Day C S, Ahn C S, Yu Y
Beth Israel Deaconess Medical Center, Department of Orthopaedic Surgery, Boston, MA, USA.
J Hand Surg Eur Vol. 2009 Dec;34(6):797-9. doi: 10.1177/1753193409347500. Epub 2009 Sep 28.
This study assessed the impact of changes made to address the inadequate upper-extremity education through preclinical medical school curriculum reform. After the administration of a new upper-extremity curriculum, which also increased the time devoted to three preclinical medical school courses from 7.25 to 21.25 hours, second-year medical students were evaluated for mastery of these concepts through a national validated objective examination, and attitude and skill through clinical confidence and subjective surveys. After implementation of the new upper-extremity curriculum, students had significantly greater confidence in their ability to perform a physical examination but not in identifying differential diagnoses of the upper-extremity. Students were more satisfied with the amount of time spent on the musculoskeletal system but their performance in the national examination did not change.
本研究评估了通过医学院校临床前课程改革来解决上肢教育不足问题所做改变的影响。在实施了一门新的上肢课程后，该课程还将医学院校临床前三门课程的时长从7.25小时增加到21.25小时，通过一项全国认可的客观考试对二年级医学生对这些概念的掌握情况进行了评估，并通过临床信心和主观调查评估了他们的态度和技能。新的上肢课程实施后，学生对进行体格检查的能力有了显著更高的信心，但在确定上肢鉴别诊断方面信心未增。学生对在肌肉骨骼系统上花费的时间量更满意，但他们在全国考试中的表现没有变化。
