Department of Medical Education and Skills Laboratory, Faculty of Medicine, Gadjah Mada University, North Sekip, Jogjakarta 55281, Indonesia.
Med Teach. 2011;33(6):e313-7. doi: 10.3109/0142159X.2011.565829.
Recent studies indicate that students may encounter problems when they have to apply clinical skills learned in a skills laboratory to patients. To facilitate this transition, it has been advised to include patient contacts early in the pre-clinical curriculum.
To compare clinical skills performance and level of preparedness for entering the clerkships between students who were prepared exclusively in a skills laboratory and peers for whom part of their skills training program was substituted by training in a primary health care (PHC) center.
Pre-clinical students either trained clinical skills exclusively in a skills laboratory while their peers attended a mixed program of laboratory trainings and practice in PHC centers. Students' perception of preparedness for the clerkships was explored through the Preparation for Hospital Practice Questionnaire. Students' clinical skills were assessed by an Objective Structured Clinical Examination (OSCE) and by supervisors in PHC centers.
Students following the mixed program felt better prepared for their clerkships than skills lab-trained peers. Students' perceptions were supported by assessments by their supervisors. However, mean OSCE scores of both groups did not differ significantly.
PHC centers can be involved to better prepare pre-clinical students for their clerkships.
最近的研究表明，学生在将技能实验室中学到的临床技能应用于患者时可能会遇到问题。为了促进这种转变，建议在临床前课程中尽早让学生接触患者。
比较仅在技能实验室接受培训的学生和部分技能培训课程在基层医疗保健（PHC）中心进行的学生的临床技能表现和进入实习阶段的准备程度。
临床前学生要么在技能实验室中专门接受临床技能培训，而他们的同龄人则参加实验室培训和 PHC 中心实践的混合课程。通过医院实习准备调查问卷来探讨学生对实习的准备情况的看法。学生的临床技能通过客观结构化临床考试（OSCE）和 PHC 中心的主管进行评估。
参加混合课程的学生比仅在技能实验室接受培训的学生更能为实习做好准备。学生的看法得到了主管的评估的支持。然而，两组学生的 OSCE 平均分数并没有显著差异。
可以让基层医疗保健中心参与进来，使临床前学生更好地为实习做好准备。
