Hillard P J, Fang W L
J Reprod Med. 1986 Jun;31(6):491-6.
In the past it was assumed that medical students would be able to perform an adequate pelvic examination by the end of the third-year clinical clerkship. At the University of Virginia, students completing the clinical clerkship were evaluated by trained gynecology teaching associates (GTAs), acting as patients and chaperones, who systematically evaluated students' examination and interpersonal skills using both an objective scale including 86 specific items and two 12-point subjective rating scales. Interrater reliability was demonstrated, as was the correlation between the subjective scores and objective ratings. Thirty-two percent of the students were evaluated as having either inadequate or marginal examination skills, and 29% were rated as having interpersonal skills that fell into the same unsatisfactory category. GTAs can be used as evaluators of skills in a competency-based clerkship.
过去人们认为，医学生在三年级临床实习结束时应能够进行充分的盆腔检查。在弗吉尼亚大学，完成临床实习的学生由经过培训的妇科教学助理（GTAs）进行评估，这些教学助理充当患者和陪护人员，他们使用包括86个具体项目的客观量表和两个12分的主观评分量表，系统地评估学生的检查技能和人际沟通技巧。结果证明了评分者间的可靠性，以及主观分数与客观评分之间的相关性。32%的学生被评估为检查技能不足或勉强合格，29%的学生被评为人际沟通技巧属于同样不理想的类别。在基于能力的实习中，GTAs可作为技能评估者。
