医本科生法医学临床知识自我评价

Sugam Shrestha, S. Gurung, Binus Bhandari
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摘要

临床法医服务在急诊科发挥着至关重要的作用,其次是其他各专科。目的:对尼泊尔医学院法医学专业实习医学生的临床法医学知识进行初步调查。方法:采用问卷调查法对学生的知识进行评估。结果:共调查医学生108人(男70人,女38人)。年龄最大的23岁38岁(35.2%),最小的21岁6岁(5.6%)。除交通事故27例(25%)外,能执行临床法医技能的学生最多,其次是枪伤46例(42.6%)。能掌握法医病理学技能的有窒息案件80例(74.07%),其次是钝器和利器暴力案件76例(70.4%),猝死案件31例(28.7%),刑事堕胎案件43例(39.8%),杀婴案件45例(41.7%),性犯罪案件49例(45.3%)。能出具医学证明的有99人(91.7%),能出具死亡证明的有98人(90.7%),能向警方提供信息的有96人(88.9%),但能出具专家鉴定的有30人(27.8%)。结论:在本次调查中,发现学生自我评价在确定临床知识能力方面的效度,受到学生评价客观性和主观性几个因素的影响。
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Self-Assessment of Undergraduate Medical Students Regarding the Clinical Knowledge in Forensic Medicine
Introduction: Clinical forensic medical services play crucial role in emergency department followed by all other specialty. Aims: The preliminary survey was undertaken to assess the knowledge about the clinical forensic medicine among the medical students during their clinical posting in forensic medicine, Nepalgunj Medical College. Methods: The questionnaire was used in this study to evaluate the student’s knowledge. Results: As many as 108 medical students were included in the survey (70 male and 38 female). The maximum participants were 23 years old 38(35.2%) and youngest participant was 21 years old 6(5.6%). Maximum students were able to perform clinical forensic skills except traffic accident cases 27(25%) followed by gunshot wounds cases 46(42.6%). The students stated that they could master forensic pathology skills in asphyxia cases 80(74.07%) followed by dead victims in blunt and sharp violence cases 76(70.4%) and least in sudden death cases 31(28.7%), criminal abortion 43(39.8%), infanticide 45(41.7%) and sexual offences 49(45.3%). The students were able to issue medical certificate 99(91.7%) followed by issue a death certificate 98(90.7%) and provide information to the police 96(88.9%) but least could give expert statement 30(27.8%). Conclusion: In this survey, found the validity of student self-assessment in determining the ability of clinical knowledge, it is influenced by several factors of objectivity and subjectivity of assessment in terms of students.
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