Sanders Charles W, Edwards Janine C, Burdenski Thomas K
Scott & White Clinic, Texas A&M University System Health Science Center College of Medicine, Humanities in Medicine, 153 Joe Reynolds Medical Building, College Station, TX 77843-1114, USA.
Acad Med. 2004 Sep;79(9):873-5. doi: 10.1097/00001888-200409000-00013.
In 1998, the Medical Schools Objectives Project (MSOP) Report listed the minimum routine technical procedures that graduating medical students should be proficient to perform. The authors conducted a survey to determine to what extent basic technical skills are being taught formally and how student competence in these skills is being evaluated in U.S. medical schools.
A questionnaire of five items, designed to supplement existing information in CurrMIT, the national curriculum database for medical schools, was transmitted electronically via the AAMC listserv to associate deans for academic affairs.
Sixty-two of the 126 medical schools (52%) responded to the survey. Most agreed that graduating medical students should be proficient to perform basic technical skills. Fifty-five percent of the respondents required students to keep logs of procedures performed. A majority responded that their students were proficient to perform venipuncture, IV placement, suturing lacerations, Foley catheter placement, and arterial puncture. The responding schools stated that few students are proficient in thoracentesis and intubation of children and neonates.
It is likely that half of the medical schools are not attaining the MSOP objective of rigorously teaching and evaluating technical procedures. Currently, more measures and more sophisticated measures of physicians' performance are being implemented in medical practice. The authors' findings call attention to this educational need and act as a stimulus to improve this aspect of medical education.
1998年，医学院校目标项目（MSOP）报告列出了即将毕业的医学生应熟练掌握的最低常规技术操作。作者开展了一项调查，以确定美国医学院校在多大程度上正式教授基本技术技能，以及如何评估学生在这些技能方面的能力。
一份包含五个项目的问卷，旨在补充医学院校国家课程数据库CurrMIT中的现有信息，通过美国医学协会（AAMC）的邮件列表以电子方式发送给负责学术事务的副院长。
126所医学院校中有62所（52%）回复了调查。大多数人认为即将毕业的医学生应熟练掌握基本技术技能。55%的受访者要求学生记录所进行的操作。大多数受访者表示他们的学生能够熟练进行静脉穿刺、静脉置管、缝合伤口、放置 Foley 导管和动脉穿刺。回复的学校表示，很少有学生精通胸腔穿刺术以及儿童和新生儿的插管操作。
很可能有一半的医学院校未达到MSOP中严格教授和评估技术操作的目标。目前，医疗实践中正在实施更多衡量医生表现的措施以及更复杂的措施。作者的研究结果引起了对这一教育需求的关注，并刺激了医学教育这一方面的改进。
