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Experience of morning reports in the emergency department

机译：急诊部门早间报告的经验

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Morning report in the emergency medicine departments is an emerging teaching modality in the medicine curriculum. Our institution, Hotel-Dieu de France hospital, a multidisciplinary tertiary care university hospital affiliated to the Saint Joseph University of Medical Sciences, is the only hospital in Middle East to hold morning reports in the emergency department (ED). We evaluate the usefulness of the morning report as a pedagogic tool as it assesses the content, quality of the discussions, professionalism, leadership, participation and duration of the morning report. The particularity of this paper is that it takes into consideration the interns' input often under-recognised in the studies. An anonymous questionnaire was diffused to the residents and interns that rotated in the ED during the previous year. It consisted of seven multiple-choice questions to evaluate the quality of the presentations, targeted discussions, ethics and professionalism, evidence-based medicine, clinical reasoning, relation of cases to discussions and implication of the ED physician. Overall, of the 63 patients who answered the survey, 65.1% were satisfied by the content. The majority considered the quality of the discussions acceptable and the leadership and participation satisfactory, professionalism was judged poor. Both residents and interns were satisfied of the teaching point of the morning reports. The only fail back observed was professionalism and pathophysiological discussions that require to be added to the sessions, whereas clinical management, teaching points, leadership and time management were completely satisfactory.
机译：急诊医学部门的晨报是医学课程中一种新兴的教学方式。我们的机构，Hotel-Dieu de France医院，是一家隶属于圣约瑟夫医学大学的多学科三级护理大学医院，是中东地区唯一在急诊室（ED）进行早间报告的医院。我们评估晨报作为教学工具的有效性，因为它可以评估晨报的内容，讨论质量，专业水平，领导才能，参与程度和持续时间。本文的特殊之处在于，它考虑了研究中经常被忽视的实习生的投入。匿名问卷分发给上一年在急诊室轮换的居民和实习生。它由七个选择题组成，用以评估报告的质量，针对性的讨论，道德和专业性，循证医学，临床推理，病例与讨论的关系以及ED医生的含义。总体而言，在回答调查的63位患者中，有65.1％对该内容表示满意。多数人认为讨论的质量可以接受，领导和参与令人满意，专业水平被认为很差。居民和实习生都对晨报的教学点感到满意。观察到的唯一失败是需要在会议上增加专业性和病理生理学讨论，而临床管理，教学要点，领导能力和时间管理则完全令人满意。

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