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医学生皮肤病学专业能力评估:美国医学生是否为诊断和治疗常见皮肤病做好了充分准备?

Assessment of medical students' proficiency in dermatology: Are medical students adequately prepared to diagnose and treat common dermatologic conditions in the United States?

作者信息

Ulman Catherine A, Binder Stephen Bruce, Borges Nicole J

机构信息

The Ohio State University, Columbus, OH, USA.

Office of Academic Affairs, Wright State University Boonshoft School of Medicine, Dayton, OH, USA ; Department of Family Medicine, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.

出版信息

J Educ Eval Health Prof. 2015 May 17;12:18. doi: 10.3352/jeehp.2015.12.18. eCollection 2015.

Abstract

This study assessed whether a current medical school curriculum is adequately preparing medical students to diagnose and treat common dermatologic conditions. A 15-item anonymous multiple choice quiz covering fifteen diseases was developed to test students' ability to diagnose and treat common dermatologic conditions. The quiz also contained five items that assessed students' confidence in their ability to diagnose common dermatologic conditions, their perception of whether they were receiving adequate training in dermatology, and their preferences for additional training in dermatology. The survey was performed in 2014, and was completed by 85 students (79.4%). Many students (87.6%) felt that they received inadequate training in dermatology during medical school. On average, students scored 46.6% on the 15-item quiz. Proficiency at the medical school where the study was performed is considered an overall score of greater than or equal to 70.0%. Students received an average score of 49.9% on the diagnostic items and an average score of 43.2% on the treatment items. The findings of this study suggest that United States medical schools should consider testing their students and assessing whether they are being adequately trained in dermatology. Then schools can decide if they need to re-evaluate the timing and delivery of their current dermatology curriculum, or whether additional curriculum hours or clinical rotations should be assigned for dermatologic training.

摘要

本研究评估了当前的医学院课程是否能充分培养医学生诊断和治疗常见皮肤病的能力。开发了一份包含15道关于15种疾病的匿名多项选择题测验,以测试学生诊断和治疗常见皮肤病的能力。该测验还包含5个项目,用于评估学生对自身诊断常见皮肤病能力的信心、他们对是否接受了足够皮肤病学培训的认知,以及他们对额外皮肤病学培训的偏好。该调查于2014年进行,85名学生(79.4%)完成了调查。许多学生(87.6%)认为他们在医学院期间接受的皮肤病学培训不足。在这份15项的测验中,学生平均得分46.6%。进行该研究的医学院将总体得分大于或等于70.0%视为熟练水平。学生在诊断项目上的平均得分为49.9%,在治疗项目上的平均得分为43.2%。本研究结果表明,美国医学院应考虑测试学生,并评估他们是否接受了足够的皮肤病学培训。然后学校可以决定是否需要重新评估当前皮肤病学课程的时间安排和授课方式,或者是否应为皮肤病学培训安排额外的课程时长或临床轮转。

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