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Clinical performance of medical students in Korea in a whole-task emergency station in the objective structured clinical examination with a standardized patient complaining of palpitations

机译:韩国医学生在整个任务紧急站的临床表现在客观结构化临床检查中具有抱怨心悸的标准患者

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摘要

This study assessed the clinical performance of 150 third-year medicalstudents in Busan, Korea in a whole-task emergency objective structured clinical examination station that simulated a patient with palpitations visiting the emergency department. The examination was conducted from November 25 to 27, 2019. Clinical performance was assessed as the number and percentage of students who performed history-taking (HT), a physical examination (PE), an electrocardiography (ECG) study, patient education (Ed), and clinical reasoning (CR), which were items on the checklist. It was found that 18.0% of students checked the patient’s pulse, 51.3% completed an ECG study, and 57.9% explained the results to the patient. A sizable proportion (38.0%) of students did not even attempt an ECG study. In a whole-task emergency station, students showed good performance on HT and CR, but unsatisfactory results for PE, ECG study, and Ed. Clinical skills educational programs for subjected student should focus more on PE, timely diagnostic tests, and sufficient Ed.
机译:本研究评估了韩国釜山的150岁第三年医学学士的临床表现,全职紧急客观结构化临床检查站模拟了访问急诊部的心悸。考试于2019年11月25日至27日进行。临床表现被评估为进行历史服用(HT),体检(PE),心电图(ECG)研究,患者教育(ED)的学生的数量和百分比)和临床推理(CR),这些推理是清单上的物品。有人发现,18.0%的学生检查了患者的脉搏,51.3%完成了ECG研究,57.9%向患者解释了结果。相当大的比例(38.0%)的学生甚至没有尝试过心电图研究。在整个任务的紧急站中,学生对HT和CR表现出良好的表现,但PE,ECG研究和ED的结果不满意。临床技能对受试者的教育计划应更多地关注PE,及时诊断测试和足够的ED。

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