Eyanson S, Brandt K D
J Rheumatol. 1980 Mar-Apr;7(2):251-7.
To ascertain whether a rheumatology elective (RE) increases the skills of house officers (HOs) managing patients with rheumatic disease, and whether these skills persist after the RE, medical records of 164 gouty patients, seen by 16 HOs who had had an RE and 73 who had not, were audited. The RE led to more complete documentation of history and physical examination and possibly to more frequent use of diagnostic arthrocentesis. Over the 30-month period of the study, no increase in scores of HOs not having a RE was apparent, while some deterioration, related to the interval between the RE and audit, was seen in scores of those who had an RE.
为确定参加风湿病选修课程（RE）是否能提高住院医师（HOs）管理风湿病患者的技能，以及这些技能在参加RE课程后是否依然存在，我们对164例痛风患者的病历进行了审核，这些患者分别由16名参加过RE课程的HOs和73名未参加过该课程的HOs诊治。RE课程使病史和体格检查记录更完整，可能还增加了诊断性关节穿刺术的使用频率。在研究的30个月期间，未参加RE课程的HOs的评分没有明显提高，而参加过RE课程的HOs的评分则出现了一些下降，下降与RE课程和审核之间的时间间隔有关。
