瑞典医学院校的笔试：塑造只为用药的思维模式？

Written Examinations in Swedish Medical Schools: Minds Molded to Medicate?

作者信息

Krachler Benno, Jerdén Lars, Lindén Christina

机构信息

Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden (BK).

Department of Public Health and Clinical Medicine, Epidemiology, Umeå University, Umeå, Sweden (LJ).

出版信息

Am J Lifestyle Med. 2017 Aug 18;13(6):611-614. doi: 10.1177/1559827617724338. eCollection 2019 Nov-Dec.

DOI:10.1177/1559827617724338

PMID:31662728

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6796225/

Abstract

Lifestyle medicine (LM) is part of official educational goals in Swedish medical schools. We studied questions concerning 5 noncommunicable diseases: diabetes, hypertension, coronary heart disease (CHD), chronic obstructive pulmonary disease (COPD), and stroke from 124 written examinations conducted between 2012 and 2015. LM knowledge yielded between 2% and 10%, whereas pharmacology-related knowledge yielded between 24% and 50%, of total points. The multiples at which pharmacology-related knowledge was valued higher than LM knowledge were 2.4 for COPD (P < .056), 4.3 for diabetes (P < .0001), 4.8 for hypertension (P < .0001), 5.2 for CHD (P < .0001), and 31.5 for stroke (P < .0001). Our results indicate that lifestyle-related knowledge, though covered by official teaching goals, is currently underrated in Swedish medical education.

摘要

生活方式医学（LM）是瑞典医学院校官方教育目标的一部分。我们研究了2012年至2015年间进行的124次笔试中有关5种非传染性疾病的问题：糖尿病、高血压、冠心病（CHD）、慢性阻塞性肺疾病（COPD）和中风。生活方式医学知识在总分中占2%至10%，而药理学相关知识占24%至50%。药理学相关知识比生活方式医学知识更受重视的倍数在COPD方面为2.4（P <.056），糖尿病方面为4.3（P <.0001），高血压方面为4.8（P <.0001），冠心病方面为5.2（P <.0001），中风方面为31.5（P <.0001）。我们的结果表明，尽管官方教学目标涵盖了与生活方式相关的知识，但目前在瑞典医学教育中该知识被低估了。