We examined and contrasted morning reports at two hospitals, university and community, that have a pediatric residency program.
Patient diagnoses assigned at morning report were compared with final diagnoses to assess disease categories discussed and the value of including outpatient follow-up in this educational forum.
Data were obtained during morning reports for 6 months by chief residents at university and private community hospitals.
Pertinent history, physical examination, and laboratory and radiologic findings were recorded and were assigned a tentative morning report diagnosis based on morning report discussion.
Cases were then reviewed at discharge and at 6 months to determine final diagnoses.
At the university hospital, 58% of the cases were undiagnosed before presentation at morning report.
Of those cases, 23% were assigned a diagnosis at morning report that differed from the final diagnosis.
Similarly, at the private community hospital, 28% of cases were undiagnosed before presentation at morning report.
Of those cases, 73% were assigned a diagnosis that differed from the final diagnosis.
We conclude that the provision of follow-up at morning report is important for maximizing resident education.
Mots-clés Pascal : Etude cas, Service hospitalier, Pédiatrie, Diagnostic, Interne(étudiant), Résident, Organisation, Résultat, Etude comparative, Intérêt, Médecin, Réunion matin
Mots-clés Pascal anglais : Case study, Hospital ward, Pediatrics, Diagnosis, Resident(student), Resident, Organization, Result, Comparative study, Interest, Physician
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0541573
Code Inist : 002B30A09. Création : 24/03/1998.