Billings J A, Stoeckle J D
J Med Educ. 1977 Oct;52(10):834-9. doi: 10.1097/00001888-197710000-00006.
Nonphysician women instructors from a women's health center taught the pelvic examination to second-year Harvard Medical School medical students. They demonstrated the procedure and acted as subjects for the students' examinations. In addition to teaching standard techniques, the instructors showed how the patient could be offered explanation of the procedure and information about her health during the performance of the examination. The exercises are described in terms of their implications for teaching the doctor-patient relationship during physical examination instruction. The following aspects are discussed: the use of nonphysicians as "practical instructors," improving attitudes toward women and promoting patient autonomy, and redefining aspects of the student-patient relationship in clinical training.
来自一家妇女健康中心的非医生女性教员向哈佛医学院二年级医学生教授盆腔检查。她们演示了检查过程，并充当学生检查的对象。除了教授标准技术外，教员还展示了在检查过程中如何向患者解释检查程序以及提供有关其健康状况的信息。这些练习从在体格检查教学中对医患关系教学的影响方面进行了描述。讨论了以下几个方面：使用非医生作为“实践教员”、改善对女性的态度并促进患者自主性，以及在临床培训中重新定义学生与患者关系的各个方面。
