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作为一种教学方法的儿科实习:五家医院学习经历的比较

The pediatric internship as a teaching technique: a comparison of learning experiences in five hospitals.

作者信息

Roghmann K, Pizzo P, Graham E, Graham D, Guyer B, Harris P

出版信息

Pediatrics. 1975 Aug;56(2):239-45.

PMID:1161372
Abstract

Five interns joined in a collaborative study to assess their learning experiences during the internship year. A 3 times 5-inch data form was completed for each patient for whom the intern was responsible. Information was gathered on demongraphic characteristics of the patient, the teaching that involved this patient, and what skills were acquired. Nearly 30% of the patients were under 1 year of age; 55% were boys. More than one half of the contacts were in an outpatient or emergency department. Over 80% of the patients had not been seen before; continuity patients made up less than 9% of the contacts. Well-child care was the largest care category (19%), followed by respiratory problems (15%) and injuries (9%). About 40% of the contacts involved a teaching input, mainly from residents, attending physicians, and faculty. Care skills most frequently acquired were physical examination (49%), reading (15%), and interviewing (11%). Cross-tabulations showed that most learning was reported for inpatients, for patients with rare diseases, and when some teaching was involved.

摘要

五名实习生参与了一项合作研究,以评估他们实习期间的学习经历。为每位实习生负责的患者填写一份3×5英寸的数据表格。收集了患者的人口统计学特征、涉及该患者的教学内容以及所获得的技能等信息。近30%的患者年龄在1岁以下;55%为男孩。超过一半的接触是在门诊或急诊科。超过80%的患者此前未接受过诊治;连续性患者占接触患者的比例不到9%。儿童保健是最大的护理类别(19%),其次是呼吸道问题(15%)和损伤(9%)。约40%的接触涉及教学投入,主要来自住院医师、主治医师和教员。最常获得的护理技能是体格检查(49%)、阅读(15%)和问诊(11%)。交叉表显示,大多数学习情况报告来自住院患者、患有罕见疾病的患者以及涉及一些教学的情况。

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