Xu G, Wolfson P, Robeson M, Rodgers J F, Veloski J J, Brigham T P
Center for Research in Medical Education and Health Care, Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA.
Am J Surg. 1998 Jul;176(1):46-8. doi: 10.1016/s0002-9610(98)00108-1.
Changes in the health care system imply that fewer patients will be admitted to hospitals and attending physicians will be devoting more time to clinical activities with less time for student education.
Surveys of third-year students were conducted for 5 consecutive years at Jefferson Medical College at the end of the required 6-week surgical clerkship at the university hospital or at one of the eight affiliates.
The numbers of new inpatients and outpatients encountered by students were not significantly related to students' overall satisfaction. The ratings of teaching rounds and conferences were significant predictors of satisfaction with the clerkship, as were the ratings of residents' teaching.
As medical education shifts to ambulatory settings, didactic teaching such as rounds and conferences should be maintained and efforts to enhance the teaching skills of residents should be encouraged.
医疗保健系统的变革意味着住院患者数量将减少，主治医生将把更多时间投入到临床活动中，用于学生教育的时间则会减少。
连续五年在杰斐逊医学院对三年级学生进行调查，调查在大学医院或八个附属医院之一完成为期6周的外科实习期末进行。
学生接触到的新住院患者和门诊患者数量与学生的总体满意度无显著关联。教学查房和研讨会的评分是实习满意度的重要预测指标，住院医师教学的评分也是如此。
随着医学教育转向门诊环境，应保持诸如查房和研讨会等理论教学，并鼓励努力提高住院医师的教学技能。
