Purpose Learning to perform and document patient history taking and physical exam (H&P) entails a major component of the first year academic education of physician assistant (PA) students at Wayne State University, USA. The H&P is summative of multiple aspects of PA education, and students must master communication with patients and other health care providers. The objectives of this study were first, to determine if there was a correlation between scores on the Graduate Record Examination (GRE) component testing and scores on graded H&Ps. The second objective was to identify a correlation between proficiency with H&P documentation and academic and clinical year grade point average (GPA) and Physician Assistant National Certifying Exam (PANCE) score. Methods Subjects included 147 PA students from Wayne State University from 2014–2016. PA students visited local hospitals or outpatient clinics during the academic year to perform and document patient H&Ps. Correlation between the H&P mean scores and GRE component scores, GPAs, and PANCE scores were analyzed. Results The subjects were 26.5 years-old (+6.5) and 111 females (75.5%). There was no correlation between the GRE component score and the H&P mean score. The H&P score was positively correlated with GPA 1 (r=0.512, P<0.001), with GPA 2 (r=0.425, P<0.001) and with PANCE score (r=0.448, P<0.001). Conclusion PA student skill with H&P documentation was positively related to academic performance score during PA school and achievement score on the PANCE at Wayne State University, USA.

中文翻译：

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美国助理医师学生的病史采集和体检记录成绩与研究生入学考试成绩、临床年平均绩点以及美国助理医师国家认证考试成绩之间的相关性


目的 学习执行和记录患者病史采集和体检 (H&P) 是美国韦恩州立大学医师助理 (PA) 学生第一年学术教育的主要组成部分。 H&P 是 PA 教育多个方面的总结，学生必须掌握与患者和其他医疗保健提供者的沟通。本研究的目的首先是确定研究生入学考试 (GRE) 部分测试的分数与分级 H&P 的分数之间是否存在相关性。第二个目标是确定 H&P 文件的熟练程度与学术和临床年平均绩点 (GPA) 以及医师助理国家认证考试 (PANCE) 分数之间的相关性。方法 受试者包括 2014 年至 2016 年韦恩州立大学的 147 名 PA 学生。 PA 学生在学年期间参观当地医院或门诊诊所，执行并记录患者的 H&P。分析了 H&P 平均分数与 GRE 部分分数、GPA 和 PANCE 分数之间的相关性。结果 受试者年龄 26.5 岁（+6.5），女性 111 名（75.5%）。 GRE 各部分分数与 H&P 平均分数之间不存在相关性。 H&P评分与GPA 1（r=0.512，P<0.001）、GPA 2（r=0.425，P<0.001）和PANCE评分（r=0.448，P<0.001）呈正相关。结论 PA 学生在 H&P 文档方面的技能与 PA 学校期间的学业成绩分数以及美国韦恩州立大学 PANCE 成绩分数呈正相关。