医学院校医学生临床技能与教育水平的比较研究

L. Safabakhsh, A. Atashpanjeh, N. Moulaei, E. Ayubi, Zahra Chahabdar
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引用次数: 0

摘要

背景:医生作为卫生系统的主要决策者,受到各种临床状况的影响。目的:本研究旨在比较2020 - 2021年扎黑丹医科大学教育标准对医学生未来医师临床技能的影响。方法:对107名医科学生(53名,54名实习生)进行研究。在征得学生同意并记录其人口学和学术信息后,使用临床医学技能问卷对临床技能进行评估。所得数据采用SPSS软件Ver. 20进行分析。结果:在压缩性气胸手术中,耻骨上穿刺和针开胸是外科训练最少的手术技巧。在儿科病房,没有临床技能培训情况良好,只有监测生长发育的实用措施得到了充分的培训。在内科病房,训练技能最少的是腰椎穿刺和膝关节积液抽吸。在妇科病房,在危及生命的大出血和产后大出血的情况下,用对产钳人流被认为是最不需要指导的临床技能。最后,在急诊病房,鼻出血导管、耻骨上取样和环甲环切开术是指导最少的临床技能。结论:调查结果显示,在被调查的医学院中,医学生临床技能最低要求的接触次数较少,表明临床培训质量较差。医学课程应该修改,使学习者具备“必须学习”的临床技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical Students' Clinical Skills Compared to Educational Standards at Universities of Medical Sciences: A Self-assessment Study
Background: Physicians, as the leading decision-makers of the health system, are affected by various clinical statuses. Objectives: This study aimed to compare the clinical skills of medical students as future physicians with the educational standards of Zahedan University of Medical Sciences in 2020 - 2021. Methods: This study was performed on 107 medical students (53 stagers and 54 interns). After obtaining students' consent and recording their demographic and academic information, clinical skills were assessed using the Clinical Medical Skills Questionnaire. The obtained data were analyzed using SPSS software Ver. 20. Results: The least trained skills in the surgical department were suprapubic puncture and thoracotomy with a needle in compressive pneumothorax. In the pediatric ward, no clinical skill training was in good condition, and only practical measures to monitor growth and development were adequately trained. In the internal ward, the least training skill was related to lumbar puncture and aspiration of knee joint fluid. In the gynecology ward, abortion evacuation with pairs of forceps in cases of life-threatening bleeding and postpartum hemorrhage were considered the least instructed clinical skills. Finally, in the emergency ward, nasal bleeding catheter, suprapubic sampling, and cricothyrotomy were the least instructed clinical skill. Conclusions: The results showed a low number of encounters of medical students with the minimum expected clinical skills in the investigated medical school, indicating the poor quality of clinical training. The medical programs should be modified so that learners can be equipped with “the must learn” clinical skills.
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