Department of Pulmonary & Critical Care Medicine, Medical College of Georgia, Augusta, GA, USA.
Med Educ Online. 2009 Sep 29;14:17. doi: 10.3885/meo.2009.Res00315.
Death certificates are an invaluable source of statistical and medical information, as well as important legal documents. However, few physicians receive formal training on how to accurately complete them.
To determine if a simple intervention can improve the accuracy of death certificate completion by medical students.
Participants included all third year medical students undergoing their core Internal Medicine rotation at Mercer University School of Medicine at the Medical Center of Central Georgia. Participation was voluntary and participants completed an approved informed consent. Students were presented a tutorial from the National Association of Medical Examiners website. They were asked to complete a death certificate both before and after the tutorial along with subjective questionnaires. The primary outcome measurement was the difference in scores pre- and post-tutorial.
The mean score before the tutorial was 11.75 (+/-3.20) and the mean score post-tutorial was 18.85 (+/-2.56), indicating an increase in scores. The mean difference in pre- and post-tutorial scores was significant (t = 20.39, p < 0.0001).
We found that using a tutorial to teach students how to correctly complete a death certificate was effective.
死亡证明是统计和医学信息的宝贵来源，也是重要的法律文件。然而，很少有医生接受过如何准确填写死亡证明的正规培训。
确定简单的干预措施是否可以提高医学生填写死亡证明的准确性。
参与者包括在佐治亚州中部医疗中心的默瑟大学医学院进行核心内科轮转的所有三年级医学生。参与是自愿的，参与者完成了经过批准的知情同意书。学生们从国家医学检查协会的网站上观看了一个教程。在教程之前和之后，他们被要求填写一份死亡证明，并填写主观问卷。主要的结果测量是教程前后得分的差异。
教程前的平均得分为 11.75（+/-3.20），教程后的平均得分为 18.85（+/-2.56），表明分数有所提高。教程前后得分的平均差异具有统计学意义（t = 20.39，p < 0.0001）。
我们发现，使用教程来教授学生如何正确填写死亡证明是有效的。
