Improving musculoskeletal clinical skills teaching. A regionwide audit and intervention study.
To identify factors that influence medical students'perceptions of the quality of a clinical skills course ; to apply these factors to the course at one hospital ; to measure the effect of this change.
Design-Cross sectional questionnaire survey ; application of identified factors ; repeat questionnaire survey.
Setting-Three teaching hospitals and five district general hospitals in north east England.
Subjects-Third year medical students attending locomotor clinical skills courses in two consecutive years.
Main outcome measures-Score awarded by students in five categories ; numbers of patients seen by each student ; comparisons with other clinical skills weeks.
Response rates were 71 of 150 and 89 of 161.
Factors associated with a high awarded score were :
organisation of the course by a rheumatologist (p<0.01) ;
teaching from a rheumatologist (p<0.01) ;
higher number of patients seen (r=0.76).
Mean number of patients seen varied widely, from 7 per student at one hospital to 20.4 at another.
Teaching hospitals scored poorly.
In the second year, after making changes at one teaching hospital the mean total score improved (p<0.01), and students saw more patients (p<0.01).
The ranking of this hospital rose from 6 to 1. The additional cost of the modified course was £640 per student. (...)
Mots-clés Pascal : Etudiant, Médecine, Exploration clinique, Système ostéoarticulaire, Enseignement, Evaluation, Questionnaire, Homme, Hôpital
Mots-clés Pascal anglais : Student, Medicine, Clinical investigation, Osteoarticular system, Teaching, Evaluation, Questionnaire, Human, Hospital
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0058920
Code Inist : 002B30A05. Création : 31/05/1999.