简短通讯：德国最后一年医学生体格检查技能表现的不足
Short communication: final year students' deficits in physical examination skills performance in Germany.
作者信息
Krautter Markus, Diefenbacher Katja, Koehl-Hackert Nadja, Buss Beate, Nagelmann Lars, Herzog Wolfgang, Jünger Jana, Nikendei Christoph
机构信息
Department of Nephrology, University of Heidelberg, Heidelberg, Germany.
Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Medical Centre, Heidelberg, Germany.
出版信息
Z Evid Fortbild Qual Gesundhwes. 2015;109(1):59-61. doi: 10.1016/j.zefq.2015.01.003. Epub 2015 Feb 19.
BACKGROUND
The physical examination of patients is an important diagnostic competence, but little is known about the examination skills of final-year medical students.
AIMS
To investigate physical examination skills of final-year medical students.
METHODS
In a cross-sectional study, 40 final-year students were asked to perform a detailed physical examination on standardized patients. Their performances were video-recorded and rated by independent video assessors.
RESULTS
Video ratings showed a mean success rate of 40.1 % (SD 8.2). As regards accompanying doctor-patient communication, final-year students achieved a mean of no more than 36.7 % (SD 8.9) in the appropriate use of the corresponding communication items.
CONCLUSIONS
Our study revealed severe deficits among final-year medical students in performing a detailed physical examination on a standardized patient. Thus, physical examination skills training should aim to improve these deficits while also paying attention to communicative aspects.
背景
对患者进行体格检查是一项重要的诊断技能，但对于即将毕业的医学生的检查技能了解甚少。
目的
调查即将毕业的医学生的体格检查技能。
方法
在一项横断面研究中，40名即将毕业的学生被要求对标准化患者进行详细的体格检查。他们的表现被录像，并由独立的视频评估人员进行评分。
结果
视频评分显示平均成功率为40.1%（标准差8.2）。在伴随的医患沟通方面，即将毕业的学生在正确使用相应沟通项目方面的平均得分不超过36.7%（标准差8.9）。
结论
我们的研究表明，即将毕业的医学生在对标准化患者进行详细体格检查方面存在严重不足。因此，体格检查技能培训应旨在改善这些不足，同时也要关注沟通方面。
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