Parkerson G R, Baker C
J Med Educ. 1980 Jan;55(1):42-7. doi: 10.1097/00001888-198001000-00006.
The clinical experience of 29 medical students from 14 medical schools, while they were taking elective preceptorships with 15 North Carolina family physicians, is compared with clinical experience in a university medical center in the same state and in practices from the neighboring state of Virginia. A total of 6,641 problem contacts, averaging 229 per student, were reported over a three-year period. Certain problems were recorded with higher frequency in the preceptorships than in the medical center, for example, acute infections, lacerations, prenatal care, obesity, and hypertension. These findings support the importance of preceptorships in supplementing the clinical experience of university medical centers, and the close similarity of these North Carolina data to those from Virginia suggests the usefulness of this type of information for planning medical school and residency curricula.
对来自14所医学院的29名医学生在北卡罗来纳州15位家庭医生处进行选修导师指导期间的临床经验,与该州一所大学医学中心以及邻近弗吉尼亚州医疗机构的临床经验进行了比较。在三年时间里,共报告了6641次问题接触,平均每名学生229次。某些问题在导师指导期间的记录频率高于医学中心,例如急性感染、撕裂伤、产前护理、肥胖症和高血压。这些发现支持了导师指导在补充大学医学中心临床经验方面的重要性,北卡罗来纳州的数据与弗吉尼亚州的数据高度相似,表明这类信息对于规划医学院和住院医师课程很有用。