O'Dell J R, Klassen L W, Moore G F
Department of Internal Medicine, University of Nebraska Medical Center, Omaha 68198-3025.
J Rheumatol. 1993 Jun;20(6):1033-6.
Five years ago we sought to change the comprehensive educational program of our rheumatology clinical training period for internal medicine residents and develop a model to measure the outcome of the curriculum change.
During the month-long clinical training period in rheumatology, internal medicine residents participated in 10 interactive lectures on basic rheumatology with the faculty and worked through 26 case studies and radiographs of different rheumatic diseases with the faculty. Separate pre and posttests were developed and administered to the residents, both as evaluative and educational tools. Residents' performance on the rheumatology questions on the American Board of Internal Medicine (ABIM) examination were compared before and after the curriculum change.
Comparison of pre to posttest results documented significant (p < 0.0001) improvement in the average resident score. Resident performance on the rheumatology questions of the ABIM examination improved markedly (average percentile rank for the 3 years before this change--55.7% versus the first 4 years after the change--82.5%; p < 0.05).
This comprehensive educational program for internal medicine residents during the rheumatology clinical training period resulted in significant short and longterm increases in rheumatology knowledge base.
五年前，我们试图改变针对内科住院医师的风湿病临床培训阶段的综合教育计划，并开发一种模型来衡量课程改革的成果。
在内科住院医师为期一个月的风湿病临床培训期间，他们与教员一起参加了10次关于基础风湿病的互动讲座，并与教员一起研习了26个不同风湿性疾病的病例研究和X光片。分别编制了课前测试和课后测试，并将其作为评估和教育工具对住院医师进行测试。比较了课程改革前后住院医师在美国内科医学委员会（ABIM）考试中关于风湿病问题的表现。
课前测试与课后测试结果的比较表明，住院医师的平均分数有显著提高（p < 0.0001）。住院医师在ABIM考试中关于风湿病问题的表现有显著改善（改革前3年的平均百分位排名为55.7%，而改革后的前4年为82.5%；p < 0.05）。
在风湿病临床培训期间为内科住院医师提供的这一综合教育计划，在短期和长期内都显著增加了他们的风湿病知识库。
