Ensuring the clinical competence of medical school graduates through standardized patients.

Ensuring the clinical competence of medical school graduates through standardized patients.
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通过标准化患者确保医学院毕业生的临床能力。

DOI:
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发表时间:
1987
影响因子:
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通讯作者:
D. Swanson
D. Swanson
中科院分区:
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文献类型:
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作者:
P. Stillman;D. Swanson

文献摘要

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向医科学生提供的临床培训以及医学院为确保学生获得医学研究生教育所需的临床技能而采用的评估程序存在重大问题。在培训或许可的任何时候,这些技能都没有经过仔细和系统的评估。本文描述了使用标准化患者来帮助解决这些缺点。标准化患者是经过高度训练的非医生,他们在真实地复制患者遭遇的同时,扮演着患者、教师和评估者的多重角色。他们是面试和体检技巧的有效老师。他们可以帮助提供一个可控的接触常见的门诊和困难的病人沟通情况。初步研究表明,这种方法有望确保医学院毕业生的能力。
There are substantial problems with the clinical training provided to medical students and with the assessment procedure used by medical schools to ensure that students have acquired the clinical skills necessary for graduate medical education. These skills are not evaluated carefully nor systematically at any point in training or licensure. This article describes the use of standardized patients to help resolve some of these shortcomings. Standardized patients are non-physicians highly trained to function in the multiple roles of patient, teacher, and evaluator while realistically replicating a patient encounter. They are effective teachers of interviewing and physical examination skills. They can help to provide a controlled exposure to common ambulatory and difficult patient communication situations. Initial studies indicate the promise of this approach for ensuring the competence of medical school graduates.