بررسي كيفي عملكرد دانشجويان و دستياران پزشكي در اخذ شرح حال و معاينات فيزيكي بيماران

The quality survey of medical students and assistants practice in history taking and physical examination of patients

Introduction: History taking and physical examination help physicians to find a valid diagnosis. O the basis of it, care process is provided. According to adversed reports in pertaining to medical students and assistants, taking history and physical examinations in some of educational hospitals of medical sciences universities (Shahid Beheshti, Isfahan and Shahid Sadooghi Yazd). It is important that practice of medical students and assistants in educational hospitals of Semnan university of medical sciences in this subject, will be survied. Materials and Methods: The study is a descriptive and analytic which studied on 134 assistants and medical students history taking and physical examination in educational hospitals of Semnan university of medical sciences in 1999-2000. The measurement device was a forty section checklist that was used after its validity and reliability. Data collection was carried by indirect observation of interview between statistical society and patients and study of the medical history and the patients physical examination reports. Results: The relation between educational location and educational courses to practice was significant (P<0.001), and (P=0.003), respectively. %51.5 of them were not able to find the first diagnosis. Only %15 of them were able to obtain the medical information from the patients more than %90 by history taking and physical examination. Conclusion: The practice of society was indesired. Process of clinical education must be evaluated in out-patient and in-patient wards.