Philipp R
Med Educ. 1984 Jan;18(1):36-42. doi: 10.1111/j.1365-2923.1984.tb01474.x.
Final-year medical students at the University of Bristol were asked to outline a plan of management for an elderly female patient who presented with several problems. These problems were presented in the form of a 'patient management questionnaire'. This questionnaire was completed before and again after a 9-week course that included a 3-week attachment to two general practitioners. The patterns of answers were compared to look for modifications in the plan of management that could be attributed to the teaching. The results indicate a broader plan of management after the course with more students considering the physical, social and family needs of the patient, rather than the clinical problems alone. Nevertheless, further experience of this method of assessment is needed before the technique can be considered a useful tool in the evaluation of general practice teaching.
布里斯托大学的医学专业最后一年学生被要求为一名存在多种问题的老年女性患者制定一份管理计划。这些问题以“患者管理问卷”的形式呈现。在一个为期9周的课程(其中包括在两名全科医生处实习3周)之前和之后,学生们都要完成这份问卷。对答案模式进行比较,以寻找可归因于教学的管理计划中的修改之处。结果表明,课程结束后管理计划更宽泛,更多学生考虑到了患者的身体、社会和家庭需求,而不仅仅是临床问题。然而,在该技术被视为评估全科医学教学的有用工具之前,还需要对这种评估方法有更多的经验。