Mørcke Anne Mette, Eika Berit
Enhed for Medicinsk Uddannelse, Det Sundhedsvidenskabelige Fakultet, Aarhus Universitet, Universitetsparken, Bygning 611, DK-8000 Arhus.
Ugeskr Laeger. 2002 Jul 1;164(27):3531-4.
We compared and contrasted the learned and intended practical clinical skills of the three Danish medical schools.
An anonymous questionnaire listing 210 practical clinical skills was posted to 226 newly qualified Danish physicians. They were asked if they could meet the minimum level for each of the skills, which had earlier been identified by a Delphi study.
The response rate was 80%. None of the responders met the minimum of all the 210 skills. Only 8% (14) met the minimum level for at least 90% (189) of the skills. On average, the responders met the minimum for 74% (155) of the skills. More than 90% of the responders could take medical histories and carry out examinations. The responders did not meet 28 medical emergency procedures.
We found that the clinical skills learned constituted 75% of those intended. Those responsible for pre- and postgraduate medical training should be aware of the discrepancy between expected and learned skills. We discuss the role of experts in the process of defining the core curriculum.
我们对丹麦三所医学院校所学的以及预期达到的临床实践技能进行了比较和对比。
一份列出210项临床实践技能的匿名调查问卷被发送给226名刚获得资格的丹麦医生。他们被问及是否能够达到每项技能的最低水平,这些最低水平是先前通过德尔菲研究确定的。
回复率为80%。没有一位回复者能够达到所有210项技能的最低要求。只有8%(14人)达到了至少90%(189项)技能的最低水平。回复者平均达到了74%(155项)技能的最低要求。超过90%的回复者能够进行病史采集和体格检查。回复者未达到28项医疗急救程序的要求。
我们发现所学的临床技能占预期技能的75%。负责医学本科和研究生培训的人员应意识到预期技能与所学技能之间的差异。我们讨论了专家在定义核心课程过程中的作用。