Fischer Thomas, Chenot Jean-Francois, Simmenroth-Nayda Anne, Heinemann Stephanie, Kochen Michael M, Himmel Wolfgang
Department of General Practice/Family Medicine, University of Göttingen, Germany.
Med Teach. 2007 May;29(4):397-9. doi: 10.1080/01421590701316563.
It is generally unknown which clinical skills students acquire during medical education and which factors influence their levels of competence.
We asked German medical students how competent they felt in performing individual clinical skills.
Third year students evaluated their competence in clinical skills, on average, not better than 4.7 on a Likert scale ranging from 1 (= 'excellent') to 6 (= 'insufficient'). The average score for fifth year students was 4.1, for final-year students 3.3. Deficits in all groups of students were most prominent in communication skills and diagnostic skills.
These results are a plea for a structured curriculum including training courses to practice clinical skills.
医学教育期间学生掌握了哪些临床技能以及哪些因素影响他们的能力水平，通常尚不明确。
我们询问了德国医学生在执行各项临床技能时自我感觉的胜任程度。
在从1（=“优秀”）到6（=“不足”）的李克特量表上，三年级学生对自身临床技能的评估平均不高于4.7。五年级学生的平均得分是4.1，最后一年学生是3.3。所有学生群体在沟通技能和诊断技能方面的不足最为突出。
这些结果呼吁制定结构化课程，包括临床技能培训课程。
