New house officers lack clinical skills
Andrew Moscrop BMJ
Medical students and house officers receive inadequate training in core clinical skills, research published this week shows.
Final year medical students lack adequate education and experience in carrying out basic procedures such as taking blood samples and suturing wounds, the report states. Also, most house officers do not receive further practical training after qualification.
"Many practical skills are practised during the house officer year despite inadequate training, and with no supervision to ensure correct technique," the authors of the report concluded.
The results are based on a survey, carried out by Mr Peter Goodfellow and Dr Peter Claydon, of Sheffield medical students who had completed their clinical training and were about to sit their final examinations (Journal of the Royal Society of Medicine 2001;94:516).
studentBMJ 2001;09:399-442 November ISSN 0966-6494
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NEWS
New house officers lack clinical skills
Andrew Moscrop (November 2001)
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Jasmine Pui
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NEWS
New house officers lack clinical skills
Andrew Moscrop (November 2001)
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Jasmine Pui
junior house officer, Vanderbilt University Medical Center, USA
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Whatever happened to applying the adage, “See one, do one, teach one?” If the results of the Sheffield survey can be generalised to medical students as a whole, they only add to the existing weaknesses in clinical skills of tomorrow’s doctors.1 Namely, diagnostic inaccuracy with an increasing reliance on computerised decision support, and errors in patient management due to medical reasoning biases (see, for example, Medical Decision Making 2000; 20(1):45-50).
It is now up to medical and intercalated students to spend their own time and energy to learn basic clinical skills before they can consider themselves qualified, instead of relying on medical school curricula?the new integrated one or otherwise.
- Moscrop A. New house officers lack clinical skills. studentBMJ 2001;9:405
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