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早交班的原则与实践

The principles and practice of morning report.

作者信息

Parrino T A, Villanueva A G

出版信息

JAMA. 1986 Aug 8;256(6):730-3.

PMID:3723772
Abstract

Morning report is a traditional ritual on academic medical services. At morning report, house staff and faculty review case management and the principles of clinical medicine. To understand better the role and function of morning report and to assess its value for supervision, teaching, and evaluation of clinical knowledge and skills, a survey of academic departments of medicine was conducted. A questionnaire was sent to 124 departments of medicine represented by the membership of the Association of Professors of Medicine. The response rate was 94%. Morning report was important for teaching and was also useful for evaluation of resident performance and quality of clinical care. Some potential problems were identified when the conference is used for peer review and performance evaluation. Morning report stands out as the only large, formal conference generally used for the evaluation of case management and the performance of medical residents. As such, its limitations must be recognized. Recommendations are made for taking advantage of the unique educational opportunities available at morning report.

摘要

早间病例讨论会是学术性医疗服务中的一项传统活动。在早间病例讨论会上,住院医师和教员会回顾病例管理及临床医学原则。为了更好地理解早间病例讨论会的作用和功能,并评估其在监督、教学以及临床知识与技能评估方面的价值,我们对医学学术部门进行了一项调查。向由医学教授协会成员代表的124个医学系发送了调查问卷。回复率为94%。早间病例讨论会对教学很重要,对住院医师表现评估和临床护理质量评估也很有用。当该会议用于同行评审和绩效评估时,发现了一些潜在问题。早间病例讨论会是唯一通常用于评估病例管理和住院医师表现的大型正式会议。因此,必须认识到其局限性。针对如何利用早间病例讨论会提供的独特教育机会提出了建议。

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