INTERNS PERFORMANCES WITH SIMULATED PATIENTS AT THE BEGINNING AND THE END OF THE INTERN YEAR

被引：18

作者：

GORDON, JJ ^{[1
]}

SAUNDERS, NA ^{[1
]}

HENNRIKUS, D ^{[1
]}

SANSONFISHER, RW ^{[1
]}

机构：

[1] UNIV NEWCASTLE,FAC MED,NEWCASTLE,NSW 2308,AUSTRALIA

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1992年 / 7卷 / 01期

关键词：

INTERNSHIPS; SIMULATED PATIENTS; PREVENTIVE CARE; PHYSICIAN-PATIENT COMMUNICATION; PERFORMANCE ASSESSMENT;

D O I：

10.1007/BF02599104

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: To determine whether interns' performances of technical, preventive, and communication aspects of patient care improve during the intern year. Design: A descriptive study. At the beginning and end of the intern year, interns' consultations with three simulated (standardized) patients were videotaped and scored according to explicit criteria set by an expert panel. Problems simulated were urinary tract infection, bronchitis, and tension headache. Setting: The casualty outpatient department in a general teaching hospital in New South Wales, Australia. Participants: Twenty-eight interns rotated to the casualty department. Results: Little improvement over the intern year in technical competence or preventive care was observed, even though initial levels of compliance with criteria were quite low for some items. Greater improvement was apparent in the area of communication skills. Conclusions: The results suggest that the internship should be restructured to more adequately teach the skills required for primary care.

引用

页码：57 / 62

页数：6

共 14 条

[1]

Education committee recommendations on basic medical education, (1980)

[2]

Larkins R., Aims of the intern year, Review of the intern year in Victoria, (1986)

[3]

Gordon J.J., Saunders N.A., Sanson-Fisher R.W., Evaluating interns’ performance using simulated patients in a casualty department, Med J Austr, 151, pp. 18-21, (1989)

[4]

Stillman P.L., Swanson D.B., Smee S., Et al., Assessing clinical skills of residents with standardized patients, Ann Intern Med, 105, pp. 762-71, (1986)

[5]

Stillman P.L., Swanson D.B., Regan M.B., Et al., Assessment of clinical skills of residents utilizing standardized patients: a followup study and recommendations for application, Ann Intern Med, 114, pp. 393-401, (1991)

[6]

Rethans J.J.E., van Boven C.P.A., Simulated patients in general practice: a different look at the consultation, Br Med J, 294, pp. 809-12, (1987)

[7]

Norman G.R., Neufeld V.R., Walsh A., Woodward C.A., McConvey G.A., Measuring physicians’ performances by using simulated patients, J Med Educ, 60, pp. 925-34, (1985)

[8]

O'Hagan J.J., Davies L.J., Pears R.K., The use of simulated patients in the assessment of actual clinical performance in general practice, N Z Med J, 99, pp. 948-51, (1986)

[9]

Gordon J., Sanson-Fisher R., Saunders N., Identification of simulated patients by interns in a casualty setting, Med Educ, 22, pp. 533-8, (1988)

[10]

Barrows H.S., Simulated patients (programmed patients), (1971)

← 1 2 →