a Department of Medicine , Stony Brook University Medical Center , Stony Brook , NY , USA.
Teach Learn Med. 2014;26(1):81-5. doi: 10.1080/10401334.2013.857329.
Graduating medical students, when surveyed, noted a deficit in training in physical examination skills.
In an attempt to remedy this deficit we implemented a pilot program for 3rd-year medical students consisting of twice-weekly bedside diagnosis rounds as part of their 8-week medicine clerkship.
To assess the success of this program we reviewed students' objective structured clinical exam (OSCE) scores at the completion of the clerkship compared with prior years' students who did not have the bedside physical diagnosis training.
Students who were trained (n = 109) had an overall higher OSCE physical exam score (p < .01) than students without the training (n = 85).
Bedside physical diagnosis rounds appear to have elevated the overall OSCE score for 3rd-year medical students.
接受调查的医学生表示,他们在体检技能方面的培训存在不足。
为了弥补这一不足,我们为三年级医学生实施了一项试点计划,即在为期 8 周的内科实习期间,每周进行两次床边诊断查房。
为了评估该计划的成功,我们比较了实习结束时学生的客观结构化临床考试(OSCE)成绩与之前没有接受床边体格诊断培训的学生的成绩。
接受培训的学生(n=109)的 OSCE 体格检查成绩总体较高(p<0.01),而未接受培训的学生(n=85)的成绩则较低。
床边体格诊断查房似乎提高了三年级医学生的整体 OSCE 成绩。