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

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