Snell L M, Battles J B, Bedford J A, Washington E T
Department of Family Practice and Community Medicine, University of Texas Southwestern Medical Center at Dallas 75235-9067, USA.
Med Educ. 1998 Jul;32(4):370-5. doi: 10.1046/j.1365-2923.1998.00218.x.
The learning experience during a medical school clinical rotation is largely shaped by students' patient encounters. This paper reports on how a log system for recording these encounters can be used for course planning and evaluation. Over the past 5 years, 960 third-year students completed log forms based on their clinical encounters during a required 4-week family medicine clerkship at UT Southwestern. These forms were then optically scanned and the information entered into a computerized database. Log form data revealed that the most common medical problems encountered by students in their ambulatory settings were similar to those reported in the general family practice literature. There was a great deal of consistency in the types of encounters from year to year. The data also showed some differences among clerkship sites in terms of patient demographics and the most frequently reported diagnoses. Information generated from student log forms has been used by the clerkship faculty to determine required readings, prioritize didactic topics and other teaching, adjust curriculum content, prepare support materials and develop examinations. Given the utility of the information obtained and the ease of use of optical mark encounter sheets, we recommend this system for other clerkships.
医学院临床轮转期间的学习体验很大程度上取决于学生与患者的接触。本文报告了一种用于记录这些接触的日志系统如何用于课程规划和评估。在过去5年中，960名三年级学生在得克萨斯大学西南医学中心进行为期4周的家庭医学实习期间，根据他们的临床接触填写了日志表格。然后对这些表格进行光学扫描，并将信息录入计算机化数据库。日志表格数据显示，学生在门诊环境中遇到的最常见医疗问题与一般家庭医学文献中报道的问题相似。每年接触类型都有很大的一致性。数据还显示，在患者人口统计学和最常报告的诊断方面，不同实习地点存在一些差异。实习教员利用学生日志表格生成的信息来确定必读材料、确定教学主题和其他教学内容的优先级、调整课程内容、准备辅助材料以及编写考试题目。鉴于所获得信息的实用性以及光学标记接触表格的易用性，我们建议将该系统用于其他实习。
