McFarlane A C, Goldney R D, Kalucy R S
Department of Psychiatry, Flinders Medical Centre, Bedford Park, South Australia.
Med Educ. 1989 Sep;23(5):422-8. doi: 10.1111/j.1365-2923.1989.tb00897.x.
This study used factor analysis to define the components of clinical competence of medical students during their undergraduate psychiatric training. Four factors were defined; factor 1 related to cognitive and psychological problem-solving; factor 2 tapped the interpersonal and observational skills students showed with patients; factor 3 was characterized by knowledge in the examination setting, and factor 4 related to students' capacity to demonstrate their ability in an interpersonal setting. These are similar to the component skills of clinical competence demonstrated by students in other areas of the medical curriculum. They also correspond to the skills which Walton (1986) has suggested should be focused upon in undergraduate psychiatric education.
本研究采用因子分析来界定医学生在本科精神科培训期间临床能力的构成要素。确定了四个因子；因子1与认知和心理问题解决相关；因子2挖掘了学生在与患者相处时所展现的人际和观察技能；因子3的特征是在检查环境中的知识，因子4与学生在人际环境中展示自身能力的能力相关。这些与医学课程其他领域学生所展现的临床能力的构成技能相似。它们也与沃尔顿（1986年）建议在本科精神科教育中应重点关注的技能相对应。
