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M94A2171.TXT
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1994-10-25
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Document 2171
DOCN M94A2171
TI Evaluating third year medical students skills in performing HIV risk
assessment.
DT 9412
AU Gates JD; Nyquist J; AIDS Education and Training Center for Southern
California, USC; School of Medicine, Los Angeles 90033.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):365 (abstract no. PD0068). Unique
Identifier : AIDSLINE ICA10/94370404
AB PROBLEM: All physicians should be able to take a comprehensive sexual
and drug history. Medical school's should be teaching and reinforcing
this to the point that every graduate screens all patients
automatically. The effectiveness of HIV risk assessment training was
assessed by evaluating the risk assessment skills of all third year
medical students. METHOD: In order to pass to the fourth year, Third
Year students are required to pass 8 out of 12 stations on a required
Objective Structured Clinical Examination (OSCE). During the HIV Risk
Assessment station (drug/blood and sexual history), students interviewed
a standardized patient who was at risk. RESULTS: The performance of the
first class examined revealed that only 50.8% of the students passed the
Drug/Blood section, 27.1% passed the Sexual History section, and 16.9%
passed both sections of the exam. The second class studied revealed that
only 42.8% of the students passed the Drug/Blood section, 11.3% passed
the Sexual History section, and 4.7% passed both sections of the exam.
DISCUSSION: Overall performance between the two years significantly
declined; this may be explained by the fact that HIV was not emphasized
for the second class studied. Results show that the students were
significantly better able to perform an adequate drug/blood history than
a sexual history. In order to maintain risk assessment skills, these
skills need to be continually emphasized throughout the medical
curriculum.
DE Education, Medical, Undergraduate Human HIV Infections/*DIAGNOSIS
*Medical History Taking Risk Factors *Students, Medical MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).