Final year medical students' understanding of family medicine
Acta Medica Academica
Objective. e European Academy of Teachers in General Practice / Family Medicine (EURACT) has developed an educational agenda, the key document for teaching family medicine in Europe. e aim of our study was to nd out how nal year medical students at the beginning of their family medicine clerkship understand the discipline of family medicine. Methods. e attitudes toward family medicine were paraphrased and developed into a 164-item questionnaire, which was administered to 335 nal-year medical
... nal-year medical students at the beginning of their clerkship. Using combinatorial optimization with genetic algorithms we selected 30 items which yielded the highest Cronbach alpha reliability coe cient. Finally, we performed a factor analysis to nd which dimensions of family medicine were recognised by the students and compared them with the domains de ned in the EURACT de nition. Results. e 30-item questionnaire had a Cronbach alpha reliability coe cient of 0.919. e di erences between male and female students were not very signi cant (p=0.061). With the factor analysis we recognised seven factors, belonging to three out of six domains of the EURACT educational agenda: primary care management, personcenteredness and comprehensive approach. Conclusion. Final-year medical students at the beginning of their family medicine clerkship understand some of the dimensions of family medicine rather well, but they are not aware of some important competences of family doctors. ere is a necessity to teach students about speci c problem solving skills and the importance of balance between the health needs of an individual patient and the community.