Skelly Kelly S, Weerasinghe Sanjeeva, Daly Jeanette M, Rosenbaum Marcy E
Department of Family Medicine, University of Iowa, 01290D PFP, 200 Hawkins Drive, Iowa, IA 52242 USA.
Med Sci Educ. 2021 May 5;31(3):1149-1156. doi: 10.1007/s40670-021-01291-1. eCollection 2021 Jun.
Many US pre-health professional students prepare for applying to medical training by transcribing clinician-patient encounters. Scant literature of the effects of scribing experiences before starting medical training exists. We conducted a study to investigate student perspectives about medical scribing's educational impact on clinical skill development.
Using a mixed-methods approach, medical and physician assistant students were surveyed and interviewed about clinical experiences and confidence before entering medical training, and the impact of scribing on clinical skills learning. Thematic analysis revealed salient themes in participants' perspectives on the scribing experience.
A total of 214 (33%) of the 658 students completed the survey; 66 (31%) had scribing experience. Scribes were more confident ( ≤ 0.001) in clinical note writing and history taking than non-scribes. Thematic analysis revealed perceptions that scribing impacted clinical note writing, medical knowledge, communication, and healthcare environment functioning.
Findings suggest that the scribing experience affects confidence and perceived skills, particularly clinical note writing. Future research could explore the impact on clinical skill development through comparative performance-based assessment.
Measuring the impact of scribing before entry to medical/physician assistant school on clinical skill development could provide directives for best approaches to clinical skills education in health professionals training.
许多美国健康预专业学生通过抄写临床医患交流内容来为申请医学培训做准备。关于在开始医学培训前抄写经历的影响的文献很少。我们开展了一项研究，以调查学生对医学抄写对临床技能发展的教育影响的看法。
采用混合方法，对医学和医师助理专业的学生在进入医学培训前的临床经历和信心，以及抄写对临床技能学习的影响进行了调查和访谈。主题分析揭示了参与者对抄写经历看法中的突出主题。
658名学生中有214名（33%）完成了调查；66名（31%）有抄写经历。有抄写经历的学生在撰写临床记录和进行病史采集方面比没有抄写经历的学生更有信心（P≤0.001）。主题分析揭示了这样的看法，即抄写影响了临床记录撰写、医学知识、沟通和医疗环境运作。
研究结果表明，抄写经历会影响信心和感知技能，尤其是临床记录撰写。未来的研究可以通过基于表现的比较评估来探索对临床技能发展的影响。
在进入医学/医师助理学校之前衡量抄写对临床技能发展的影响，可以为健康专业人员培训中临床技能教育的最佳方法提供指导。
