Barnes H V, Albanese M, Schroeder J
J Med Educ. 1980 Aug;55(8):698-703.
The preservation of patient's rights is an important issue in medical education that has not been addressed adequately in relation to informed consent for the teaching of history and physical examination skills to beginning medical students who are not yet functioning as a part of the health care team. In an attempt to assure informed consent and basic patients' rights and to instruct patient volunteers about the teaching-patient role and its importance to effective medical education, the authors developed a nonphysician patient-advocate-interviewer (PAI) model. The usefulness of the model was evaluated by comparing the perceptions of two groups of volunteer patients and the students for whom they served as teaching patients. Members of volunteer patient group I had a PAI, while group II volunteers were selected and interviewed only by a medical resident. Group I patients were significantly better informed about the teaching-patient's role for which they were volunteering and its importance to medical education and were more comfortable in their student history and physical examination session than were group II patients.
在医学教育中，保护患者权利是一个重要问题。对于尚未作为医疗团队一员开展工作的医学新生，在教授病史和体格检查技能的知情同意方面，这一问题尚未得到充分解决。为了确保知情同意和患者的基本权利，并指导患者志愿者了解教学患者的角色及其对有效医学教育的重要性，作者开发了一种非医生患者权益倡导者-访谈者（PAI）模式。通过比较两组志愿者患者以及他们作为教学患者服务的学生的看法，对该模式的有效性进行了评估。志愿者患者第一组有一名PAI，而第二组志愿者仅由一名住院医生挑选和访谈。与第二组患者相比，第一组患者对他们所志愿担任的教学患者角色及其对医学教育的重要性了解得明显更好，并且在学生进行病史和体格检查时也更自在。
