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Medical student's experience and performance in clinical and practical training called the Clinical Clerkship

医学生在临床和实践培训中的经验和表现，称为临床实习

基本信息

批准号：
17590448
负责人：
TANAKA Yujiro
金额：
$ 1.92万
依托单位：
Tokyo Medical and Dental University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2005
资助国家：
日本
起止时间：
2005 至 2006
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17590448/
关键词：
EPOC medical education clinical clerkship curriculum renewal 医学教育臨床研修

项目摘要

(Background)To make a framework of clinical education as a continuum from undergraduate clinical clerkship to postgraduate residency program is a big challenge in Japanese medical education today. The purpose of this study is to compare learning objectives achieved by clinical clerkship students to those by postgraduate residents.(Methods)1) Reliability of EPOC: Self-assessment of PGY-1 trainees and assessment from faculties were collected by the web-based Evaluation System of Postgraduate Clinical Training (EPOC). Paired T test and Wilcoxon rank sum test were used to analyze the data.2) Clerkship students vs. Residents: Eighty seven clerkship students and 67 residents in our hospital were assessed by Web-based EPOC system with 253 learning objectives established by the Ministry of Health, Labour and Welfare.(Results)Both residents and faculty rated low score in 'analyzing clinical information and judgment','participating academic activity', 'awareness of systems-based medicine'. Overa … More ll assessments were correlated significantly with the faculty ratings (p<0.001). Ratings of 'analyzing clinical information and judgment' and 'effective presentation' were significantly decreased in self-assessments (p<0.001). In addition, items on 'consultation', 'practice-based performance', 'medical ethics' (all p<0.01),'effective information exchange', and 'self-reflection' (p<0.05) were also significantly decreased in residents' assessments.Most of attitudinal objectives, medical interview, basic physical examinations and POS were wellperformed in clerkship students. Major symptoms (fatigue, appetite loss, weight loss, edema, dyspnea, fever, chest pain and constipation) and diseases(anemia, heart failure, ischemic heart diseases, arrythmia, hypertension and upper GI) were experienced in the clerkship program.(Conclusions)There are significant correlations between residents' self-assessment and ratings from faculty in EPOC.These data revealed the possibility to establish a common template of learning objectives used in both clerkship and residency program. Less

(背景)将临床教育框架作为从本科生临床见习到研究生实习计划的连续统一体，是当今日本医学教育面临的一大挑战。本研究的目的是比较临床实习生和实习研究生的学习目标。(方法)1)EPOC的信度：通过基于网络的研究生临床培训评估系统(EPOC)收集PGY-1实习生的自我评估和教师的评估。采用配对t检验和Wilcoxon秩和检验进行统计分析。2)住院医师与住院医师：采用日本厚生劳动省制定的253个学习目标的网络EPOC系统对本院87名实习医师和67名住院医师进行测评。Over A…更多的整体评估与教师评级显著相关(p&lt；0.001)。在自我评估中，“分析临床信息和判断”和“有效陈述”的评分显著降低(p&lt；0.001)。此外，住院医师评估中的“会诊”、“实践绩效”、“医德”(均p；0.01)、“有效资讯交流”、“自我反省”(p&lt；0.05)等项目也明显减少。见习医生的态度目标、医学访谈、基本体检和POS表现良好。主要症状(乏力、食欲不振、体重减轻、浮肿、呼吸困难、发热、胸痛、便秘)和疾病(贫血、心力衰竭、缺血性心脏病、心律失常、高血压和上消化道疾病)在实习计划中经历。(结论)住院医生的自我评估与EPOC的教职员工评分之间存在显著的相关性。较少