Addressing concerns about a "core + clusters" physical exam.
Addressing concerns about a "core + clusters" physical exam.
复制标题
解决对“核心集群”体检的担忧。
DOI：
10.1097/acm.0000000000000256
复制
发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Ronald C Silvestri
中科院分区：
文献类型：
--
作者：
Deepthiman Gowda;B. Blatt;L. Kosowicz;Ronald C Silvestri
学术医学，第89卷，第6期/2014年6月834致编辑：Gowda及其同事建议用核心PE加上适合特定投诉的动作集群（核心+集群）来取代传统的从头到脚（HTT）体检（PE）。在随附的评论中，Uchida及其同事建议采用纵向课程，学生开始学习HTT以获得基本的体育技能，然后学习核心+集群以纳入体育的临床推理部分。然而，HTT的问题是，学生是通过去情境化的死记硬背的学习和练习来进入体育的，这是一种很难打破的习惯。
Academic Medicine, Vol. 89, No. 6 / June 2014 834 To the Editor: Gowda and colleagues suggest replacing the traditional head-to-toe (HTT) physical exam (PE) with teaching a core PE plus clusters of maneuvers appropriate for specific complaints (Core + Clusters). In the accompanying commentary, Uchida and colleagues suggest a longitudinal curriculum in which students begin by learning the HTT to gain basic PE skills, followed by learning the Core + Clusters to incorporate the clinical reasoning component of the PE. However, the concern with the HTT is that students are introduced to the PE through decontexualized rote learning and practice—a habit that may be hard to break.