Rabinovitz S, Neinstein L S, Shapiro J
Med Educ. 1987 May;21(3):219-26. doi: 10.1111/j.1365-2923.1987.tb00694.x.
This study evaluated the effects of an adolescent medicine rotation on paediatric residents' pelvic examination skills. Measurements were: self-evaluations pre- and post-rotation; nurse's evaluations of pelvic examination performance during the first and last week of the rotation; and patients' evaluations. The self-evaluation was also given at the start and at the end of the year to residents not taking the rotation. Twenty-four third-year residents were evaluated during the year. Eighteen subjects taking the rotation showed significant improvement post-rotation in the areas of competence, comfort, evaluation of training and importance to career, while the six residents not taking the rotation showed no change. The nurse's evaluation of the pelvic examination showed increases in comfort level, skill, awareness of adolescents' feelings, and ability to explain and reassure. Patient ratings were high at the beginning of the rotation and showed no significant change post-rotation. An adolescent medicine rotation significantly improved pelvic examination skills as assessed by self-ratings and a nurse's evaluation. A rotation in adolescent medicine can play a crucial role in developing gynaecological skills in paediatric residents.
本研究评估了青少年医学轮转对儿科住院医师盆腔检查技能的影响。评估指标包括：轮转前后的自我评估；轮转第一周和最后一周期间护士对盆腔检查表现的评估；以及患者的评估。在年初和年末也对未参加轮转的住院医师进行了自我评估。当年对24名三年级住院医师进行了评估。18名参加轮转的受试者在能力、舒适度、培训评估和对职业的重要性等方面轮转后有显著改善，而6名未参加轮转的住院医师则没有变化。护士对盆腔检查的评估显示，舒适度、技能、对青少年感受的认知以及解释和安抚能力有所提高。患者评分在轮转开始时较高，轮转后无显著变化。自我评分和护士评估显示，青少年医学轮转显著提高了盆腔检查技能。青少年医学轮转在培养儿科住院医师的妇科技能方面可发挥关键作用。
