Neinstein L S, Shapiro J, Rabinovitz S
J Adolesc Health Care. 1986 Sep;7(5):345-9. doi: 10.1016/s0197-0070(86)80164-4.
This study evaluated the effects of an adolescent medicine rotation on the attitudes and skills in the care of adolescents of third-year pediatric residents and medical students. Competence, comfort, and prior training in four areas were assessed by a self-evaluation questionnaire. Ratings were made at the start of the year, prerotation, and post a four- to six-week rotation. Residents not taking the rotation were rated at the beginning and end of the year. In addition, pelvic-examination skills were assessed by the clinic nurse and by the patients during the first and last week of the rotation. There were no significant changes in those not taking the rotation. In those residents taking the rotation, there was no change from beginning of year to prerotation, but there were significant changes after the rotation. Only those residents taking the rotation indicated an increase in liking adolescents. Pelvic examination skills were rated significantly higher during the last week of the rotation by the nurse and patients. A one-year follow-up study continued to show significantly higher scores in those residents taking the rotation. An adolescent medicine elective may significantly improve medical students' and residents' self-assessed levels of competence, comfort, and training in adolescent health care and pelvic examination skills.
本研究评估了青少年医学轮转对三年级儿科住院医师和医学生在青少年护理方面的态度和技能的影响。通过一份自我评价问卷评估了四个领域的能力、舒适度和先前培训情况。在年初、轮转前以及进行四至六周轮转后进行评分。未参加轮转的住院医师在年初和年末进行评分。此外，在轮转的第一周和最后一周，由临床护士和患者对盆腔检查技能进行评估。未参加轮转的人员没有显著变化。在参加轮转的住院医师中，从年初到轮转前没有变化，但轮转后有显著变化。只有那些参加轮转的住院医师表示对青少年的喜爱有所增加。在轮转的最后一周，护士和患者对盆腔检查技能的评分显著更高。一项为期一年的随访研究继续显示，参加轮转的住院医师得分显著更高。青少年医学选修课可能会显著提高医学生和住院医师在青少年医疗保健和盆腔检查技能方面的自我评估能力、舒适度和培训水平。
