Pamies R J, Herold A H, Roetzheim R G, Woodard L J, Micceri T
Division of General Internal Medicine, Mt Sinai Medical Center, Cleveland, Ohio.
J Natl Med Assoc. 1994 Aug;86(8):594-6.
This study was undertaken to assess the effects of early clinical exposure in an indigent care free clinic on third-year clerkship mini-board scores (clinical knowledge), faculty evaluation (especially rapport with colleagues and patients), and final rotation grades. After completion of third-year clerkships, a sample of participants was compared with nonparticipants. Comparative statistics, repeated measure analysis, and analyses of variance were performed on the entire group as well as by sex and by individual rotation. No statistically significant differences were found in the mainframe, but subgroup findings indicate further study is warranted. Negative findings might be explained in part by small sample size and the fact that the clinic is exclusively outpatient, while the third-year clerkship experience is inpatient. Data collection is being continued, and studies are ongoing to look at the long-term effect of the program on participants.
本研究旨在评估在免费贫困医疗诊所进行早期临床接触对三年级临床实习迷你笔试成绩（临床知识）、教师评价（尤其是与同事和患者的融洽关系）以及最终轮转成绩的影响。在三年级临床实习结束后，将参与者的样本与非参与者进行了比较。对整个组以及按性别和个别轮转情况进行了比较统计、重复测量分析和方差分析。在总体上未发现统计学上的显著差异，但亚组结果表明有必要进一步研究。阴性结果可能部分归因于样本量小以及该诊所仅为门诊性质，而三年级临床实习经历是住院性质。数据收集工作仍在继续，并且正在开展研究以考察该项目对参与者的长期影响。
