结构化临床教学模块的有效性。
The effectiveness of the structured clinical instruction module.
作者信息
Blue A V, Stratton T D, Plymale M, DeGnore L T, Schwartz R W, Sloan D A
机构信息
Department of Family Medicine, Medical University of South Carolina College of Medicine, Charleston 29425-2201, USA.
出版信息
Am J Surg. 1998 Jul;176(1):67-70. doi: 10.1016/s0002-9610(98)00109-3.
BACKGROUND
The Structured Clinical Instruction Module (SCIM) provides students with a structured educational experience related to clinical skills on a single clinical topic. This study examined the effect of the SCIM on students' performances on breast stations in an objective structured clinical examination (OSCE).
METHODS
Three student groups each experienced a different type of instruction about breast care and treatment (condition A = lecture; condition B = nine-station SCIM, lecture, and manual; and condition C = five-station SCIM). All students subsequently participated in a surgery OSCE that included standardized patient stations on taking a breast history and performing breast examinations.
RESULTS
One-way analysis of variance (ANOVA) tests consistently found that the mean scores of students in conditions B and C were significantly (P < 0.05) higher than those of students in condition A.
CONCLUSIONS
These results suggest that the SCIM is an effective patient-based standardized instructional program that enhances the instruction of clinical skills to students.
背景
结构化临床教学模块（SCIM）为学生提供了与单一临床主题相关临床技能的结构化教育体验。本研究考察了SCIM对学生在客观结构化临床考试（OSCE）中乳腺站点表现的影响。
方法
三个学生组分别接受了关于乳腺护理和治疗的不同类型指导（A组 = 讲座；B组 = 九个站点的SCIM、讲座和手册；C组 = 五个站点的SCIM）。所有学生随后参加了一场外科OSCE，其中包括关于采集乳腺病史和进行乳腺检查的标准化病人站点。
结果
单因素方差分析（ANOVA）测试一致发现，B组和C组学生的平均成绩显著高于A组学生（P < 0.05）。
结论
这些结果表明，SCIM是一个有效的基于患者的标准化教学项目，可增强对学生临床技能的指导。
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