Abstract:
:The records of 62 men and 43 women, 14-88 years old, admitted to general medical wards in a public teaching hospital during 1991 were examined for discharge medications and for the recording of alcohol-drinking, tobacco-smoking and discharge diagnosis. Drinking and smoking status was unrecorded in 22.9% and 21.9% of patients respectively. Twenty-four patients had 31 potential drug interactions which were related to the number of drugs prescribed and to drinking alcohol; 10.5% of the patients had interactions involving alcohol and 2.9% tobacco. Six patients received relatively or absolutely contraindicated drugs, including one asthmatic given two beta-blockers. The drugs prescribed indicated that some patients had conditions such as gastro-oesophageal disorders, diabetes and obstructive airways disease which had not been recorded. Inadequate recording of diagnoses, alcohol and smoking status creates risks to patients and may cause opportunities for preventive care to be missed. This study provides the basis for the development of undergraduate and postgraduate education programmes to address these issues and so decrease risks to patients which arise from inadequate recording practices. Incomplete diagnoses also adversely affect hospital funding where this depends on case-mix diagnostic groups. Quality assurance programmes and other strategies are being implemented to improve medical recording and prescribing habits.
journal_name
Med Educjournal_title
Medical educationauthors
Bairstow BM,Burke V,Beilin LJ,Deutscher Cdoi
10.1111/j.1365-2923.1993.tb00313.xsubject
Has Abstractpub_date
1993-11-01 00:00:00pages
518-23issue
6eissn
0308-0110issn
1365-2923journal_volume
27pub_type
杂志文章abstract::The central premise of this paper is that medical education today is being driven by intellectual and social imperatives to make fundamental changes in the way it prepares students to be the doctors of tomorrow. Fully aware that over the past 50 years at least eight major national commissions in the USA alone have mad...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02897.x
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:The study of human factors is a scientific discipline that deals with the interactions between human beings and the elements of a system. This is important because shortcomings in these areas, if unchecked, can result in adverse outcomes. Research into human factors in industries where safety is paramount ha...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.37.s1.5.x
更新日期:2003-11-01 00:00:00
abstract:CONTEXT:An important part of a doctor's identity is the social position he or she adopts relative to patients. Dialogic theory predicts that medical school discourses influence the positions students incorporate into their professional identities. As this may affect how students later exercise power in doctor-patient r...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14074
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:All general practitioners (GPs) are expected to have an appraisal from 2002 and the first cohort will experience revalidation in 2005. Although there is a link between appraisal and revalidation, this has yet to be clarified. OBJECTIVE:To investigate the knowledge, attitudes and beliefs of GPs towards reval...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01469.x
更新日期:2003-09-01 00:00:00
abstract:CONTEXT:Recently several authors have drawn parallels between educational research and some theories of natural science, in particular complexity theory and chaos theory. The central claim is that both the natural science theories are useful metaphors for education research in that they deal with phenomena that involve...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.03945.x
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:Recent UK policy has been to increase substantially the number of graduate entrants to medical schools. Our aim was to study whether graduate and non-graduate entrants have different long-term career preferences. METHODS:We conducted postal questionnaire surveys of medical qualifiers from all UK medical scho...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2007.02706.x
更新日期:2007-04-01 00:00:00
abstract:CONTEXT:Some medical courses in the UK have many more applicants than places and almost all applicants have the highest possible previous and predicted examination grades. The BioMedical Admissions Test (BMAT) was designed to assist in the student selection process specifically for a number of 'traditional' medical cou...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03367.x
更新日期:2009-06-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2929.2006.02507.x
更新日期:2006-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2923.2002.01331.x
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVES:This study analyses and discusses recent changes in young Japanese doctors' career paths, in terms of their distribution in different types of facilities and specialties, following changes to the postgraduate clinical training system in 2004. METHODS:Data from the National Survey of Physicians, Dentists and...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03582.x
更新日期:2010-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03746.x
更新日期:2010-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12152
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:Advanced cardiac life support (ACLS) skills tend to degrade over time. There is mounting evidence that high-fidelity simulation (HFS) is advantageous to teaching ACLS. The aspects of HFS that enhance learning are not entirely clear, but the anxiety generated by a scenario may enhance retention through well-e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03775.x
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:The General Medical Council has recommended that medical students should gain more experience in general practice. The study set out to determine patients' reactions to consultations conducted by a medical student alone prior to seeing their GP. DESIGN:A random sample of patients attending general practice ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00410.x
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:This study aimed to describe the application, feasibility and outcomes of using simulated patients (SPs) to increase the skills of general practitioners (GPs) delivering a behavioural intervention to reduce childhood overweight and mild obesity. METHODS:Five female actors were trained as SPs. A total of 67 ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03686.x
更新日期:2010-07-01 00:00:00
abstract::Ten psychiatrists and 15 family doctors were asked to score videotapes of patient-doctor encounters before and after each of two training periods. One period focused on the theory of assessment of doctors' interpersonal skills, while the other was purely practical. Results indicate that after one training session in e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02454.x
更新日期:1990-07-01 00:00:00
abstract::Interactive video is a new teaching medium that has much potential in medical education. Hitherto, the realization of this potential has been restrained by lack of awareness among medical teachers of the advantageous features provided and how to implement them, while computer specialists lack the required medical know...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00044.x
更新日期:1991-03-01 00:00:00
abstract:BACKGROUND:There is inconclusive debate within the literature as to whether the best problem-based learning (PBL) tutors are subject experts or not. The debate hinges on whether knowledgeable tutors are tempted to intervene too often in PBL discussions compared to non-expert tutors, and whether the latter may not be ab...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01406.x
更新日期:2003-01-01 00:00:00
abstract:INTRODUCTION:Reflective ability is an important skill for enhancing professionalism and developing communication skills. To improve reflective ability, medical educators encourage use of written reflective journals, for which feedback is important. It is difficult for educators to anticipate how their feedback will be ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14406
更新日期:2020-11-03 00:00:00
abstract:BACKGROUND:The assessment of clinical procedural skills has traditionally focused on technical elements alone. However, in real practice, clinicians are expected to be able to integrate technical with communication and other professional skills. We describe an integrated procedural performance instrument (IPPI), where ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02612.x
更新日期:2006-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03720.x
更新日期:2010-08-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00071.x
更新日期:1991-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12751
更新日期:2015-07-01 00:00:00
abstract:CONTEXT:Simulated clinical immersion (SCI), in which clinical situations are simulated in a realistic environment, safely and gradually exposes novices to complex problems. Given their limited experience, undergraduate students can potentially be quite overwhelmed by SCI learning tasks, which may result in misleading l...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13748
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVES:Teaching at the bedside during attending rounds is considered to be fundamental to medical education. We conducted an ethnographic case study to investigate such teaching in general paediatrics as a social phenomenon and to explore change over time in both the meaning of rounds and the context in which round...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03767.x
更新日期:2010-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13106
更新日期:2016-11-01 00:00:00
abstract::The planning and implementation of a curriculum for a department of family and community health in a new medical school in a developing country presents special problems. The evolution of the programme at Sultan Qaboos University in the Sultanate of Oman is described and discussed. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02510.x
更新日期:1990-03-01 00:00:00
abstract::Despite concern over the concentration on science in pre-medical education and the selection of medical students in the United States, no major changes have been made. The present study compares attrition rates and clinical competence levels of medical students who vary in pre-medical training, age, and sex, in order ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02415.x
更新日期:1981-11-01 00:00:00
abstract:OBJECTIVES:To examine young doctors' views on a number of professional issues including professional regulation, multidisciplinary teamwork, priority setting, clinical autonomy and private practice. METHOD:Postal survey of 545 doctors who graduated from United Kingdom medical schools in 1995. RESULTS:Questionnaires w...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.01011.x
更新日期:2001-08-01 00:00:00
abstract::Established in 1858, the General Medical Council was responsible, inter alia, for improving the standard of medical education in Britain. It was agreed on all hands that there were serious deficiencies: there was far too much book-learning and not enough practical knowledge; students graduated who were wholly ignorant...
journal_title:Medical education
pub_type: 历史文章,杂志文章
doi:10.1111/j.1365-2923.1989.tb01573.x
更新日期:1989-11-01 00:00:00