Characteristics of medical students who would like to be a generalist physician and contribute to remote area medicine

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  • Tani Kenji
    Department of General Medicine, Institute of Biomedical Sciences, the University of Tokushima Graduate School
  • Okura Yoshihiro
    Tokushima Kensei Hospital
  • Tabata Ryo
    Department of General Medicine, Institute of Biomedical Sciences, the University of Tokushima Graduate School
  • Yuasa Shino
    Tokushima Prefectural Central Hospital
  • Kawaminami Shingo
    Department of General Medicine, Institute of Biomedical Sciences, the University of Tokushima Graduate School
  • Nakanishi Yoshinori
    Department of General Medicine, Institute of Biomedical Sciences, the University of Tokushima Graduate School
  • Kawahito Keisuke
    Tokushima Prefectural Central Hospital
  • Inaba Keisuke
    Yoshinogawa Medical Center
  • Inaba Kaori
    Yoshinogawa Medical Center
  • Kageji Teruyoshi
    Tokushima Prefectural Kaifu Hospital
  • Tanaka Hiroki
    Fifth year student, the University of Tokushima Faculty of Medicine
  • Suzuki Yoshihiro
    Department of General Medicine, Institute of Biomedical Sciences, the University of Tokushima Graduate School
  • Yamaguchi Harutaka
    Department of General Medicine, Institute of Biomedical Sciences, the University of Tokushima Graduate School

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<p>We administered a questionnaire to 5th grade medical students to examine the effect of community-based clinical practice on their attitudes to remote area medicine and their course after the graduation. Data from 192 students were obtained. The intensity of students' attitudes was estimated by using visual analogue scale. The intensities of the interest and a sense of fulfillment in remote area medicine were significantly increased after the practice. A significantly lower level of the intensity to become a generalist than that to become a specialist was seen in the students with low intensity in a sense of fulfillment. The percentages of the students who answered that they can work for 5 years or more in remote area were significantly lower in students with low intensity of a sense of fulfillment than in those with high intensity. A significantly higher percentage in students who worked at a familiar prefecture to them after the graduation was seen in female than in male. This study shows that the community-based practice is meaningful in increasing motivation which desire to work in remote area medicine, and that the motivation may affect their course after the graduation. J. Med. Invest. 64: 210-216, August, 2017</p>

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