de Kruijf E J, de Meijer P H, Meinders A E
Leids Universitair Medisch Centrum, afd. Algemene Interne Geneeskunde, RC Leiden.
Ned Tijdschr Geneeskd. 2000 Jun 24;144(26):1284-7.
The morning report constitutes an important part of the daily routine in the Department of Internal Medicine. According to the literature, this procedure makes an effective contribution to the training of internists, provided that a number of conditions are fulfilled (a critical but not hostile atmosphere, broad participation, a large number of patients). We compared the diseases discussed in the morning report retrospectively with the final attainment levels for the training of internists as described in the recently published 'Outline of Internal Medicine'. Of the diseases described in this outline, almost two-thirds (62.4%) had been discussed on the morning report within a period of 6 months. The morning report would seem to be an important addition to the other forms of knowledge transfer within the training of internists.
早间病例讨论是内科日常工作的重要组成部分。据文献记载,只要满足一些条件(批判性但非敌对的氛围、广泛参与、大量患者),这一程序就能有效地促进内科住院医师的培训。我们回顾性地比较了早间病例讨论中所讨论的疾病与最近出版的《内科学纲要》中描述的内科住院医师培训最终达成水平。在该纲要中描述的疾病中,近三分之二(62.4%)在6个月内的早间病例讨论中被提及。早间病例讨论似乎是内科住院医师培训中其他知识传授形式的重要补充。