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教授本科生妇科及产科检查技能：患者的观点。

Teaching undergraduate students gynecological and obstetrical examination skills: the patient's opinion.

机构信息

Department of Obstetrics and Gynecology, Homburg University Medical Centre, 66421, Homburg, Germany.

Department of Radiology, Dresden University Hospital, Fetscherstraße 74, 01307, Dresden, Germany.

出版信息

Arch Gynecol Obstet. 2020 Aug;302(2):431-438. doi: 10.1007/s00404-020-05615-1. Epub 2020 Jun 1.

DOI:10.1007/s00404-020-05615-1
PMID:32488397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8595149/
Abstract

INTRODUCTION

Our study assesses the patients' opinion about gynecological examination performed by undergraduate students (UgSts). This assessment will be used in improving our undergraduate training program. A positive opinion would mean a lower chance of a patient refusing to be examined by a tutor or student, taking into account vaginal examination (VE).

MATERIALS AND METHODS

We performed a prospective cross-sectional survey on 1194 patients, consisting of outpatient and inpatient at the departments of obstetrics and gynecology from November 2015 to May 2016. The questionnaire consisted of 46 questions. Besides demographic data, we assessed the mindset of patients regarding the involvement of undergraduate student (UgSt) in gynecological and obstetrical examinations. We used SPSS version 23 for the statistical analysis. For reporting the data, we followed the STROBE statement of reporting observational studies.

RESULTS

The median age was 38 years having a median of one child. 34% presented due to obstetrical problems, 38% due to gynecological complaints, and 19% due to known gynecological malignancies. Generally, we retrieved a positive opinion of patients towards the involvement of students in gynecological and obstetrical examination under supervision in 2/3 of the cases.

CONCLUSIONS

There is no reason to exclude medical UgSts from gynecological and obstetrical examinations after obtaining a written or oral consent.

摘要

简介

我们的研究评估了患者对本科实习生（UgSt）进行妇科检查的看法。这一评估将用于改进我们的本科培训计划。如果患者对由导师或学生进行阴道检查（VE）持积极态度，那么他们拒绝接受检查的可能性就会降低。

材料与方法

我们于 2015 年 11 月至 2016 年 5 月在妇产科的门诊和住院部对 1194 名患者进行了前瞻性横断面调查。调查问卷包括 46 个问题。除了人口统计学数据外，我们还评估了患者对本科实习生（UgSt）参与妇科和产科检查的心态。我们使用 SPSS 版本 23 进行统计分析。为了报告数据，我们遵循 STROBE 报告观察性研究的声明。

结果

患者的中位年龄为 38 岁，平均生育一个孩子。34%因产科问题就诊，38%因妇科问题就诊，19%因已知妇科恶性肿瘤就诊。总的来说，我们发现 2/3 的患者对学生在监督下参与妇科和产科检查持积极态度。

结论

在获得书面或口头同意后，没有理由将医学实习生排除在妇科和产科检查之外。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d028/8595149/072e71df4497/404_2020_5615_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d028/8595149/c6f4013348f5/404_2020_5615_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d028/8595149/2978de047840/404_2020_5615_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d028/8595149/072e71df4497/404_2020_5615_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d028/8595149/c6f4013348f5/404_2020_5615_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d028/8595149/2978de047840/404_2020_5615_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d028/8595149/072e71df4497/404_2020_5615_Fig3_HTML.jpg

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Medical students and intimate examinations: What affects whether a woman will consent?医学生与私密检查：哪些因素影响女性是否同意？
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