logo BDSP

Base documentaire


Fermeture du portail BDSP le 1er juillet 2019. En savoir plus...

  1. Direct observation of community-based ambulatory encounters involving medical students.

    Article - En anglais

    Context. - The current shift of predoctoral medical education from inpatient tertiary settings to community-based, ambulatory practice has raised questions about the effect of the medical student on the process of patient care.

    Objective

    - To determine how the presence of a medical student during the ambulatory medical encounter affects the use of clinical time and patient satisfaction.

    Design

    - Cross-sectional, multimethod study using direct observation of ambulatory care by research-trained nurses.

    Setting

    - A total of 16 community-based family practice offices accepting family practice clerkship students.

    Patients

    - A total of 452 outpatient visits with and without student involvement.

    Main Outcome Measures

    - Clinical time use as measured by the Davis Observation Code ; patient satisfaction was assessed with the Medical Outcomes Study 9-item visit rating scale.

    Results

    - When students were involved, physicians spent more time discussing visit expectations (P=03) and less time in history taking (P=007), providing assessment (P=01), and answering questions (P=04).

    Despite these differences, patients were equally satisfied with explanations received, and there was no change in the rank order of the 5 most commonly observed physician behaviors.

    There was no difference in time spent in treatment planning, physical examination, health education, or social chatting. (...)

    Mots-clés Pascal : Science médicale, Etudiant, Enseignement, Soin, Santé, Ambulatoire, Homme

    Mots-clés Pascal anglais : Medical science, Student, Teaching, Care, Health, Ambulatory, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0465764

    Code Inist : 002B30A09. Création : 03/02/1998.



Fermeture du portail BDSP le 1er juillet 2019

Nous avons le regret de vous informer de la fermeture du portail BDSP le 1er juillet 2019. Du 1er janvier au 30 juin 2019, le site et ses services resteront accessibles mais ne seront plus alimentés, ni mis à jour. En savoir plus...