Chang E H, Power D V
Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis 55455, USA.
Acad Med. 2000 Apr;75(4):384-9. doi: 10.1097/00001888-200004000-00020.
To assess medical student attitudes toward, and comfort with, taking turns practicing peer physical examinations (PPEs) on fellow classmates.
A questionnaire with 25 Likert-scaled questions was administered to 164 end-first-year medical students at the University of Minnesota, Minneapolis. Topics assessed included: (1) comfort with various aspects of PPEs; (2) attitudes regarding the professionalism, appropriateness, and perceived value of PPEs; (3) attitudes toward peer breast, genital, and rectal exams; and (4) the effects of age and gender on response.
Of the 164 students surveyed, 124 (76%) responded. Almost all (98%) agreed that PPEs are appropriate, valuable, and a comfortable experience. Fewer students were comfortable with performing inguinal examinations and conducting PPEs with students of the opposite gender. Twelve percent of the students expressed difficulty in setting limits with peers, and 48% felt exposed when undressed as an examination model in front of a group of peers. The majority of students were opposed to peer breast, genital, and rectal examinations. Some statistically significant gender differences and age/gender interactions were observed.
Results suggest that this sample of medical students was very comfortable with PPEs and willing to participate in PPEs, although a few students were uncomfortable with these examinations. No extensive curricular change appears warranted, though steps can be taken to maximize overall student comfort and to accommodate the few students who do not favor PPEs.
评估医学生对轮流在同学身上进行同伴体格检查（PPE）的态度及舒适度。
向明尼阿波利斯市明尼苏达大学的164名医学一年级末学生发放了一份包含25个李克特量表问题的问卷。评估的主题包括：（1）对PPE各方面的舒适度；（2）对PPE的专业性、适当性和感知价值的态度；（3）对同伴乳房、生殖器和直肠检查的态度；（4）年龄和性别对回答的影响。
在164名接受调查的学生中，124名（76%）做出了回应。几乎所有（98%）的学生都认为PPE是合适的、有价值的，并且是一次舒适的体验。较少的学生对进行腹股沟检查以及与异性学生进行PPE感到舒适。12%的学生表示难以与同伴设定界限，48%的学生在作为检查模型在一群同伴面前脱衣服时感到暴露。大多数学生反对同伴乳房、生殖器和直肠检查。观察到一些具有统计学意义的性别差异和年龄/性别交互作用。
结果表明，尽管有少数学生对这些检查感到不舒服，但该样本的医学生对PPE非常适应并且愿意参与PPE。虽然似乎没有必要进行广泛的课程改革，但可以采取措施来最大限度地提高学生的整体舒适度，并照顾到少数不喜欢PPE的学生。
