Frischknecht Adam C, Boehler Margaret L, Schwind Cathy J, Brunsvold Melissa E, Gruppen Larry D, Brenner Michael J, Hauge Linnea S
Michigan State University, College of Human Medicine, East Lansing, MI, USA; Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA.
Am J Surg. 2014 Aug;208(2):307-15. doi: 10.1016/j.amjsurg.2014.01.014. Epub 2014 Apr 24.
This study evaluated a simulated pages curriculum that was developed to assess communication and clinical decision making in medical students and interns.
A curriculum consisting of 14 simulated pages was administered across 5 institutions to 150 senior medical students. A 3-case subset was administered to interns who did not participate in the curriculum. Six expert surgeons identified critical fails and set passing scores for case-specific assessments using the Graphical Hofstee Method.
Participants in the curriculum demonstrated superior clinical decision making compared with non-participants across all cases scenarios (P < .01). Average medical student scores for clinical decision making were 46.9%. Global ratings averaged 6.0 for communication and 5.2 for patient care. Passing rates averaged 46%.
Participation in a mock page curriculum improved performance. The performance of participants based on expert standards set for simulated page performance highlight the need for innovative approaches to improve interns' preparedness to take calls.
本研究评估了一种模拟传呼课程，该课程旨在评估医学生和实习生的沟通能力及临床决策能力。
一个由14个模拟传呼组成的课程在5所机构中对150名高年级医学生进行了实施。一个包含3个病例的子集被施用于未参与该课程的实习生。6名专家外科医生确定了关键失误，并使用图形霍夫斯泰方法为特定病例评估设定了及格分数。
在所有病例场景中，参与该课程的参与者与未参与者相比，表现出更优的临床决策能力（P < .01）。医学生临床决策的平均得分率为46.9%。沟通方面的总体评分平均为6.0，患者护理方面为5.2。及格率平均为46%。
参与模拟传呼课程可提高表现。基于为模拟传呼表现设定的专家标准，参与者的表现凸显了采用创新方法提高实习生接听呼叫准备程度的必要性。
