Sigulem D, Gimenez S S, Cebukin A, Cardoso O L, Chern M S, Ramos M P, Anção M S, Wechsler R, Serachi C R, Bracco Netto H, Goihman S
Health Informatics Center, Federal University of São Paulo, Brazil.
Stud Health Technol Inform. 1998;52 Pt 2:768-71.
In the traditional medical graduation course, the student receives a great amount of information while training at the Outpatient Care; the student assumes the physician's role, collecting all the information regarding the patient's clinical history and learns to get along with patients as well. During the attendance process, several factors interfere in the academic teaching, such as limitations of room numbers, amount of patients, difficulties in obtaining medical records, paper illegibility, among other problems. Due to those difficulties, the Model of Computerized Academic Health Clinic, implies in a new learning paradigm in the medical practice, rethinking the traditional process of learning-attendance, where the old model, in which attendance is restricted to a place, is extended in an open atmosphere of shared knowledge, rich of computer resources. The pilot project was implanted in the Pediatrics General Health Clinic of UNIFESP/EPM. It allows that the fifth-year medical students, residents, trainees and tutors use computerized clinics, connected with the academic net of UNIFESP and to the Internet. All the computing and information resources settled at the Outpatient Care improved the organization of its services, increased the medical students' curiosity, improved their participation in learning through interactive programs and clinical attendance.
在传统医学毕业课程中，学生在门诊护理培训期间会接收大量信息；学生承担医生的角色，收集有关患者临床病史的所有信息，并学会与患者相处。在出诊过程中，有几个因素会干扰学术教学，例如房间数量有限、患者数量、获取病历困难、纸张字迹模糊等问题。由于这些困难，计算机化学术健康诊所模式意味着医学实践中的一种新的学习范式，重新思考传统的学习-出诊过程，在旧模式中，出诊仅限于一个地方，而新模式在共享知识、拥有丰富计算机资源的开放氛围中得到扩展。该试点项目已植入圣保罗联邦大学/埃皮达鲁斯医学院的儿科综合健康诊所。它允许五年级医学生、住院医生、实习生和导师使用与圣保罗联邦大学学术网络和互联网相连的计算机化诊所。门诊护理所配备的所有计算和信息资源改善了其服务的组织，增加了医学生的好奇心，通过互动程序和临床出诊提高了他们参与学习的程度。
