Curtis P, Resnick J
Department of Family Medicine, University of North Carolina, Chapel Hill.
Fam Med. 1989 Sep-Oct;21(5):345-9.
The diagnosis cluster method has recently been used effectively to compare inpatient and outpatient clinical experiences across data sets for practicing physicians and family practice residents. This paper describes the use of the diagnosis cluster method to study the three-year experience of a class of family practice residents in one university program and three community hospital programs. A group of 10 additional clusters based on the criteria of frequency, clinical homogeneity, and educational importance were identified covering 14.3% of the diagnoses not falling within the established 52-cluster method. These residency-specific clusters require review and validation by further analysis of clinical data and peer review by faculty involved in residency education.
诊断聚类方法最近已被有效地用于比较执业医师和家庭医学住院医师跨数据集的住院和门诊临床经验。本文描述了使用诊断聚类方法来研究一类家庭医学住院医师在一个大学项目和三个社区医院项目中的三年经验。根据频率、临床同质性和教育重要性标准确定了一组额外的10个聚类，涵盖了既定52聚类方法之外14.3%的诊断。这些特定于住院医师培训的聚类需要通过对临床数据的进一步分析以及参与住院医师教育的教员的同行评审来进行审查和验证。
