Olson Leslie G, Hill Suzanne R, Newby David A
John Hunter Hospital, Locked Bag 1, Newcastle Region Mail Centre, NSW 2310, Australia.
Med J Aust. 2005 Nov 7;183(9):461-3. doi: 10.5694/j.1326-5377.2005.tb07123.x.
To determine the number of patients in our teaching hospitals who were, on any given day, both available and willing to see medical students.
Repeated cross-sectional audit in four teaching hospitals in the greater Newcastle area of New South Wales (one tertiary referral hospital, two district general hospitals, and one hospital combining general medicine and surgery with specialised oncology services). Audits were conducted three times, 2 months apart.
All adult inpatients in the four hospitals.
Numbers of patients present and accessible to students, present but inaccessible, absent, or unfit to be seen for clinical reasons; numbers of patients who agreed to history-taking and physical examination by a medical student.
Of 1960 patients, 959 (49%) were present and accessible to students. Only 11% were absent, and the most common reason students could not see patients was that the patients were said by nursing staff to be unfit to see medical students (25%). Of those present and accessible, 70% said they would agree to provide a history, and 67% that they would agree to physical examination.
Across all four teaching hospitals about 200-250 patients are available and willing to see medical students on any given day. This is too few to provide our current student population of 500 with extensive clinical experience.
确定在我们教学医院中，在任何给定日期既有空又愿意接待医学生的患者数量。
在新南威尔士州大纽卡斯尔地区的四家教学医院（一家三级转诊医院、两家地区综合医院以及一家将普通内科和外科与专科肿瘤服务相结合的医院）进行重复横断面审计。审计进行了三次，间隔两个月。
四家医院的所有成年住院患者。
学生能够接触到的患者数量、虽在但无法接触到的患者数量、不在院的患者数量或因临床原因不适合被查看的患者数量；同意医学生进行病史采集和体格检查的患者数量。
在1960名患者中，959名（49%）患者在院且可供学生接触。只有11%的患者不在院，学生无法查看患者的最常见原因是护理人员称患者不适合接待医学生（25%）。在那些在院且可供接触的患者中，70%表示愿意提供病史，67%表示愿意接受体格检查。
在所有四家教学医院中，任何给定日期约有200 - 250名患者既有空又愿意接待医学生。这对于为我们目前500名学生提供广泛的临床经验来说太少了。
