Breytspraak L M, McGee J, Conger J C, Whatley J L, Moore J T
J Med Educ. 1977 Jan;52(1):47-54. doi: 10.1097/00001888-197701000-00007.
Medical students in a course that included instruction in patient interviewing participated in an experiment devised to alert them to sources of bias which might influence their judgements and management of patients. Students were randomly assigned to one of four groups and exposed to either a videotaped or audiotaped interview of the same patient presented as either normal weight or overweight. Questionnaire responses of students in the two audio groups indicated no detectable differences in the sound tracks of the overweight and normal weight versions of the interview, and these groups were combined for subsequent analysis. A discriminant analysis indicated that students exposed to the overweight video version formed impressions and assessed patient treatment and outcome differently from those exposed to either the video normal or audio versions of the interview. Implications of these findings for medical education are discussed, and suggestions are made for incorporating such sensitization experiments in the medical curriculum.
在一门包含患者访谈指导内容的课程中的医学生参与了一项实验，该实验旨在使他们意识到可能影响其对患者判断和管理的偏见来源。学生被随机分为四组之一，并观看或收听对同一患者的访谈录像或录音，该患者被呈现为正常体重或超重。两个音频组的学生问卷回答表明，超重和正常体重版本访谈的音轨没有可检测到的差异，并且这两组被合并用于后续分析。判别分析表明，观看超重视频版本的学生与观看访谈的视频正常版本或音频版本的学生形成的印象不同，对患者治疗和结果的评估也不同。讨论了这些发现对医学教育的影响，并提出了将此类敏感性实验纳入医学课程的建议。
