Cooke F, Galasko G, Ramrakha V, Richards D, Rose A, Watkins J
Oxford University Medical School.
Br J Gen Pract. 1996 Jun;46(407):361-2.
The General Medical Council has recommended that medical students should gain more experience in general practice.
The study set out to determine patients' reactions to the presence of medical students in general practice consultations.
Patients attending a random sample of general practice surgeries completed a questionnaire following consultation with and without a medical student present in six general practices in the Oxford area.
The questionnaires were completed by 278 patients. Only eight (3%) of all respondents had negative responses to the presence of a medical student. Of those completing questionnaires following a teaching consultation, 107 (56%) felt positively about the presence of students, compared with 36 (41%) who had attended a nonteaching surgery. Only three patients (1%) felt the quality of the consultation to be impaired by the presence of a student, while 48 patients (17%) felt there to be some improvement. The majority felt that the sex of the student was unimportant, but significantly more female than male patients (17% versus 5%) felt that it made a difference.
Only a small proportion of patients object to the presence of a medical student in general practice consultations. A significant minority said that the presence of a student improves the consultation.
英国医学总会建议医学生应在全科医疗中积累更多经验。
本研究旨在确定患者对全科医疗咨询中有医学生在场的反应。
在牛津地区的六个全科医疗诊所，随机抽取前来就诊的患者，让他们在有医学生在场和无医学生在场的咨询后分别填写一份问卷。
278名患者完成了问卷。在所有受访者中，只有8人（3%）对医学生在场给出负面反馈。在教学咨询后填写问卷的患者中，107人（56%）对有学生在场持积极态度，而在非教学诊疗中就诊的患者中这一比例为36人（41%）。只有3名患者（1%）认为学生在场会损害咨询质量，而48名患者（17%）认为有一定改善。大多数人认为学生的性别不重要，但认为性别的确有影响的女性患者显著多于男性患者（分别为17%和5%）。
只有一小部分患者反对全科医疗咨询中有医学生在场。相当一部分人表示有学生在场会改善咨询效果。
