Nikendei C, Kraus B, Schrauth M, Weyrich P, Zipfel S, Jünger J
Department of General Internal and Psychosomatic Medicine, University of Heidelberg Medical Hospital, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany.
Med Teach. 2006 Nov;28(7):648-51. doi: 10.1080/01421590600922917.
Clerkships are generally seen as a very favourable learning environment for final-year students. However, in recent years the clinical experience of final-year students has been reported to decline progressively. It was decided, therefore, to introduce an innovative skills training model in internal medicine. Sixty final-year students received four consecutive days of training during their first week, consisting of three-hour sessions on each day. The skills training course reflected a patient history from admission to discharge and included all required routine procedures, typical forms/files and computer interactions. Acceptability was measured with self-administered surveys post-intervention and again 16 weeks later; self-assessment was measured pre-/post-intervention. The skills training course was well accepted by the students and led to a significant improvement in self-assessment. It was considered to be very helpful for work on the wards in both the immediate and the long-term retrospective evaluation. The final-year skills training course allows students to learn how to handle specific tools and applications for their work on the ward. It possesses face validity and is easy to integrate.
临床实习通常被视为适合最后一年学生的非常有利的学习环境。然而，近年来有报道称最后一年学生的临床经验在逐渐下降。因此，决定在内科引入一种创新的技能培训模式。60名最后一年的学生在第一周接受了连续四天的培训，每天有三小时的课程。技能培训课程反映了患者从入院到出院的病史，包括所有必需的常规程序、典型表格/文件和计算机交互。干预后以及16周后通过自我管理的调查问卷来衡量可接受性；自我评估在干预前后进行测量。技能培训课程受到学生的广泛接受，并导致自我评估有显著改善。在即时和长期回顾性评估中，它都被认为对病房工作非常有帮助。最后一年的技能培训课程让学生学习如何在病房工作中使用特定工具和应用程序。它具有表面效度且易于整合。
