Shepherd D, Hammond P
Med Educ. 1984 Mar;18(2):80-4. doi: 10.1111/j.1365-2923.1984.tb00977.x.
For a 2-week period, fifth-year medical students of the University of Melbourne are attached to a general practice to obtain experience in primary medical care. During this time they also attend a number of seminars in the Department of Community Medicine. In one session of 45 minutes duration, pairs of students are videotaped, each role-playing a diagnostic and a management interview. To determine the value of this session in improving clinical history-taking specific interpersonal skills by self-assessment and discussion, a questionnaire was administered consecutively to three groups, each of twenty-six students. It was found that being videotaped in a role-playing situation was an acceptable procedure to most students. An analysis of the results shows that the method outlined is a practical form of immediate self-assessment, and that the technique could be used to reinforce clinical history-taking, and specific interpersonal skills of students.
在为期两周的时间里,墨尔本大学的五年级医学生被安排到一家全科诊所,以获取初级医疗护理方面的经验。在此期间,他们还参加社区医学系的一些研讨会。在一次时长45分钟的课程中,学生两两一组进行录像,每人分别模拟诊断性访谈和管理性访谈。为了通过自我评估和讨论来确定该课程在提高临床病史采集特定人际技能方面的价值,连续向三组学生(每组26名)发放了问卷。结果发现,在角色扮演情境中录像对大多数学生来说是可以接受的程序。对结果的分析表明,所概述的方法是一种即时自我评估的实用形式,并且该技术可用于强化学生的临床病史采集和特定人际技能。