Whalen J P, Moses V K
Department of Internal Medicine, University of Illinois College of Medicine, Chicago 60612.
Acad Med. 1990 Nov;65(11):708-9. doi: 10.1097/00001888-199011000-00017.
Two important factors affecting the performances of third-year medical students on their basic internal medicine clerkships were investigated: (1) the effect on their grades of when in the academic year they took the internal medicine clerkship, and (2) the effect on their grades of the site of the clerkship. During the academic years 1983-84, 1984-85, and 1985-86, the Department of Internal Medicine of the University of Illinois College of Medicine at Chicago conducted 12-week junior clerkships at six hospital sites. The study analyzed the 535 students' subjective grades, clerkship examination scores, final grades, and National Board of Medical Examiners Part I (NBME-I) scores. Although students' performances as characterized by subjective evaluations did not improve as the academic year progressed, mean scores on clerkship examinations improved steadily during the same period. The site of the clerkship, whether a community-affiliated hospital or a medical center hospital, affected neither subjective nor objective grades.
（1）学年中参加内科实习的时间对他们成绩的影响，以及（2）实习地点对他们成绩的影响。在1983 - 1984年、1984 - 1985年和1985 - 1986学年期间，芝加哥伊利诺伊大学医学院内科系在六个医院地点开展了为期12周的初级实习。该研究分析了535名学生的主观成绩、实习考试分数、最终成绩以及美国医学考试委员会第一部分（NBME - I）的分数。尽管从主观评价来看学生的表现并未随着学年推进而提高，但同期实习考试的平均分数却稳步上升。实习地点，无论是社区附属医院还是医学中心医院，对主观成绩和客观成绩均无影响。
