Spratt J S, Papp K K
Department of Surgery University of Louisville, School of Medicine, Kentucky 40292, USA.
Am J Surg. 1997 Mar;173(3):231-3. doi: 10.1016/s0002-9610(97)89598-0.
Changing emphasis on educating generalist physicians prompted us to survey practicing primary care physicians to determine their perception of the lecture content and clinical skills required of students in our third-year surgical clerkship.
A 72-item questionnaire was developed. Respondents were asked to evaluate the relative importance of lecture topics and clinical skills on a 5-point Likert-type scale. Respondents were also asked about their medical practice and demographic information. Primary care physicians were randomly selected from among those registered in our state's medical association.
Nearly 70% of physicians in the sample responded. Although there were significant differences in responses among the primary care physicians surveyed, virtually all indicated that faculty should teach pathways in surgical management with emphasis on when to refer the patient to a surgeon.
The changing health care climate necessitates a closer examination of undergraduate surgical curricula with attention to the educational needs of the generalist physician.
对培养全科医生的重视程度不断变化，促使我们对执业初级保健医生进行调查，以确定他们对我们三年级外科实习学生所需讲座内容和临床技能的看法。
编制了一份包含72个条目的问卷。要求受访者在5点李克特量表上评估讲座主题和临床技能的相对重要性。还询问了受访者的医疗实践和人口统计学信息。从本州医学协会注册的医生中随机挑选初级保健医生。
样本中近70%的医生做出了回应。尽管接受调查的初级保健医生的回答存在显著差异，但几乎所有人都表示，教师应教授手术管理路径，重点是何时将患者转诊给外科医生。
不断变化的医疗保健环境需要对本科外科课程进行更深入的审视，关注全科医生的教育需求。
