Schneider Karen M, Landen Donna A, Monga Manju
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
Am J Obstet Gynecol. 2008 May;198(5):e25-7. doi: 10.1016/j.ajog.2007.09.048. Epub 2008 Feb 21.
Our objective was to determine whether the medical student clinical experience varies during the academic year.
Third-year medical students completing their obstetrics and gynecology clerkship were asked to complete a questionnaire about their clinical experience. The survey evaluated their experience with examinations and procedures using Likert-scale responses. The study was approved by the local institutional review board.
A total of 90.5% of the students completed the questionnaire. Statistically more procedures were performed in the middle and late time periods than early in the year. This included the number of cervical examinations (P < or = .001), speculum examinations (P < or = .05), delivery of placentas (P < or = .001) and partial delivery of infant with delivery of placenta (P < or = .01), partial repair of an episiotomy (P < or = .01), and number of ultrasounds (P < or = .05) performed by the students.
For some obstetrical and gynecological procedures, student hands-on experience increased during mid- and late-year clerkship rotations.
我们的目的是确定医学生的临床经验在学年期间是否有所不同。
要求完成妇产科实习的三年级医学生填写一份关于他们临床经验的问卷。该调查使用李克特量表回答来评估他们在检查和操作方面的经验。该研究获得了当地机构审查委员会的批准。
共有90.5%的学生完成了问卷。从统计学上看，在年中及年末进行的操作比年初更多。这包括学生进行的宫颈检查数量（P≤0.001）、窥器检查数量（P≤0.05）、胎盘娩出数量（P≤0.001）以及胎盘娩出时部分胎儿娩出数量（P≤0.01）、会阴切开术部分修复数量（P≤0.01）和超声检查数量（P≤0.05）。
对于一些妇产科操作，学生在学年中期和后期的实习轮转期间实践经验有所增加。
