Woolliscroft J O, Calhoun J G, Beauchamp C, Wolf F M, Maxim B R
J Med Educ. 1984 Jan;59(1):19-23.
The ability to develop a medical history data base relevant to the total care of a patient is a requisite skill for clinical problem-solving. Assessment of this skill by faculty members in medical students has been based on direct observation of the student-patient encounter as well as on evaluation of the student's written patient history. In the study reported here, both methods were compared by the authors for the same student-patient interview. Preceptor ratings of the students' data-elicitation skills were correlated with their ratings of the students' interview-process skills and the time spent by the preceptor observing the interview. A criterion-based, checklist scoring of the student's write-up was not correlated with preceptor ratings. In this study, the authors suggest that a criterion-based evaluation of the student's patient write-up is a less faculty-intensive and more reliable method of evaluating medical student data-collection skills than direct observation of the student-patient encounter.
建立与患者全面护理相关的病史数据库的能力是临床问题解决的一项必备技能。医学院教师对医学生这项技能的评估基于对学生与患者接触的直接观察以及对学生书写的患者病史的评价。在本文报道的研究中，作者针对同一次学生与患者的访谈对这两种方法进行了比较。带教老师对学生数据引出技能的评分与他们对学生访谈过程技能的评分以及带教老师观察访谈所花费的时间相关。对学生书写内容基于标准的清单评分与带教老师的评分不相关。在这项研究中，作者认为，与直接观察学生与患者的接触相比，对学生书写的患者记录进行基于标准的评估是一种对教师要求较低且更可靠的评估医学生数据收集技能的方法。
