Radboud University Nijmegen Medical Centre, The Netherlands.
Med Teach. 2013 Sep;35(9):e1472-7. doi: 10.3109/0142159X.2013.778396. Epub 2013 Apr 9.
Performance of a focused physical examination will induce a high cognitive load for medical students in the early phase of the clinical clerkships.
To come to a workable and clinically applicable standard physical examination for medical students to be used in every new patient in the daily clinical practice of internal medicine.
A questionnaire held among physicians that supervise students during the clerkship of internal medicine in one Dutch training region.
Of the complete list of physical examination 55 items were considered to be an integral part of the standard general physical examination for medical students. Most emphasized were elements of the physical examination aimed at general parameters, thorax and abdomen, vascular status, lymph nodes, spinal column, skin and some parts of the neurological examination. The standard physical examinations performed by supervisors themselves contain fewer items than they expected from the students. The expectations a supervisor has towards the student correlates with the frequency with which they apply the various components in their own physical examination.
This study provides us with a 'core' physical examination for medical students that can be applied in the early phase of the clinical clerkships.
在临床实习的早期阶段，对医学生进行重点体检会给他们带来很高的认知负荷。
为医学生制定一种可行的、适用于临床的标准体检方法，以便在每天的内科临床实践中用于每一位新患者。
在荷兰一个培训区域内，对监督医学生实习的医生进行问卷调查。
在完整的体检清单中，有 55 项被认为是医学生标准一般体检的一个组成部分。大多数人强调的是体检的一般参数、胸部和腹部、血管状况、淋巴结、脊柱、皮肤和神经系统检查的某些部分。主管自己进行的标准体检包含的项目比他们期望学生完成的要少。主管对学生的期望与他们在自己的体检中应用各种检查的频率相关。
本研究为医学生提供了一种可在临床实习早期应用的“核心”体检方法。
