Urberg M M, Scott N C
Department of Family Medicine, Wayne State University School of Medicine, Detroit, MI.
Fam Med. 1988 Nov-Dec;20(6):458-60.
A technique to teach second-year medical students to make diagnostic assessments from information gained in a medical interview is presented. This method involves having students read transcripts of actual interviews, write medical histories, and make medical assessments of the patient's problem without benefit of physical examination or laboratory data. Four lectures were given which discussed the relationships between symptoms and physical illness. Students wrote medical histories and made diagnostic assessments based on transcribed medical histories. They then discussed the medical and psychosocial aspects of the patient's problem with family physicians in small group discussions. A new self-scoring technique is described which gives students rapid feedback on their written medical histories.
本文介绍了一种教授二年级医学生根据医学访谈中获取的信息进行诊断评估的技术。该方法要求学生阅读实际访谈的文字记录，撰写病史，并在不借助体格检查或实验室数据的情况下对患者的问题进行医学评估。举办了四场讲座，讨论症状与身体疾病之间的关系。学生们撰写病史，并根据转录的病史进行诊断评估。然后，他们在小组讨论中与家庭医生讨论患者问题的医学和心理社会方面。文中描述了一种新的自我评分技术，该技术能让学生迅速得到关于其书面病史的反馈。
