Eyanson S, Brandt K D
Arch Intern Med. 1980 Nov;140(11):1449-52.
To ascertain whether a rheumatology elective (RE) increase the ability of house officers (HOs) to treat patients with rheumatic disease, 109 encounters involving patients with rheumatoid arthritis were audited. This permitted a comparison of 12 HOs who had had an RE with 55 HOs who had not. Results suggested that the RE led to better reporting of history and physical findings and increased the frequency with which relevant laboratory studies were ordered. During the 30-month period of the study, no increase was apparent in audit scores of HOs who had not had the elective, nor was any deterioration noted in scores of HOs who had participated in the elective with increasing length of the interval between the RE and the subsequent encounters.
为确定参加风湿科选修课程（RE）是否能提高住院医师（HOs）治疗风湿性疾病患者的能力，对109例类风湿关节炎患者的诊疗情况进行了审核。这使得12名参加过RE的HOs与55名未参加过的HOs得以进行比较。结果表明，RE使病史和体格检查结果的汇报更完善，且增加了相关实验室检查的开具频率。在为期30个月的研究期间，未参加选修课程的HOs的审核分数没有明显提高，参加了选修课程的HOs的分数也未因RE与后续诊疗间隔时间的延长而出现任何下降。
