Chumley Heidi S, Dobbie Alison E, Delzell John E
Department of Family Medicine, University of Kansas School of Medicine, Kansas City, USA.
BMC Med Educ. 2006 Mar 1;6:14. doi: 10.1186/1472-6920-6-14.
Tomorrow's physicians must learn to access, retrieve, integrate and apply current information into ambulatory patient encounters, yet few medical schools teach 'real time' information management.
We compared two groups of clerkship students' information management skills using a standardized patient case. The intervention group participated in case-based discussions including exercises that required them to manage new information. The control group completed the same case discussions without information management exercises.
After five weeks, there was no significant difference between the control and intervention groups' scores on the standardized patient case. However, third rotation students significantly outperformed first rotation students.
Case-based exercises to teach information management failed to improve students' performance on a standardized patient case. Increased number of clinical rotations was associated with improved performance.
未来的医生必须学会获取、检索、整合当前信息并将其应用于门诊患者诊疗过程中，但很少有医学院校教授“实时”信息管理。
我们使用标准化患者病例比较了两组临床实习学生的信息管理技能。干预组参与基于病例的讨论，包括要求他们管理新信息的练习。对照组完成相同的病例讨论，但没有信息管理练习。
五周后，对照组和干预组在标准化患者病例上的得分没有显著差异。然而，第三轮实习的学生明显优于第一轮实习的学生。
用于教授信息管理的基于病例的练习未能提高学生在标准化患者病例上的表现。临床轮转次数的增加与表现的改善相关。
