Can students learn clinical method in general practice ? A randomised crossover trial based on objective structured clinical examinations.
To determine whether students acquired clinical skills as well in general practice as in hospital and whether there was any difference in the acquisition of specific skills in the two environments.
Randomised crossover trial.
Subjects and setting
Annual intake of first year clinical students at one medical school.
A 10 week block of general internal medicine, one half taught in general practice, the other in hospital.
Students started at random in one location and crossed over after five weeks.
Students'performance in two equivalent nine station objective structured clinical examinations administered at the mid and end points of the block : a direct comparison of the two groups'performance at five weeks ; analysis of covariance, using their first examination scores as a covariate, to determine students'relative improvement over the second five weeks of their attachment.
225 students rotated through the block ; all took at least one examination and 208 (92%) took both.
For the first half of the year there was no significant difference in the students'acquisition of clinical skills in the two environments ; later, however, students taught in general practice improved slightly more than those taught in hospital (P=0.007). (...)
Mots-clés Pascal : Médecine, Enseignement universitaire, Randomisation, Exploration clinique, Etudiant, Essai croisé, Efficacité, Etude comparative, Diagnostic, Hôpital, Médecin généraliste, Evaluation, Enseignement, Organisation santé
Mots-clés Pascal anglais : Medicine, Higher education, Randomization, Clinical investigation, Student, Crossover study, Efficiency, Comparative study, Diagnosis, Hospital, General practitioner, Evaluation, Teaching, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0515657
Code Inist : 002B30A09. Création : 13/02/1998.