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实践教育:实践经验在本科及普通临床培训中的作用。

Education for practice: the role of practical experience in undergraduate and general clinical training.

作者信息

Jolly B C, Macdonald M M

机构信息

Joint Medical Education Research Group, St Bartholomew's, London, UK.

出版信息

Med Educ. 1989 Mar;23(2):189-95. doi: 10.1111/j.1365-2923.1989.tb00885.x.

DOI:10.1111/j.1365-2923.1989.tb00885.x
PMID:2716558
Abstract

A questionnaire and interview study in two London medical schools reviewed the undergraduate curricula and house year from the perspectives of graduates one year after qualification. Data from 113 house officers (44%), obtained by questionnaire and interview, showed general satisfaction with training. However, they also saw undergraduate preparation as deficient in exposure to some practical procedures and common conditions, and several difficult communication skills were not taught. Graduates reported that they would have liked more experience as undergraduates in resuscitation, lumbar puncture, inserting nasogastric tubes, endotracheal intubation, and in managing diabetic keto-acidosis, asthmatic attacks, myocardial infarcts and respiratory failure. The purposes of the house year and the articulation between it and the undergraduate years require clarification.

摘要

一项针对伦敦两所医学院校的问卷调查及访谈研究,从毕业生资格认证一年后的角度审视了本科课程及住院医师第一年的情况。通过问卷调查和访谈收集到的113名住院医师(占44%)的数据显示,他们对培训总体满意。然而,他们也认为本科阶段在接触一些实际操作程序和常见病症方面准备不足,并且一些重要的沟通技巧未得到教授。毕业生们表示,他们希望本科阶段能有更多在心肺复苏、腰椎穿刺、插入鼻胃管、气管插管以及处理糖尿病酮症酸中毒、哮喘发作、心肌梗死和呼吸衰竭方面的经验。住院医师第一年的目的以及它与本科阶段的衔接需要进一步明确。

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