Elder Andrew
Department of Acute Medicine for Older People, Edinburgh Medical School, Western General Hospital, Crewe Road, Edinburgh EH42XU, UK.
Med Clin North Am. 2018 May;102(3):545-558. doi: 10.1016/j.mcna.2017.12.014.
Clinical skills remain fundamental to the practice of medicine and form a core component of the professional identity of the physician. However, evidence exists to suggest that the practice of some clinical skills is declining, particularly in the United States. A decline in practice of any skill can lead to a decline in its teaching and assessment, with further decline in practice as a result. Consequently, assessment not only drives learning of clinical skills, but their practice. This article summarizes contemporary approaches to clinical skills assessment that, if more widely adopted, could support the maintenance and reinvigoration of bedside clinical skills.
临床技能仍然是医学实践的基础，并且是医生职业身份的核心组成部分。然而，有证据表明，某些临床技能的实践正在下降，尤其是在美国。任何技能实践的下降都可能导致其教学和评估的下降，进而导致实践的进一步下降。因此，评估不仅推动临床技能的学习，也推动其实践。本文总结了当代临床技能评估方法，如果能更广泛地采用，可能有助于维持和振兴床边临床技能。
