Garrard J, Verby J E
J Med Educ. 1977 Oct;52(10):802-10. doi: 10.1097/00001888-197710000-00002.
This paper is a report of the results of the Patient Encounter Project, which was designed to document all clinical experiences of medical students (N = 36) for seven months in the Rural Physician Associate Program (RPAP) and to compare these experiences with those of a control group of third-year students (N = 26) enrolled in the regular curriculum during the same time period at the University of Minnesota Medical School, Minneapolis. The purpose of RPAP is to provide education and clinical experience in rural health care for a limited number of third-year medical students for nine to 12 months and to encourage the eventual practice of medicine in a rural setting. Subjects completed one standardized form for every clinical encounter with a patient throughout the seven months' data collection period. Statistical differences between the two groups were found on all variables but one, including the numbers and kinds of clinical problems encountered, the skills reported, levels of responsibility, continuity of patient care, and types of patients.
本文是关于患者接触项目结果的报告。该项目旨在记录医学生（N = 36）在农村医师助理项目（RPAP）中七个月的所有临床经历，并将这些经历与明尼阿波利斯市明尼苏达大学医学院同期参加常规课程的三年级对照组学生（N = 26）的经历进行比较。RPAP的目的是为有限数量的三年级医学生提供为期九至十二个月的农村医疗保健教育和临床经验，并鼓励他们最终在农村地区行医。在七个月的数据收集期内，受试者针对每次与患者的临床接触填写一份标准化表格。两组之间在除一个变量外的所有变量上均存在统计学差异，这些变量包括遇到的临床问题的数量和种类、报告的技能、责任水平、患者护理的连续性以及患者类型。
