk
V. R. Losev
Northern State Medical University
Russian Federation
Russian Federation
Arkhangelsk
E. V. Zimina
A.I. Evdokimov Moscow State Medical and Dental University
Russian Federation
Russian Federation
Moscow
L. I. Menshikova
Northern State Medical University; Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Arkhangelsk, Moscow
References
1. Makarov SV, Gaydarov GM, Maevskaya IV, et al. The analysis of readiness of young specialists to self-dependent work in primary health care section. Problems of Social Hygiene, Public Health and History of Medicine. 2023;31(2):278-83. (In Russ.) doi:10. 32687/0869-866X-2023-31-2-278-283.
2. Alekseeva MV, Nikolaev AI, Shashmurina VR. Analysis of readiness of medical university graduates for labor activity. Russian Journal of Dentistry. 2020;24(3):180-5. (In Russ.) doi:10.17816/1728-2802-2020-24-3-180-185.
3. Burdastova YV. Problems of formalization of mentoring institute in healthcare and ways of solving it. Health Care of the Russian Federation. 2021;65(5):461-6. (In Russ.) doi: 10.47470/0044-197X-2021-65-5-461-466.
4. Prisyazhnaya NV, Vyatkina NYu. Readiness of future graduates of a medical university for professional activities. Saratov Journal of Medical Scientific Research. 2022;18(4):590-5. (In Russ.) EDN: GJEKAU.
5. Krom IL, Erugina MV, Eremina MG, et al. Modern transformations of medicine space from medical care to a medical service. Bioethics. 2019;12(1):27-9. (In Russ.) doi:10.19163/2070-1586-2019-1(23)-27-29.
6. Romanova TE, Rodina AA, Romanov SV, et al. Assessment of the medical students training quality during the COVID-19 pandemic for future work in practical health care. Healthcare Management: News, Views, Education. Bulletin of VSHOUZ. 2022;8(1):75-81. (In Russ.) doi:10.33029/2411-8621-2022-8-1-75-81.
7. Sidorova AA. Interrelation of educational activity and psychological readiness to perform professional activities of psychology students. Pushkin Leningrad State University Journal. 2021;(2):53-66. (In Russ.) doi:10.35231/18186653_2021_2_53.
8. Burdastova YV. Mentoring in healthcare: trend or necessity? Population. 2020;(1):148-54. (In Russ.) doi:10.19181/population.2020.23.1.12.
9. Bhat S, D’Souza L, Fernandez J. Factors influencing the career choices of medical graduates. J. Clin. Diagn. Res. 2012;6(1):61-4. ID: JCDR/2012/3652:1887/1.
10. Vandenberghe C. Organizational commitments. In: Commitment in Organizations: Accumulated Wisdom and New Directions; ed. by H. J. Klein, T. E. Becker, J. P. Meyer. NY: Taylor & Francis, 2009:99-136.
11. Shestak NV, Krutiy IA. Mentoring in the aspect of continuous learning professional development of the doctor. Pedagogy of Professional Medical Education. 2019;(2):6-24. (In Russ.)
12. Burdastova YV, Nenakhova YS, Alekperova NV, et al. New models of mentoring in healthcare as a way to improve the professional competencies of medical workers. Economy. Taxes. Law. 2022;15(3):69-79. (In Russ.) doi:10.26794/1999-849X 2022-15-3-69-7.
Review
For citations:
Varakina Zh.L., Shkerskaya N.Yu., Losev V.R., Zimina E.V., Menshikova L.I. Readiness of medical graduates to self-guided work in primary health care organizations. Cardiovascular Therapy and Prevention. 2023;22(9S):3829. (In Russ.) https://doi.org/10.15829/1728-8800-2023-3829. EDN: VIBRRT
Views:
689
Email this article 
