Leff Bruce, Harper G Michael
Department of Medicine, Johns Hopkins Bayview Medical Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Acad Med. 2006 May;81(5):489-94. doi: 10.1097/01.ACM.0000222273.90705.a6.
To describe the reading habits of medicine clerks, which previously have not been well described. Understanding issues related to student reading habits may provide insights and opportunities for medical educators to develop methods to improve clerks' clinical clerkship experiences and their information literacy skills.
The authors administered an 18-item survey tool to 120 students on their first inpatient internal medicine clerkships at the Johns Hopkins University School of Medicine in 2002-03. The questionnaire focused on issues related to what and how often they read during their basic medicine clerkship. Data were explored mainly with descriptive statistics.
One hundred twelve of 120 (93%) medicine clerks completed the survey. Clerks reported reading for an average of 10.8 (SD 5.6) hours per week (median ten hours per week, range one to 30 hours per week). The most commonly used and useful reading sources were UpToDate and test preparation textbooks. Approximately 30% of students reported substantial problems in reading about their patients. Limited data suggest that reading habits and learning methods vary by year of medical school. Clerks are given disparate advice on appropriate reading sources to consult by attending physicians, resident physicians, and fellow students.
Students spend significant amounts of time reading online sources during their medicine clerkship, especially UpToDate. Medical educators should become familiar with these sources and contribute to maximizing their effectiveness for students. Additional research focused on understanding how students build skills in information literacy and how educational programs can facilitate the development of those skills is needed.
描述医学实习生的阅读习惯，此前这方面的描述并不充分。了解与学生阅读习惯相关的问题，可能为医学教育工作者提供见解和机会，以制定方法来改善实习生的临床实习体验及其信息素养技能。
作者于2002 - 2003年对约翰·霍普金斯大学医学院120名首次进行内科住院实习的学生进行了一项包含18个项目的调查工具。问卷聚焦于他们在内科实习期间阅读的内容及频率相关问题。数据主要通过描述性统计进行分析。
120名医学实习生中有112名（93%）完成了调查。实习生报告称平均每周阅读10.8（标准差5.6）小时（中位数为每周10小时，范围为每周1至30小时）。最常用且最有用的阅读来源是UpToDate和备考教材。约30%的学生表示在阅读有关其患者的资料时存在较大问题。有限的数据表明，阅读习惯和学习方法因医学院年级而异。主治医生、住院医生和同学就合适的阅读来源给实习生提供了不同的建议。
学生在医学实习期间花费大量时间阅读在线资源，尤其是UpToDate。医学教育工作者应熟悉这些资源，并努力使其对学生的效用最大化。还需要开展更多研究，聚焦于了解学生如何培养信息素养技能以及教育项目如何促进这些技能的发展。
