A Core Physical Exam for Medical Students: Results of a National Survey
A Core Physical Exam for Medical Students: Results of a National Survey
复制标题
DOI：
10.1097/acm.0000000000000137
复制
发表时间：
2014-03-01
影响因子：
7.4
通讯作者：
Silvestri, Ronald C.
中科院分区：
文献类型：
--
作者：
Gowda, Deepthiman;Blatt, Benjamin;Silvestri, Ronald C.
目的医学生传统上被教导的体检作为一个全面的电池演习，但他们表示不确定哪些演习是核心，应该进行常规的病人，哪些应该只进行临床指征。作者试图确定是否存在教育工作者的共识的概念和具体的核心体检students.Method的作者开发了一个45演习的核心体检进行医学见习的学生对每一个新入院的病人，与期望，它将补充临床指示额外的演习。从2011年到2012年，他们向来自美国所有132所对抗疗法医学院的物理诊断课程主任（PDCD）和内科实习主任（IMCD）发送了调查，以确定他们对拟议的45项演习的同意程度以及他们对核心考试概念的看法。结果71%（94/132）的PDCD和63%（83/132）的IMCD和IMCD都同意使用核心考试。对调查作出了答复。在所有接受调查的学校中，共有84%（111/132）的学校由其PDCD或IMCD代表。在45个拟议演习中，37个被大多数受访者认为是核心。大多数的IMCD喜欢一个稍微精简的37个动作的核心考试比大多数的PDCD，谁投票41 maneuver.Conclusions之间的PDCD和IMCD，有开放的教学医学生精简的核心体检，其他演习添加到临床指征。这些教育工作者对这次核心考试应该包括的演习意见一致。
Purpose Medical students are traditionally taught the physical exam as a comprehensive battery of maneuvers, yet they express uncertainty about which maneuvers are core and should be performed routinely on patients and which ones should be performed only when clinically indicated. The authors sought to determine whether educator consensus existed on the concept and the specifics of a core physical exam for students.Method The authors developed a 45-maneuver core physical exam to be performed by a medicine clerkship student on every newly admitted patient, with the expectation that it would be supplemented by clinically indicated additional maneuvers. From 2011 to 2012 they sent surveys to physical diagnosis course directors (PDCDs) and internal medicine clerkship directors (IMCDs) from all 132 U.S. allopathic medical schools to determine the extent of their agreement with the proposed 45 maneuvers and their opinions about the concept of a core exam.Results Seventy-one percent (94/132) of PDCDs and 63% (83/132) of IMCDs responded to the survey. In total, 84% (111/132) of all schools surveyed were represented by either their PDCD or IMCD. Of the 45 proposed maneuvers, 37 were deemed core by a majority of respondents. The majority of IMCDs preferred a slightly leaner 37-maneuver core exam than the majority of PDCDs, who voted for 41 maneuvers.Conclusions Among PDCDs and IMCDs, there was openness to teaching medical students a streamlined core physical exam to which other maneuvers are added as clinically indicated. These educators closely agreed on the maneuvers this core exam should include.