Magarian G J, Mazur D J
Division of General Internal Medicine, Oregon Health Sciences University, Portland VA Medical Center, Portland.
J Gen Intern Med. 1991 Sep-Oct;6(5):469-71. doi: 10.1007/BF02598175.
The authors surveyed medicine clerkship directors to determine which procedural and interpretive skills they felt third-year medical students should acquire. Of the 101 (81%) who responded, 91 felt that specific procedural and interpretive skills should be achieved by the end of the third-year medicine clerkship. Twenty-seven percent of these 91 reported having students keep a record of their activities; 35% reported testing students in the interpretation of various tests used in the evaluation of hospitalized patients on medicine services; and one clerkship director reported that his students were tested in their abilities to perform procedures. There was substantial disagreement by medicine clerkship directors over the procedural and test/study-interpretation skills in which medicine clerks should become proficient during the third-year medicine clerkship.
作者对医学实习主任进行了调查，以确定他们认为三年级医学生应掌握哪些操作技能和解读技能。在回复的101人（81%）中，91人认为在三年级医学实习结束时应掌握特定的操作技能和解读技能。在这91人中，27%报告让学生记录他们的活动；35%报告对学生进行用于评估内科住院患者的各种检查结果解读测试；一名实习主任报告说对他的学生进行了操作能力测试。医学实习主任们对于内科实习医生在三年级医学实习期间应熟练掌握的操作技能以及检查/研究结果解读技能存在很大分歧。
