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  1. Improving musculoskeletal clinical skills teaching. A regionwide audit and intervention study.

    Article - En anglais


    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0058920

    Code Inist : 002B30A05. Création : 31/05/1999.