Pawlson L G, Schroeder S A, Donaldson M S
J Med Educ. 1979 Jul;54(7):551-5. doi: 10.1097/00001888-197907000-00005.
Using a variety of techniques, such as logs kept daily by the faculty, direct observation, and on-site interviews, the authors determined the instructional costs of a required third-year primary care clerkship based in an ambulatory care setting. Included in the analysis were labor costs of both faculty members and nonfaculty personnel, space and materials, and general university overhead. Total instructional costs were $54.20/student/day. If other third-year clinical clerkships generate equivalent costs, the direct instructional costs of clerkships for third-year medical students would be in excess of $11,500/student/year. The study results imply that ambulatory-based teaching of medical students generates considerable costs and thus requires support from student tuition, federal or state government, or other sources.
作者采用了多种技术手段，如教员每日记录、直接观察和现场访谈，来确定在门诊护理环境中进行的三年级必修初级护理实习的教学成本。分析内容包括教员和非教员人员的劳动力成本、空间和材料以及大学的一般管理费用。总教学成本为54.20美元/学生/天。如果其他三年级临床实习产生同等成本，那么三年级医学生实习的直接教学成本将超过11,500美元/学生/年。研究结果表明，以门诊为基础的医学生教学产生了相当大的成本，因此需要学生学费、联邦或州政府或其他来源的支持。
