Markham Fred W, Rattner Susan, Hojat Mohammadreza, Louis Daniel Z, Rabinowitz Carol, Gonnella Joseph S
Department of Family Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Fam Med. 2002 Jun;34(6):451-4.
Evaluation of medical students'clinical encounters is an essential component of optimizing their educational experience. In this study, we collected data on the diagnoses and disease severity in student-patient encounters at different family medicine clerkship sites.
Participants were 582 third-year medical students who completed a total of 7,515 specially designed patient encounter cards in a 6-week family medicine clerkship atfive training sites over 3 years.
Variation was found in the average number of encounters in different clerkship sites. The findings for three frequently encountered diseases (essential hypertension, diabetes mellitus, and upper respiratory infection) showed significant differences in the proportions of patients at different stages of the disease in different clerkship sites.
Students at different clerkship sites experience different numbers of encounters with patients and significant variation in the illness severity of patients seen in those encounters.
评估医学生的临床问诊是优化其教育体验的重要组成部分。在本研究中，我们收集了不同家庭医学实习点学生与患者问诊时的诊断及疾病严重程度数据。
参与者为582名三年级医学生，他们在3年时间里于5个培训点完成为期6周的家庭医学实习，共填写了7515张专门设计的患者问诊卡片。
不同实习点的平均问诊次数存在差异。三种常见疾病（原发性高血压、糖尿病和上呼吸道感染）的调查结果显示，不同实习点处于疾病不同阶段的患者比例存在显著差异。
不同实习点的学生与患者的问诊次数不同，且在这些问诊中所见到的患者疾病严重程度存在显著差异。
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