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病历的质量与教育价值——学生意见调查

The quality and educational value of medical records--a survey of student opinion.

作者信息

Hughes J, Lloyd G J, McIntyre N

出版信息

Med Educ. 1978 Jul;12(4):267-72. doi: 10.1111/j.1365-2923.1978.tb00349.x.

DOI:10.1111/j.1365-2923.1978.tb00349.x
PMID:672698
Abstract

In July 1975 clinical students at the Royal Free Hospital School of Medicine were asked to complete a questionnaire, including questions on medical records. Full and accurate recording of clinical information was considered an important characteristic of the good physician, but less important for success as a medical student. Students felt they should be given more instruction on the writing of medical records and that teachers should pay more attention to students' notes. Review of students' notes is a valuable method of teaching clinical medicine; teachers can ensure that patients are the focus of learning and can encourage students to simulate real clinical practice.

摘要

1975年7月,皇家自由医院医学院的临床专业学生被要求填写一份问卷,其中包括有关病历的问题。完整准确地记录临床信息被视为优秀医生的一项重要特质,但对于医学生的学业成功而言,其重要性稍低。学生们觉得应该在病历书写方面得到更多指导,并且教师应该更加关注学生的笔记。检查学生的笔记是教授临床医学的一种宝贵方法;教师可以确保患者成为学习的核心,并能鼓励学生模拟真实的临床实践。

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