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视频记录反馈:一种在本科儿科学教学中教授病史采集和体格检查技能的可行且有效的方法。

Video recording feedback: a feasible and effective approach to teaching history-taking and physical examination skills in undergraduate paediatric medicine.

作者信息

Paul S, Dawson K P, Lanphear J H, Cheema M Y

机构信息

Faculty of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.

出版信息

Med Educ. 1998 May;32(3):332-6. doi: 10.1046/j.1365-2923.1998.00197.x.

DOI:10.1046/j.1365-2923.1998.00197.x
PMID:9743791
Abstract

Medical educators have always recognized the need to teach and train medical graduates and undergraduates the skills of conducting a consultation. Several authors have established the efficacy of using constructive feedback on videotape of each student's interaction with a patient to teach and enhance such skills. This study reports 'students' perceptions' of the feedback process used in the Junior Paediatric Clerkship at the Faculty of Medicine of the United Arab Emirates University. An unexpected 73% of the respondents believed that self-observation influenced development of their clinical skills. More than 80% said that the feedback from instructors and peers helped them to improve their clinical skills, but they would have liked to have more than one of their consultations recorded and reviewed. It was found that 75% of the students felt that self-critique of their performance made them aware of their strengths and weaknesses and their skills in analysing and evaluating consultations had been enhanced. It was found from Kruskal Wallis one-way ANOVA that the students' professional attitude, empathy, and warmth towards the patients differed highly significantly (P = 0.0062, 0.0089, 0.0007, respectively) from self-assurance, self-confidence and competence. They were also deficient in certain areas of history-taking, interviewing skills, and physical examination techniques and perceived they needed more training in order to be proficient.

摘要

医学教育工作者一直都认识到有必要向医学毕业生和本科生传授和培训进行会诊的技能。几位作者已经证实,利用对每个学生与患者互动的录像带提供建设性反馈来教授和提高这些技能是有效的。本研究报告了阿联酋大学医学院儿科初级实习中使用的反馈过程的“学生看法”。出乎意料的是,73%的受访者认为自我观察影响了他们临床技能的发展。超过80%的人表示,来自教师和同伴的反馈帮助他们提高了临床技能,但他们希望有不止一次会诊被记录和审查。研究发现,75%的学生认为对自己表现的自我批评使他们意识到自己的优点和缺点,并且他们分析和评估会诊的技能得到了提高。通过Kruskal Wallis单因素方差分析发现,学生对患者的专业态度、同理心和热情与自信、自信和能力有极显著差异(分别为P = 0.0062、0.0089、0.0007)。他们在病史采集、问诊技巧和体格检查技术的某些方面也存在不足,并认为他们需要更多培训才能熟练掌握。

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