Use of standardized patients during a psychiatry clerkship
Use of standardized patients during a psychiatry clerkship
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DOI：
10.1176/appi.ap.30.3.185
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发表时间：
2006-05-01
影响因子：
2.5
通讯作者：
Welge, JA
中科院分区：
文献类型：
--
作者：
Bennett, AJ;Arnold, LM;Welge, JA
目的：在精神科实习中，将标准化病人应用于医学生的教学和临床技能的评估。本研究的目的是评估在第三年实习期间增加精神病学临床标准化患者考试（PCX）是否改善了学生在临床能力考试（CCX）精神病学部分的表现，该考试在我们机构用于为国家医学考试委员会第二步临床技能考试的四年级学生做准备（第2步CSA）。方法：CCX的分数进行了分析，由两个两个表（是/否响应每个临床能力项目与采取/没有采取PCX）使用Fisher的精确test.Results：的469名学生谁采取了CCX在2002年和2004年之间，246名学生也采取了PCX。与没有参加考试的学生相比，参加PCX的学生更有可能（p < 0. 05）。05)接受积极的评价CCX项目的专业精神，解决病人的压力源在工作和家庭和询问的想法伤害自己或others.Conclusions：在精神病学见习期间的PCX的实施显着提高了学生的表现上的几个重要组成部分的CCX，这是用来准备学生的第2步CSA。这表明，在实习期间使用标准化的病人可以帮助学生提高他们的面试和人际交往能力。
objective: Standardized patients are used in teaching medical students and evaluating their clinical skills during the psychiatric clerkship. The purpose of this study was to evaluate whether the addition of a Psychiatry Clinical Standardized Patient Examination (PCX) during the third-year clerkship improved students' performances on the psychiatry component of the Clinical Competency Examination (CCX) that is used at our institution to prepare fourth-year students for the National Board of Medical Examiners Step 2 Clinical Skills Exam (Step 2 CSA).Method: Scores on the CCX were analyzed by two-by-two tables (yes/no response to each clinical competency item versus took/ did not take PCX) using Fisher's exact test.Results: Of the 469 students who took the CCX between 2002 and 2004, 246 students also took the PCX. Compared to students who did not take the exam, students who took the PCX were significantly more likely (p < 0. 05) to receive positive ratings on the CCX items for professionalism, addressing patients stressors at work and home and inquiring about thoughts of harm to self or others.Conclusions: The implementation of the PCX during the psychiatry clerkship significantly improved student performance on several important components of the CCX, which is used to prepare students for the Step 2 CSA. This suggests that the use of standardized patients during the clerkship may help students improve their interviewing and interpersonal skills.