Do clerkship directors think medical students are prepared for the clerkship years.?
Do clerkship directors think medical students are prepared for the clerkship years.?
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DOI：
10.1097/00001888-200401000-00013
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发表时间：
2004-01-01
影响因子：
7.4
通讯作者：
Bass, EB
中科院分区：
文献类型：
--
作者：
Windish, DM;Paulman, PM;Bass, EB
目的。教育者已经开始质疑医科学生是否为核心见习做好了充分的准备。不充分的职前准备可能会阻碍团队合作，并可能预示着未来的成就。本研究评估并比较了见习主任对六项核心临床见习能力的看法。2002年，对来自美国32所医学院的内科、家庭医学、儿科、外科、产科/妇科和精神病学的190名见习主任进行了一项全国性调查。见习主任被要求报告他们对开始核心临床见习所需的学生准备水平的看法（无、最低、中级、高级），以及在六个关键临床能力方面的准备是否充足（从“少得多”到“多得多”）。140名职员主管（74%）做出了回应。大多数人报告说，学生至少需要在六项能力中的五项具备中等能力：沟通（96%）、专业（96%）、访谈/体检（78%）、生命周期阶段（57%）、流行病学/概率思维（56%）和护理系统（27%）。30%到50%的职员主管认为学生在这六项能力方面准备不足。所有专业的观点都是相似的，并且一般不会因其他见习主任的特征而有所不同。近一半的见习主任担心，学生在开始核心临床见习之前，在关键能力方面没有得到充分的准备。许多医学院可能需要更多地关注这些高优先领域学生的职前准备。
Purpose. Educators have begun to question whether medical students are adequately prepared for the core clerkships. Inadequate preclerkship preparation may hinder teaming and may be predictive of future achievement. This study assessed and compared the views of clerkship directors regarding student preparation for the core clinical clerkships in six key competencies.Method. In 2002, a national survey was conducted of 190 clerkship directors in internal medicine, family medicine, pediatrics, surgery, obstetrics/gynecology, and psychiatry from 32 U.S. medical schools. Clerkship directors were asked to report their views' on the appropriate level of student preparation needed to begin the core clinical clerkships (none, minimal, intermediate, advanced), and the adequacy of that preparation (ranging from "much less" to "much more than necessary") in six key clinical competencies.Results. A total of 140 clerkship directors responded (74%). The majority reported that students need at least intermediate ability in five of six competencies: communication (96%), professionalism (96%), interviewing/ physical examination (78%), life-cycle stages (57%), epidemiology/probabilistic thinking (56%), and systems of care (27%). Thirty to fifty percent of clerkship directors felt students are less prepared than necessary in the six competencies. Views were similar across all specialties and generally did not differ by other clerkship director characteristics.Conclusions. Almost half of clerkship directors were concerned that students do not receive adequate preparation in key competencies before starting the core clinical clerkships. Many medical schools may need to give more attention to the preclerkship preparation of students in these high-priority areas.