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一项旨在探索日本标准化患者参与本科医学生体检技能教学意愿的全国性调查。

A national survey to explore the willingness of Japanese standardized patients to participate in teaching physical examination skills to undergraduate medical students.

机构信息

Department of Medical Education Development Center, Gifu University School of Medicine, Gifu, Japan.

出版信息

Teach Learn Med. 2009 Jul;21(3):240-7. doi: 10.1080/10401330903018567.

Abstract

BACKGROUND

Standardized patients (SPs) are an increasingly prevalent resource in medical education and evaluation. There is a variety of clinical skills training programs including courses designed to teach and assess communication skills as well as physical examination (PE) skills. In Japan, SPs have contributed enormously to help medical students improve their communication skills. However, there are few SPs who participate in physical examination training and the use of SPs for physical examination is rarely considered as a useful educational resource.

PURPOSE

The purpose is to explore SPs' perceptions about participating in PE training.

METHOD

A 27-item questionnaire was used to survey 532 SPs in Japan.

RESULT

The response rate was 62% (n = 332). The ratio of females to males was 4:1. SPs perceived PE training using SPs was effective in teaching students physical examination. Eighty percent of SPs were willing to have PE of head, arms, and legs. Twenty-five percent were willing to have PE on their chest, back, and abdomen. Willingness varied by gender and age.

CONCLUSION

SPs perceived that including SPs in physical examination was valuable. Males or people over 50 years old are more willing to participate than females or people under 50. Reluctance to participate in PE may decrease through experience or improved knowledge of PE training and by beginning with examination of head, neck, and legs, then gradually moving to chest, back, and abdomen.

摘要

背景

标准化病人(SP)是医学教育和评估中越来越普遍的资源。有各种各样的临床技能培训课程,包括旨在教授和评估沟通技巧以及体检(PE)技能的课程。在日本,SP 为帮助医学生提高沟通技巧做出了巨大贡献。然而,参与体检培训的 SP 数量较少,很少将 SP 用于体检视为有用的教育资源。

目的

目的是探讨 SP 对参与 PE 培训的看法。

方法

使用 27 项问卷对日本的 532 名 SP 进行了调查。

结果

回复率为 62%(n=332)。女性与男性的比例为 4:1。SP 认为使用 SP 进行 PE 培训在教授学生体检方面是有效的。80%的 SP 愿意进行头部、手臂和腿部的体检。25%的人愿意进行胸部、背部和腹部的体检。意愿因性别和年龄而异。

结论

SP 认为包括 SP 进行体检是有价值的。男性或 50 岁以上的人比女性或 50 岁以下的人更愿意参与。通过经验或对 PE 培训的知识的提高,以及从头部、颈部和腿部检查开始,然后逐渐转向胸部、背部和腹部检查,可能会减少参与 PE 的不情愿。

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