Clinical questions asked by medical students: a learning tool for dermatology rotations.
Clinical questions asked by medical students: a learning tool for dermatology rotations.
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医学生提出的临床问题：皮肤科轮转的学习工具。
DOI：
10.1159/000098567
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
Dellavalle,RP
中科院分区：
文献类型：
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作者：
Collier,AP;Heilig,LF;Schilling,LM;Dellavalle,RP
背景/目的：为了确定是否有医学生回答自我生成的患者特定的问题，在临床settingpromotes learning.Methods：医学生旋转通过皮肤科诊所在丹佛退伍军人事务部（VA）医疗中心被要求制定和回答一个临床问题，在病人遇到，并完成一项调查，关于他们的调查结果和experience.Results：49%（44/89）的旋转医学生完成了练习。自我生成的问题经常涉及治疗（61%，27/44），预后（13%，6/44），病因/风险因素（7%，3/44）和伤害（5%，2/44）。最常用的临床信息来源是期刊摘要/文章（55%，24/44）、UpToDate（50%，22/44）、网站（27%，12/44）和印刷教科书（25%，11/44）。医科学生对他们获得的答案的影响进行了评价，（强烈反对）到5（强烈同意）：可用于协助患者护理（平均4.1），改善护理（平均3.7），改善沟通（平均4.4），提高了对护理的信心（平均4.2），提高知识（平均4.6），并将改善未来的护理（平均4.5）。医学生报告说，在完成自我指导的正式练习（包括制定和回答患者特定的临床问题）后，提高患者的信心和患者护理技能。
Background/Aims:To determine whether having medical students answer self-generated patient-specific questions in a clinical setting promotes learning.Methods:Medical students rotating through dermatology clinics at the Denver Veterans’ Affairs (VA) Medical Center were asked to formulate and answer one clinical question arising during patient encounters, and to complete a survey regarding their findings and experience.Results:49% (44/89) of rotating medical students completed the exercise. Self-generated questions frequently addressed therapy (61%, 27/44), prognosis (13%, 6/44), etiology/risk factors (7%, 3/44), and harm (5%, 2/44). The most frequently used sources of clinical information were journal abstracts/articles (55%, 24/44), UpToDate (50%, 22/44), websites (27%, 12/44) and printed textbooks (25%, 11/44). Medical students rated the impact of answers they obtained on a Likert scale of 1 (strongly disagree) to 5 (strongly agree) for the following: can be used to assist in patient’s care (mean 4.1), improved care (mean 3.7), improved communication (mean 4.4), improved confidence in care (mean 4.2), improved knowledge (mean 4.6), and will improve future care (mean 4.5).Conclusions:Medical students report increased knowledge, confidence and patient care skills after completing a self-directed formal exercise consisting of formulating and answering a patient-specific clinical question.