Kalet A, Schwartz M D, Capponi L J, Mahon-Salazar C, Bateman W B
Department of Medicine, Gouverneur Diagnostic and Treatment Center, New York, NY 10002, USA.
J Gen Intern Med. 1998 May;13(5):327-30. doi: 10.1046/j.1525-1497.1998.00099.x.
We studied 63 randomly selected third-year students who split their 10-week medicine clerkship between ambulatory and inpatient components. Compared with their inpatient experience, during the ambulatory rotation, the 63 students felt more like doctors, more responsible for patients, and more able to know and help their patients. Students reported that ambulatory attending staff appeared happier and less stressed, and did not embarrass them as frequently. Compared with their 619 "inpatient" classmates, these 63 "ambulatory" students scored as well on the medicine examination, and were as likely to receive honors (44% vs 41%), and to choose internal medicine residencies (35% vs 34%). In conclusion, students experienced better relationships with their patients and teachers during the ambulatory rotation, which was academically comparable to the inpatient experience.
我们研究了63名随机挑选的三年级学生，他们在为期10周的医学实习中，将时间分配在门诊和住院部实习。与他们的住院部实习经历相比，在门诊轮转期间，这63名学生感觉更像医生，对患者更负责，也更有能力了解并帮助他们的患者。学生们报告称，门诊带教人员看起来更开心，压力更小，也不那么频繁地让他们难堪。与他们的619名“住院部”同学相比，这63名“门诊”学生在医学考试中的成绩相当，获得荣誉的可能性也相同（44%对41%），选择内科住院医师培训的可能性也相同（35%对34%）。总之，学生们在门诊轮转期间与患者和教师的关系更好，在学业上与住院部实习经历相当。
