Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Thailand.
Int J Med Educ. 2021 Sep 30;12:181-185. doi: 10.5116/ijme.6135.d424.
We aimed to explore the relationship between web-based orthopedic illness scripts and medical students' performance as assessed through examination results.
This was a retrospective cohort study with 83 fifth-year medical students in an academic hospital. During a one-month placement, they were instructed to do web-based illness scripts. Their performances were assessed by examination in the last week. All recorded data about illness scripts and examination results were retrieved. The students were separated into high and low response groups based on completed illness scripts. The characteristics of the students between the two groups were compared. Pearson correlation coefficients and regression analysis were used to identify the relationship between illness scripts and examination results.
There were 56 students in the high-response and 27 in the low-response groups. The characteristics and examination scores were not significantly different between the groups, while there was a significant difference in script completion (t=13.72, p<0.001). Using Pearson correlation, we found weak correlations without significance between completed scripts, illness script scores, and examination scores. We found no relationship between illness script scores and examination scores, even in the high response group, by regression analysis.
The use of web-based orthopedic illness scripts did not correlate to the examination performance of medical students. A high number of scripts without variety and limited time for practicing may have obscured potential positive relationships. Illness scripts should be adjusted as appropriate for each school before being assigned. A further multi-center, prospective study is suggested to identify the correlations and investigate the influencing factors.
我们旨在探索基于网络的骨科疾病剧本与医学生通过考试成绩评估的表现之间的关系。
这是一项回顾性队列研究，共有来自学术医院的 83 名五年级医学生参与。在为期一个月的实习中，他们被指导进行基于网络的疾病剧本。他们的表现通过最后一周的考试进行评估。所有关于疾病剧本和考试成绩的记录数据都被检索出来。根据完成的疾病剧本，学生被分为高反应组和低反应组。比较两组学生的特征。使用 Pearson 相关系数和回归分析来确定疾病剧本和考试成绩之间的关系。
高反应组有 56 名学生，低反应组有 27 名学生。两组学生的特征和考试成绩没有显著差异，而剧本完成情况存在显著差异（t=13.72，p<0.001）。通过 Pearson 相关，我们发现完成剧本、疾病剧本分数和考试分数之间存在微弱但无统计学意义的相关性。通过回归分析，我们发现疾病剧本分数与考试分数之间没有关系，即使在高反应组也是如此。
使用基于网络的骨科疾病剧本与医学生的考试表现没有相关性。大量的剧本缺乏多样性和有限的练习时间可能掩盖了潜在的积极关系。在分配之前，应根据每个学校的情况适当调整疾病剧本。建议进行进一步的多中心、前瞻性研究，以确定相关性并研究影响因素。
