Prioritizing Paperwork Over Patient Care: Why Can't We Do Both?

Siegler, James E.; Patel, Neha; Dine, C. Jessica

doi:10.4300/jgme-d-14-00494.1

Cited by 27 publications

(21 citation statements)

References 32 publications

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“…En casos extremos, el tiempo invertido en estas labores disminuye en gran magnitud el tiempo efectivo de aprendizaje (que debería incluir visitas médicas, realización de procedimientos, atenciones en emergencia, actividades académicas, asistencia a conferencias, lectura y reflexión), reduciendo al interno a ser un tramitador más (10) . Además, las jornadas agotadas están asociadas a un mayor número de errores médicos, lo cual puede repercutir en la salud de los pacientes (29) .…”

Section: Discussionunclassified

“…Sin embargo, se han reportado diversos problemas en el internado que podrían dificultar el aprendizaje y la realización de procedimientos por parte del interno, como sobrecarga laboral (7,8) , gran cantidad de trabajo administrativo (papeleo) (9,10) , inadecuada docencia, falta de supervisión de los procedimientos realizados (2) , falta de oportunidades para realizar ciertos procedimientos (11) , entre otros.…”

Section: Introductionunclassified

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Percepción de médicos de una universidad de Lima sobre su capacitación en procedimientos médicos durante el internado

Taype-Rondán¹,

Rengifo²,

Arizabal³

et al. 2016

An Fac med

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ResumenObjetivos. Evaluar la percepción de médicos recién egresados sobre su capacitación en procedimientos médicos durante el internado, y determinar los factores asociados a recibir una adecuada capacitación en un mayor número de procedimientos, en una universidad de Lima, Perú. Diseño. Estudio observacional, transversal y analítico. Institución. Universidad de San Martín de Porres, Lima, Perú. Participantes. Médicos egresados. Métodos. Estudio tipo encuesta realizado en médicos egresados de una universidad privada de Lima, Perú, que realizaron el internado médico durante el año 2014. Se utilizó la red social Facebook para ubicar a los participantes, se obtuvo el consentimiento informado y se envió una encuesta autoaplicada con variables sociodemográficas y referentes a su internado médico. Principales medidas de resultados. Percepción sobre su capacitación en procedimientos médicos durante el internado. Resultados. Se analizaron 117 encuestas. El número de horas laboradas por día fue en promedio 10,0±1,8, la frecuencia de carga laboral excesiva y de 'papeleo excesivo' en al menos una rotación fueron 80,3% y 84,6%, respectivamente. Pocos encuestados recibieron durante su internado una adecuada capacitación en colocación de inyectables (53,9%), reducción de fracturas (28,2%) y atención de partos vaginales verticales (27,4%). Haber percibido una adecuada capacitación en más de 20 procedimientos se asoció a considerar una adecuada docencia en tres o cuatro rotaciones (RP=2,55, IC95%=1,36 a 4,76) y laborar en promedio 9 horas y 30 minutos a 10 horas y 15 minutos diarios en comparación con laborar menos horas diarias (RP=1,91, IC95%=1,01 a 3,64). Conclusiones. El exceso de carga laboral y el papeleo, así como una jornada laboral reducida, están asociados a una menor cantidad de procedimientos médicos en los que el interno se perciba adecuadamente capacitado. Es necesario implementar estrategias para mejorar la docencia en el internado. Palabras clave. Educación Médica; Formación de Recursos Humanos; Internado y Residencia. Abstract Objectives. To evaluate the perception of recently graduated physicians on their training in medical procedures during internship, and to determine factors associated to adequate training in a greater number of procedures at a university in Lima, Peru. Design. Observational, cross-sectional, analytical study. Setting. Universidad de San Martín de Porres, Lima, Peru. Participants. Recently graduated physicians. Methods. Survey study in medical graduates from a private university in Lima, Peru, who finished medical internship in 2014. Facebook social network was used to locate participants. Informed consent was obtained and a self-report survey was sent to collect sociodemographic characteristics and perceptions on their medical internship. Main outcome measures. Perception on medical procedures training during internship. Results. One hundred seventeen surveys were analyzed. The number of hours worked per day was on average 10.0 ± 1.8, the frequency of excessive workload and "excessive pa...

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Section: Discussionunclassified

Section: Introductionunclassified

Percepción de médicos de una universidad de Lima sobre su capacitación en procedimientos médicos durante el internado

Taype-Rondán¹,

Rengifo²,

Arizabal³

et al. 2016

An Fac med

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“…Reducing paperwork and administrative burden would enable physicians to spend more time and see more patients. Conversely, allowing physicians to spend more and more time on electronic documentation will not only exacerbate the impacts of the physician shortage, but may also negatively impact patient outcomes [25].…”

Section: Other Considerationsmentioning

confidence: 99%

On the Looming Physician Shortage and Strategic Expansion of Graduate Medical Education

Ahmed

Carmody

2020

Cureus

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Among many other things, the novel coronavirus pandemic of 2020 highlighted the significance of physician shortages in the United States. Current projections anticipate a national shortage of up to 122,000 physicians by 2032, with shortfalls in both primary care physicians and specialists. Yet while this figure highlights the magnitude of the problem, it does not capture the distributional aspect of American physician shortages. Though some specialties and geographic areas have a surplus of physicians, others have a chronic undersupply. Appropriately addressing the looming physician shortage therefore requires not only creating more physicians, but also ensuring that those physicians practice in the areas of greatest societal need. This review explores the nature of physician shortages in the United States, identifies the present bottleneck in physician training at the level of graduate medical education, and considers potential legislative and policy solutions to allow strategic and deliberate expansion of graduate medical education and physician practice.

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“…With the increased implementation of EHRs and use of electronic communications, there is a rising concern that residents are spending far too long in front of computer screens [15]. This concern, however, further emphasizes the need to move EHRs beyond ways to improve billing but also to improve documentation efficiency and optimize user interfaces.…”

Section: Incorporating Informatics In Residency Educationmentioning

confidence: 99%

Informatics and Technology in Resident Education

Niehaus

2017

PM&R

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Biomedical or clinical informatics is the transdisciplinary field that studies and develops effective uses of biomedical data, information technology innovations, and medical knowledge for scientific inquiry, problem solving, and decision making, with an emphasis on improving human health. Given the ongoing advances in information technology, the field of informatics is becoming important to clinical practice and to residency education. This article will discuss how informatics is specifically relevant to residency education and the different ways to incorporate informatics into residency education, and will highlight applications of current technology in the context of residency education. How informatics can optimize communication for residents, promote information technology use, refine documentation techniques, reduce medical errors, and improve clinical decision making will be reviewed. It is hoped that this article will increase faculty and trainees' knowledge of the field of informatics, awareness of available technology, and will assist practitioners to maximize their ability to provide quality care to their patients. This article will also introduce the idea of incorporating informatics specialists into residency programs to help practitioners deliver more evidenced-based care and to further improve their efficiency.

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Prioritizing Paperwork Over Patient Care: Why Can't We Do Both?

Cited by 27 publications

References 32 publications

Percepción de médicos de una universidad de Lima sobre su capacitación en procedimientos médicos durante el internado

Percepción de médicos de una universidad de Lima sobre su capacitación en procedimientos médicos durante el internado

On the Looming Physician Shortage and Strategic Expansion of Graduate Medical Education

Informatics and Technology in Resident Education

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