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现代风湿病学家应具备哪些床边技能?第一部分。基础知识。

What Bedside Skills Could the Modern Rheumatologist Possess? Part I. The Basics.

作者信息

Ike Robert W, McCoy Sara S, Kalunian Kenneth C

机构信息

From the Division of Rheumatology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI.

Division of Rheumatology, Department of Medicine, University of Wisconsin-Madison, Madison, WI.

出版信息

J Clin Rheumatol. 2023 Aug 9. doi: 10.1097/RHU.0000000000002011.

Abstract

The hands-on aspect of rheumatologic practice serves to balance its more cerebral features with the everyday necessity to touch patients to assess their condition, obtain samples for diagnosis, and deliver therapy, all cementing the important bond between patient and physician. Factors over recent years, ranging from the intercession of the electronic medical record to COVID, have weakened this bond, which we must restore if the practice of rheumatology is to return to previous levels of satisfaction. We review herein, in 2 parts, the many ways rheumatologists may interact physically with patients, with hope that pursuit of these measures can enhance satisfaction of physician and patient alike. This first installment reviews those simple skills in place before more involved technical bedside skill began to evolve over the last half century.

摘要

风湿病学实践中的实际操作环节,有助于将其较为理性的特征与日常接触患者以评估病情、获取诊断样本及进行治疗的必要性相平衡,所有这些都巩固了医患之间的重要纽带。近年来,从电子病历的介入到新冠疫情等诸多因素,削弱了这种纽带关系。如果风湿病学实践要恢复到以前的满意度水平,我们就必须修复这种关系。我们在此分两部分回顾风湿病学家与患者进行身体互动的多种方式,希望采取这些措施能够提高医生和患者双方的满意度。在过去半个世纪中,在更复杂的床边技术开始发展之前就已存在的那些简单技能,将在这第一部分中进行回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c2d/10853673/4c95c91c3c22/nihms-1909735-f0001.jpg

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