Procedural and Interpretive Skills of Medical Students: Experiences and Attitudes of Fourth-Year Students
Procedural and Interpretive Skills of Medical Students: Experiences and Attitudes of Fourth-Year Students
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DOI：
10.1097/acm.0b013e318183c5a7
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发表时间：
2008-10-01
影响因子：
7.4
通讯作者：
Torre, Dario M.
中科院分区：
文献类型：
--
作者：
Wu, Edward H.;Elnicki, D. Michael;Torre, Dario M.
BackgroundRecent data do not exist on fourth-year medical students' performance of and attitude towards procedural and interpretive skills，and how these different from third-year Students'. MethodCross-sectional survey carried in February 2006 of 122 fourth-year Students from seven U.S. medical schools，compared with their responses in summer 2005.学生估计他们的累积表现的22种技能，并报告自信心和感知的重要性，使用五点Likert型scale.ResultsThe响应率为79%（96/122）。大多数报告从未进行过心脏复律、胸腔穿刺术、心肺复苏术、血培养、纯化蛋白衍生物放置或穿刺术。五分之一的学生从未进行过外周静脉导管插入，静脉切开术或动脉采血。学生报告增加累积性能的17项技能，增加自信心的五项技能，并降低了感知的重要性，在三个技能（双侧P <0.05）。
BackgroundRecent data do not exist regarding fourth-year medical students' performance of and attitudes toward procedural and interpretive skills, and how these differ from third-year Students'.MethodCross-sectional survey conducted in February 2006 of 122 fourth-year Students from seven U.S. medical schools, compared with their responses in summer 2005. Students estimated their cumulative performance of 22 skills and reported self-confidence and perceived importance using a five-point Likert-type scale.ResultsThe response rate was 79% (96/122). A majority reported never having performed cardioversion, thoracentesis, cardiopulmonary resuscitation, blood culture, purified protein derivative placement, or paracentesis. One fifth of students had never performed peripheral intravenous catheter insertion, phlebotomy, or arterial blood sampling. Students reported increased cumulative performance of 17 skills, increased self-confidence in five skills, and decreased perceived importance in three skills (two-sided P < .05).ConclusionsA majority of fourth-year medical students still have never performed important procedures, and a substantial minority have not performed basic procedures.