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CLINICAL TRAINING IN HEALTHCARE CENTRES: EXPECTATIONS AND SATISFACTION OF MEDICAL STUDENTS IN ANDALUSIA C. Cortes, T. Campos, R. Serrano, M. Angulo Regional Ministry of Health. Regional Government of Andalusia e-mail:universidad.csalud@juntadeandalucía.es Logo METHODOLOGY INTRODUCTION OBJECTIVES CONCLUSION RESULT In Spain medical students receive their practical training in hospitals and healthcare centres belonging to the Regional Ministry of Health. The Ministry, being jointly responsible for the clinical training of medical students, is particularly interested in discovering both the level of satisfaction and the expectations of the students.  To this end, in 2008 the Institute for Advanced Social Studies was commissioned to carry out a survey to reveal discover this information. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The methodology applied consisted of in-depth interviews with key informers and two groups of students is their final year and one group of first year students. The field of study was spread over different regions within the Autonomous Community of Andalusia.   The study has revealed that although medical students value their practical training highly, they also believe there to be excessive theoretical content. Because of this, one of their main demands is that practical training and theoretical studies should be appropriately linked . They also stressed their criticism of how little consideration was given to practical work in their study plan, the lack of any assessment of the same, and how little their tutors controlled their practical training. The analysis of levels of satisfaction and expectations of medical students with regard to practical clinical training is an excellent tool for improving training. Identity of the subject   Student   Professional Strong impact on the concept of university  studies and profession   Professional identity  socially recognised  and important   On an individual level   possible family influence  on profession   Symbolic   configuration   (In) equality between  theory  and  practice   Semantic   configuration   confrontation between two models  Conventional   model   (doctor’s  authority)   New Model  (user as focus  of the system)   Configuration   of dialogue  Evaluation of practical work in this  framework   “ Real learning comes from practical work”   The system itself (conventional hospital context) devalues it Care Evaluation   Randomness   Lack of organisation   Student expectations are not fulfilled and in the end the student also devalues it   Tension  resulting from  his/her professional  identity being  questioned by  society   Professional identity  in transition   But   As a result

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