...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Scientia Medica >Avalia??o do registro do exame físico realizado por doutorandos e residentes no Servi?o de Medicina Interna do Hospital S?o Lucas-PUCRS
【24h】

Avalia??o do registro do exame físico realizado por doutorandos e residentes no Servi?o de Medicina Interna do Hospital S?o Lucas-PUCRS

机译：评估S？O Lucas-PUCRS医院内科医师和博士生进行的身体检查记录

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: In this study we evaluate medical charts for certain segments of the physical exam as performed by last year medical students and medical residents in patients admitted to the Internal Medicine Service of the Hospital S?o Lucas, PUCRS. Methods: Following a pre-determined protocol we evaluated retrospectively since january 2000 until march of 2002, 120 randomly chosen charts. Results: Even though certain segments of the exam are registered in over 90% of the cases (cardiovascular, pulmonary and abdominal examinations), the exam was considered incomplete in all the charts. The neurological exam is an example of a particularly serious problem we identified in this evaluation. Even in patients with neurological symptoms, the exam is not performed or registered adequately. Certain segments of the exam such as lymphnodes, thyroid, fundoscopic, otologic, rectal, breast and testicular examination are registered in an absolute minority of the cases. Conclusion: We feel that lack of orientation and role models among the teaching staff is the main reason that explains this situation. Is imperative to develop specific strategies to revert this reality.
机译：目的：在这项研究中，我们评估了去年医学生和住院医师对入院PUCRS医院S？o Lucas的内科服务的患者进行的身体检查某些部分的医学图表。方法：按照预定方案，我们自2000年1月至2002年3月进行回顾性评估，随机选择了120张图表。结果：即使在90％以上的案例中进行了部分考试（心血管，肺和腹部检查），在所有图表中都认为该考试不完整。神经科检查是我们在评估中发现的一个特别严重问题的例子。即使在有神经系统症状的患者中，检查也没有进行或未充分注册。绝大部分病例中都记录了某些检查部分，例如淋巴结检查，甲状腺检查，眼底镜检查，耳镜检查，直肠检查，乳腺检查和睾丸检查。结论：我们认为教师缺乏定位和榜样是造成这种情况的主要原因。必须制定具体策略来恢复这一现实。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号