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Prevention and health promotion in undergraduate medical education: Preferences, attitudes and previous knowledge of medical students - a cross-sectional study.

Klement A, Bretschneider K, Lautenschläger C, Stang A, Herrmann M, Haerting J - GMS Z Med Ausbild (2011)

Bottom Line: For the conception of an effective curriculum, it is helpful to know student preferences concerning teaching-formats, attitudes and self-estimated previous knowledge.Students' self-estimated poor previous knowledge of prevention and health promotion creates special challenges for curriculum development.High ratings of relevance assigned to prevention-related topics point to a motivational potential which should be utilized through suitable selection of teaching and testing formats to achieve effective and practice-relevant instructional content.

View Article: PubMed Central - HTML - PubMed

Affiliation: Martin-Luther-Universität Halle-Wittenberg, Sektion Allgemeinmedizin, Halle/Saale, Deutschland.

ABSTRACT

Objective: The interdisciplinary topic "prevention and health promotion" (Q10) was introduced into the medical training in Germany by the new medical licensing regulations in 2004. For the conception of an effective curriculum, it is helpful to know student preferences concerning teaching-formats, attitudes and self-estimated previous knowledge. Little is known concerning student perception of "prevention and health promotion" in Germany. Thus, this explorative cross-sectional study aims to provide a first step for closing this gap.

Methods: Medical students (n=220) in the fifth academic year were asked to fill in a standardized questionnaire prior to the Q10 curriculum. Questions focused on preferences for teaching and testing formats and self-estimated previous knowledge as well as on rating the importance of prevention topics and health risks. The questions were multiple choice, five-point Likert scales and open-ended questions.

Results: A total of 94 students filled questionnaires (42% response rate). Prevention and health promotion was rated as "important" or "very important" for their "own medical professionalism" by 68% of students. Ratings showed preferences for self-directed teaching and learning strategies, including case-based learning, and 78% wished for predominantly oral examinations. The self-estimated knowledge about prevention and health promotion is rated as "rather poor". The most favored training aim was "decision making within the physician-patient-relationship". Regarding medical health consultation, students frequently estimate "lifestyle factors" and "psychological disease" as being "very important".

Conclusion: Students' self-estimated poor previous knowledge of prevention and health promotion creates special challenges for curriculum development. High ratings of relevance assigned to prevention-related topics point to a motivational potential which should be utilized through suitable selection of teaching and testing formats to achieve effective and practice-relevant instructional content.

No MeSH data available.


Related in: MedlinePlus

Self-estimation of previous knowledge (five-point Likert scale) in % of answers
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Figure 1: Self-estimation of previous knowledge (five-point Likert scale) in % of answers

Mentions: The mean of all student self-assessed knowledge concerning nine different Q10 topic areas and competency levels was 3.45 (SD=0.95, n=838). Of those surveyed, between 11% and 28% rated their existing knowledge of individual Q10 topics, such as “methods for assessing risk” or “health consultation” as good or higher. In contrast, 60% designated their prior knowledge as “sufficient” or “deficient” in respect to “methods of risk assessment” and 48% made the same assessment for “risk-benefit analysis of screening programs”. Students saw themselves as relatively competent in the topics of “prevention programs”, “the role of the physician in health education”, and “identifying health promotion factors” with mean values of approximately 3.1 for each of the three. Knowledge of regional healthcare objectives in Saxony-Anhalt deviated clearly from the other assessments: 57% of those surveyed responded that their existing knowledge was deficient (mean=4.4), and this with 26% of the students having been born in Saxony-Anhalt (see Figure 1 (Fig. 1)).


Prevention and health promotion in undergraduate medical education: Preferences, attitudes and previous knowledge of medical students - a cross-sectional study.

Klement A, Bretschneider K, Lautenschläger C, Stang A, Herrmann M, Haerting J - GMS Z Med Ausbild (2011)

Self-estimation of previous knowledge (five-point Likert scale) in % of answers
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3140399&req=5

Figure 1: Self-estimation of previous knowledge (five-point Likert scale) in % of answers
Mentions: The mean of all student self-assessed knowledge concerning nine different Q10 topic areas and competency levels was 3.45 (SD=0.95, n=838). Of those surveyed, between 11% and 28% rated their existing knowledge of individual Q10 topics, such as “methods for assessing risk” or “health consultation” as good or higher. In contrast, 60% designated their prior knowledge as “sufficient” or “deficient” in respect to “methods of risk assessment” and 48% made the same assessment for “risk-benefit analysis of screening programs”. Students saw themselves as relatively competent in the topics of “prevention programs”, “the role of the physician in health education”, and “identifying health promotion factors” with mean values of approximately 3.1 for each of the three. Knowledge of regional healthcare objectives in Saxony-Anhalt deviated clearly from the other assessments: 57% of those surveyed responded that their existing knowledge was deficient (mean=4.4), and this with 26% of the students having been born in Saxony-Anhalt (see Figure 1 (Fig. 1)).

Bottom Line: For the conception of an effective curriculum, it is helpful to know student preferences concerning teaching-formats, attitudes and self-estimated previous knowledge.Students' self-estimated poor previous knowledge of prevention and health promotion creates special challenges for curriculum development.High ratings of relevance assigned to prevention-related topics point to a motivational potential which should be utilized through suitable selection of teaching and testing formats to achieve effective and practice-relevant instructional content.

View Article: PubMed Central - HTML - PubMed

Affiliation: Martin-Luther-Universität Halle-Wittenberg, Sektion Allgemeinmedizin, Halle/Saale, Deutschland.

ABSTRACT

Objective: The interdisciplinary topic "prevention and health promotion" (Q10) was introduced into the medical training in Germany by the new medical licensing regulations in 2004. For the conception of an effective curriculum, it is helpful to know student preferences concerning teaching-formats, attitudes and self-estimated previous knowledge. Little is known concerning student perception of "prevention and health promotion" in Germany. Thus, this explorative cross-sectional study aims to provide a first step for closing this gap.

Methods: Medical students (n=220) in the fifth academic year were asked to fill in a standardized questionnaire prior to the Q10 curriculum. Questions focused on preferences for teaching and testing formats and self-estimated previous knowledge as well as on rating the importance of prevention topics and health risks. The questions were multiple choice, five-point Likert scales and open-ended questions.

Results: A total of 94 students filled questionnaires (42% response rate). Prevention and health promotion was rated as "important" or "very important" for their "own medical professionalism" by 68% of students. Ratings showed preferences for self-directed teaching and learning strategies, including case-based learning, and 78% wished for predominantly oral examinations. The self-estimated knowledge about prevention and health promotion is rated as "rather poor". The most favored training aim was "decision making within the physician-patient-relationship". Regarding medical health consultation, students frequently estimate "lifestyle factors" and "psychological disease" as being "very important".

Conclusion: Students' self-estimated poor previous knowledge of prevention and health promotion creates special challenges for curriculum development. High ratings of relevance assigned to prevention-related topics point to a motivational potential which should be utilized through suitable selection of teaching and testing formats to achieve effective and practice-relevant instructional content.

No MeSH data available.


Related in: MedlinePlus