Application of cancer prevention knowledge: a longitudinal follow-up study of medical students.
Application of cancer prevention knowledge: a longitudinal follow-up study of medical students.
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癌症预防知识的应用：医学生的纵向追踪研究
DOI：
10.1080/08858198709527867
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发表时间：
1987
期刊：
影响因子：
--
通讯作者：
Carbonari,JP
中科院分区：
文献类型：
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作者：
Chamberlain,RM;Lane,ML;Weinberg,AD;Carbonari,JP
衡量在特定的医学院课程中获得的知识和技能的临床应用是课程评估的关键部分。二年级癌症预防课程（CPC）的学生和对照组进行了问卷调查，认知测试，并参加了深入访谈的子样本。6个月和18个月的随访访谈表明，更多的CPC学生在他们的临床轮换实践预防比对照组。在临床培训期间直接一对一接触患者是预防技能实践中的重要中介因素。此外，行为意图清单显示，CPC学生，在他们未来的职业生涯中，打算比其他人更多地进行某些特定的癌症预防活动。长期保留的知识（75%正确）稳定在显著高于（p< .001）癌症预防课程之前的基线测试分数的水平。在两次认知知识的后续考试中，对照组的学生并不比CPC学生在课程开始前的基线做得更好。在研究期间，对癌症预防的积极信念有所改善。参加后续选修课和报告关于癌症预防主题的选修阅读的癌症课程学生人数是对照组的两倍多。总体而言，该研究显示了选修课程在癌症预防方面的持久影响，包括测试知识，以及自我报告的态度，信念，临床轮换中的预防实践以及在未来实践中应用预防的意图。
Measuring the clinical application of knowledge and skills acquired in specific medical school courses is a critical part of curriculum evaluation. Second‐year Cancer Prevention Course (CPC) students and a comparison group were surveyed by questionnaires, cognitively tested, and a subsample participated in in‐depth interviews. The 6‐month and 18‐month follow‐up interviews indicated that more CPC students practiced prevention in their clinical rotations than did the comparison group. Direct, one‐on‐one access to patients during clinical training was an important mediating factor in the practice of prevention skills. In addition, a behavioral intent inventory showed that CPC students, in their future careers, intend to perform certain specific cancer prevention activities more than others. Long‐term retained knowledge (75% correct) stabilized at levels significantly higher (p< .001) than baseline test scores prior to the Cancer Prevention Course. At the time of the two follow‐up exams of cognitive knowledge, the comparison group of students was able to do no better than had the CPC students at baseline before the course. Positive beliefs about cancer prevention improved over the study period. More than twice as many cancer course students attended subsequent optional lectures and reported optional reading on cancer prevention topics than did the comparison group. Overall, the study showed a lasting effect of the elective course in cancer prevention, in terms of tested knowledge, and self‐reported measures of attitudes, beliefs, practice of prevention in clinical rotations, and intent to apply prevention in future practice.