Presentation of Clinical Cases by Undergraduate Physicians During the On-call Handover, Ethnographic Study

Baltazar Joanico-Morales, Hermes Nolasco-Hesiquio
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Abstract

Objective: to describe an on-call handover and presentation of clinical cases in the pediatrics service and its impact on learning in undergraduate medical interns. Methods: qualitative study with ethnographic approach, with the participation of undergraduate medical interns who rotated through the pediatrics service, during the bimonthly March-April 2019, and attending physicians who participated in the on-call handover. Observations, video recordings and interviews were carried out, subsequently an ethnographic analysis was performed. Results: during the on-call period, the presentation of clinical cases was identified as a formative activity; the intern physicians presented medical histories and admission notes prepared during the on-call period; the attending physicians participated actively through questions, comments, recommendations, and explanations that served as a guide for the students to achieve greater learning in professional competencies. Conclusion: the presentation of clinical cases during the on-call handover was a key formative activity in the development of two professional competencies in medical practice, diagnosis and treatment.
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民族志研究中本科医师随叫随到的临床病例报告
目的:了解儿科临床病例随叫随到的交接和呈递方式及其对本科医学实习生学习的影响。方法:采用民族志方法进行定性研究,在2019年3月至4月的双月期间,通过儿科服务轮转的本科医学实习生和参加随叫随到移交的主治医生参与。进行了观察、录像和访谈,随后进行了民族志分析。结果:在随叫随到期间,临床病例的呈现被确定为一种形成性活动;实习医生介绍了在值班期间准备的病史和入院记录;主治医生积极参与,通过提问、评论、建议和解释,为学生提供指导,使他们在专业能力方面获得更好的学习。结论:在随叫随到的交接过程中,临床病例的呈现是医疗实践中诊断和治疗两项专业能力发展的关键形成活动。
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