Wiles Charles Mark
School of Medicine, Institute of Psychological Medicine and Clinical Neurosciences, Cardiff University, London, UK.
Pract Neurol. 2013 Feb;13(1):49-50. doi: 10.1136/practneurol-2012-000282.
Neurological examination (NE) is a key part of practice for many doctors. UK students learn NE from a variety of specialty tutors and often find it difficult. This article suggests one way of introducing NE interactively with students in their first clinical year supplementary to clerking patients. The content presupposes the author's choices about core elements and techniques of NE largely in the absence of explicit evidence. Arguably there needs to be greater consensus over a core NE, appropriate to modern practice, to provide more explicit guidance for medical schools.
神经学检查(NE)是许多医生临床实践的关键部分。英国的学生从各种专业导师那里学习神经学检查,且常常觉得它很难。本文提出了一种在学生临床第一年与他们进行互动式引入神经学检查的方法,作为补充问诊患者的一种方式。内容预先假定了作者在很大程度上在缺乏明确证据的情况下对神经学检查的核心要素和技术所做的选择。可以说,对于适用于现代实践的核心神经学检查,需要达成更大的共识,以便为医学院校提供更明确的指导。