Haq I, Fuller J, Dacre J
Centre for Rheumatology, University College Hospitals NHS Trust, 4th Floor Arthur Stanley House, 40-50 Tottenham Street, London W1T 4NJ, UK.
Rheumatology (Oxford). 2006 Apr;45(4):430-4. doi: 10.1093/rheumatology/kei167. Epub 2005 Oct 25.
To assess the impact of teaching about back pain to medical students using trained patient partners (PP).
An initial training programme for four PPs (two with sciatica and two with ankylosing spondylitis) followed by teaching to alternate groups of medical students at the Whittington Campus of the Royal Free and University College Medical School (RFUCMS). A control group of students did not receive the PP teaching. All students received standard Whittington Campus rheumatology teaching. Performance in an end of year objective structured clinical examination (OSCE) was compared between the two groups. Student and PP perceptions of the teaching and training were evaluated using focus groups and questionnaires.
Students receiving the PP teaching performed significantly better in a summative OSCE, but no difference was seen in analysis of a single station assessing history-taking skills in a patient with back pain. Students felt that the PP teaching improved their ability to elicit information from a patient during the consultation. PPs enjoyed the experience of teaching and felt empowered to self-manage their medical conditions, and were better able to seek medical advice when needed.
Using PPs with back pain to teach medical students has a positive effect on student learning and patient well-being. The feasibility of delivering this programme will depend on faculty resources. The effects on examination performance are small but significant.
评估利用经过培训的患者搭档（PP）向医学生传授背痛相关知识的影响。
对四名PP（两名患有坐骨神经痛，两名患有强直性脊柱炎）进行初始培训项目，随后在皇家自由大学学院医学院惠廷顿校区（RFUCMS）向不同组别的医学生授课。一组对照组学生未接受PP教学。所有学生都接受了惠廷顿校区标准的风湿病学教学。比较两组学生在年终客观结构化临床考试（OSCE）中的表现。通过焦点小组和问卷调查评估学生和PP对教学与培训的看法。
接受PP教学的学生在总结性OSCE中表现明显更好，但在对评估背痛患者病史采集技能的单个站点分析中未发现差异。学生们认为PP教学提高了他们在会诊期间从患者那里获取信息的能力。PP享受教学经历，并感到有能力自我管理自己的病情，且在需要时能够更好地寻求医疗建议。
利用患有背痛的PP来教授医学生对学生学习和患者福祉有积极影响。实施该项目的可行性将取决于师资资源。对考试成绩的影响虽小但很显著。
