Community-based clinical education increases motivation of medical students to medicine of remote area -comparison between lecture and practice-

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  • Tani Kenji
    Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Yamaguchi Harutaka
    Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Tada Saaya
    Third year student, the University of Tokushima Faculty of Medicine
  • Kondo Saki
    Third year student, the University of Tokushima Faculty of Medicine
  • Tabata Ryo
    Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Yuasa Shino
    Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Kawaminami Shingo
    Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Nakanishi Yoshinori
    Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Ito Jun
    Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Shimizu Nobuhiko
    Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Obata Fumiaki
    Kaifu Tokushima Prefectural Hospital
  • Shin Teruki
    Hyogo Prefectural Kaibara Hospital
  • Bando Hiroyasu
    Kaifu Tokushima Prefectural Hospital
  • Kohno Mitsuhiro
    Department of General Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School

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In this study, we administered a questionnaire to medical students to evaluate the effect of community-based clinical education on their attitudes to community medicine and medicine in remote area. Questionnaires were given 4 times to all the students from first-year to sixth-year. Of 95 students, 65 students (68.4%) who completed all questionnaires, were used in this study. The intensity of students’ attitudes was estimated by using visual analogue scale. The intensity of interest, a sense of fulfillment and passion in medicine of remote area was significantly increased after the community-based practice. On the other hand, the level of understanding in medicine in remote area was increased by the lecture not by the practice. The intensity of desire both to become a generalist and a specialist was significantly increased when the grade went up. Most of sixth-year students desired to have abilities of a generalist and a specialist simultaneously. This study shows that the community-based practice is more meaningful in increasing motivation in medicine in remote area than the lecture, and suggests that it is important to prepare more courses to experience community medicine to increase the number of physicians who desire to work in remote area. J. Med. Invest. 61: 156-161, February, 2014

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