在印度西孟加拉邦的第二阶段医学学生中,临床推理技能:一项探索性研究
Diptakanti Mukhopadhyay1, Sonali G Choudhari2
1Community Medicine, College of Medicine & Sagore Dutta Hospital, Kolkata, IND.
Cureus
|October 8, 2024
概括
第二阶段的医学学生在临床推理技能方面表现出缺陷,平均得分低于50%. 更高的经济地位,感知到的自主权和先前的学业成绩与更好的临床推理能力相关.
科学领域:
- 医学教育 医学教育
- 临床推理评估评估
背景情况:
- 有效的临床推理对于尽量减少医疗保健中的诊断和管理错误至关重要.
- 越来越需要在医学课程中对临床推理技能进行明确的培训和评估.
研究的目的:
- 评估印度西孟加拉邦第二阶段本科医学学生的临床推理技能.
- 检查临床推理技能在各种个体变量中的分布.
主要方法:
- 一项涉及105名本科医学学生的横截面探索性研究.
- 评估临床推理使用验证的关键特征问题 (KFQs) 与部分信用评分.
- 在获得书面知情同意后,通过谷歌表格收集数据.
主要成果:
- 平均临床推理得分为42.5 (±12.6),只有29.6%的得分为50%或更高.
- 更高的主观经济地位 (p=0.01) 和感知到的自主权 (p<0.001) 与更高的分数有关.
- 以前的总结性检查成绩与临床推理成绩有显著的相关性.
结论:
- 该研究强调了第二阶段MBBS学生在临床推理技能方面的重大缺陷.
- 需要进一步的研究来探索临床推理,社会经济因素,自主性和学术历史之间的关系.
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