BACKGROUND:While experiential learning is a desirable goal of residency education, little is known regarding the actual clinical experience of internal medicine residents during their training.METHODS:We modified an electronic patient handoff tool to include a system for resident entry of a primary diagnosis for each of their patients. Using the International Classification of Diseases, Ninth Revision (ICD‐9) system, we created two methods to select the code: 1) an organ system‐based dropdown list containing frequently used codes; and 2) a search option for the complete ICD‐9 database. The codes were then grouped using ICD‐9 categorization.RESULTS:A total of 7562 resident–patient diagnostic encounters were studied. A wide spectrum of clinical conditions was observed, with symptoms and ill‐defined conditions, circulatory disorders, respiratory disorders, neoplasms, genitourinary disorders, digestive disorders, diseases of the blood/blood forming organs, endocrinologic/nutritional/metabolic/immune disorders, and disorders of the skin and subcutaneous tissue accounting for about 86% of resident clinical experience. Symptoms and ill‐defined conditions were noted to represent a sizable portion of resident clinical experience. Within this category, the most common conditions were fever; abdominal pain; and chest pain, unspecified.CONCLUSIONS:Analysis of resident‐selected ICD‐9 codes might serve as a method to attempt to define resident clinical experience, and may be useful in the development of innovative experiential learning‐based residency curricula. This might also be used to assess gaps in experiential learning at the program or resident level, and may serve to identify topics that require additional teaching supplementation. Journal of Hospital Medicine 2011. © 2011 Society of Hospital Medicine
Purpose: To investigate the public attitudes towards Chinese medicine and the impact of the introduction of statutory practitioner registration in Melbourne, Australia. Method: A convenience sample of 575 participants (18-45 years of age) from three locations in Melbourne completed a self-administered, 60-question survey in August 2002. Results: In the previous 12 months, Chinese medicine had been used by 30.9% of the respondents and 17.3% had visited a Chinese medicine practitioner. For each of eight common conditions listed in the survey, between 61.2% and 92.7% of participants indicated that western medicine was their preferred therapeutic option, rather than Chinese medicine or combination of Western and Chinese medicine. However, substantial proportions of participants preferred Chinese medicine for stomach or internal problems (28.4%), cold/flu (18.8%) and dizziness (17.6%). Although 78.2% were aware that statutory practitioner registration had recently been introduced in the State, only 29.9% indicated that they would only visit a registered practitioner. Implication: More stringent surveillance of Chinese medicine service providers and a public education campaign may be necessary to protect against unauthorized Chinese medicine practice.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.