Michael E DeBakey Veterans Affairs Hospital, Houston, TX, USA.
Am J Surg. 2010 Nov;200(5):624-7. doi: 10.1016/j.amjsurg.2010.07.004.
Students may become less adept at developing strong patient-physician relationships during medical school. We evaluated whether students choosing careers in surgery show a similar negative trend.
Scores from 2 validated measurements of medical personality were compared using repeated-measures analysis of variance. The Patient Provider Orientation Scale (PPOS) assesses whether students are more patient-centered or paternalistic, and the Physician Reaction to Uncertainty Scale (PRUS) measures willingness to disclose uncertainty.
From 1998 to 2005, 236 students completed the PPOS and PRUS in the first and third year of medical school. Surgical students remained patient-centered in their first and third year of medical school (mean PPOS, 4.5 vs 4.54, respectively; P < .348). In addition, they became more willing to disclose uncertainty (mean PRUS improved from 25.5 to 23.8; P < .002).
Students choosing careers in surgery maintain or improve upon personality traits that are important for developing strong patient-physician relationships.
学生在医学院学习期间可能会变得不太擅长建立牢固的医患关系。我们评估了选择外科职业的学生是否表现出类似的负面趋势。
使用重复测量方差分析比较了 2 项经过验证的医学人格测量的分数。患者提供者取向量表（PPOS）评估学生是否更以患者为中心或家长式作风，而医生对不确定性的反应量表（PRUS）衡量愿意披露不确定性。
从 1998 年到 2005 年，236 名学生在医学院的第一年和第三年完成了 PPOS 和 PRUS。外科学生在医学院的第一年和第三年仍然以患者为中心（平均 PPOS 分别为 4.5 和 4.54；P<.348）。此外，他们变得更愿意披露不确定性（平均 PRUS 从 25.5 提高到 23.8；P<.002）。
选择外科职业的学生保持或提高了对建立牢固医患关系很重要的人格特质。
