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记录体重史——运用记忆法来学习医学教育中一项缺失的技能。

Taking a Weight History - Using Mnemonics to Learn a Missing Skill in Medical Education.

作者信息

Kushner Robert

机构信息

Northwestern University Feinberg School of Medicine.

出版信息

MedEdPublish (2016). 2017 Nov 29;6:215. doi: 10.15694/mep.2017.000215. eCollection 2017.

DOI:10.15694/mep.2017.000215
PMID:38406435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10885228/
Abstract

This article was migrated. The article was marked as recommended. A major challenge facing medical educators today is to adequately train current and future physicians in the prevention and treatment of obesity, a key contributor to the global non-communicable disease burden. One of the central skills to be performed in the clinical encounter is to conduct a thorough and informative obesity-related history. Recent studies have confirmed the importance of the timing, pattern and trajectory of body weight as a predictor of multiple co-morbid conditions as well as future obesity. To provide a more structured and pedagogical approach to learning how to take a meaningful weight history, the familiar mnemonic "OPQRST" can be applied to facilitate this important element of the patient encounter.

摘要

本文已迁移。该文章被标记为推荐。当今医学教育工作者面临的一项重大挑战是,要对当前及未来的医生进行充分培训,使其掌握肥胖症的预防和治疗方法,肥胖症是全球非传染性疾病负担的一个关键因素。临床问诊中需要具备的一项核心技能是进行全面且信息丰富的肥胖相关病史询问。最近的研究证实了体重的变化时间、模式和轨迹作为多种合并症以及未来肥胖症预测指标的重要性。为了提供一种更具结构性和教学性的方法来学习如何获取有意义的体重病史,可以应用熟悉的记忆口诀“OPQRST”来促进患者问诊这一重要环节。

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本文引用的文献

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JAMA. 2017 Jul 18;318(3):255-269. doi: 10.1001/jama.2017.7092.
2
Weight History and All-Cause and Cause-Specific Mortality in Three Prospective Cohort Studies.三项前瞻性队列研究中的体重史与全因死亡率及特定病因死亡率
Ann Intern Med. 2017 May 2;166(9):613-620. doi: 10.7326/M16-1390. Epub 2017 Apr 4.
3
Body-Weight Fluctuations and Outcomes in Coronary Disease.体重波动与冠心病结局。
N Engl J Med. 2017 Apr 6;376(14):1332-1340. doi: 10.1056/NEJMoa1606148.
4
Trajectory of body shape across the lifespan and cancer risk.一生中身体形态的轨迹与癌症风险。
Int J Cancer. 2016 May 15;138(10):2383-95. doi: 10.1002/ijc.29981. Epub 2016 Feb 8.
5
Assessment and lifestyle management of patients with obesity: clinical recommendations from systematic reviews.肥胖患者的评估和生活方式管理:系统评价的临床建议。
JAMA. 2014 Sep 3;312(9):943-52. doi: 10.1001/jama.2014.10432.
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Patterns of obesity development before the diagnosis of type 2 diabetes: the Whitehall II cohort study.2 型糖尿病诊断前肥胖发展模式:Whitehall II 队列研究。
PLoS Med. 2014 Feb 11;11(2):e1001602. doi: 10.1371/journal.pmed.1001602. eCollection 2014 Feb.
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The patient-physician relationship. Narrative medicine: a model for empathy, reflection, profession, and trust.医患关系。叙事医学:一种共情、反思、职业精神与信任的模式。
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