Weitz Gunther, Twesten Christoph, Hoppmann Julia, Lau Margot, Bonnemeier Hendrik, Lehnert Hendrik
University Hospital of Schleswig-Holstein, Campus Lübeck, Clinic for Internal Medicine I, Lübeck, Germany.
GMS Z Med Ausbild. 2012;29(1):Doc07. doi: 10.3205/zma000777. Epub 2012 Feb 15.
Procedural skills education has a high priority for medical students. However, it is not clear what kind of skills they consider important and whether their perception differs from the physicians' view.
We conducted a survey on 26 skills in internal medicine among medical students and physicians. Ninety-five fourth year and 62 final year students along with 67 physicians working in medical departments participated in the survey. A similar but smaller survey was completed earlier before the implementation of a skills training at the faculty.
Students generally preferred technically complex skills while, in contrast, physicians found "bed-side-skills" more important. The result was independent of the students' participation in the skills training or of the physicians' experience. A similar result was achieved in the smaller survey before the implementation of the skills training.
Students and physicians significantly differ in their entitlement towards procedural skills education. This should be considered when educational strategies are being discussed.
操作技能教育对医学生而言具有高度优先性。然而,尚不清楚他们认为何种技能重要,以及他们的认知是否与医生的观点不同。
我们对医学生和医生进行了一项关于内科26项技能的调查。95名四年级学生、62名五年级学生以及67名在医疗科室工作的医生参与了此次调查。在学院开展技能培训之前,曾较早完成过一项类似但规模较小的调查。
学生总体上更倾向于技术复杂的技能,而相比之下,医生认为“床边技能”更为重要。该结果与学生是否参与技能培训或医生的经验无关。在开展技能培训之前进行的规模较小的调查中也得到了类似结果。
学生和医生在对操作技能教育的认识上存在显著差异。在讨论教育策略时应考虑到这一点。