Ceyhun Peker Ayşe Gülsen, Deryal Gözde Nur, Sarıca Çevik Hüsna, Ungan Mehmet
Faculty of Medicine, Department of Family Medicine, Ibni Sina Hospital, Ankara University, Hacettepe Mahallesi, Talatpaşa Bulvarı No:82, Altındağ, Ankara, 06230, Turkey.
Bucak 2 Nolu Aile Sağlığı Merkezi, Burdur, Turkey.
BMC Med Educ. 2025 Mar 27;25(1):454. doi: 10.1186/s12909-025-06994-2.
This research aims to identify the most common diagnoses recorded in the outpatient clinic database of a Training Hospital where residents provide patient care under trainer supervision, evaluate the adequacy of current training programs in addressing these diagnoses, and provide data for trainers to enhance early-stage resident education to provide insight for curriculum development and increasing the effectiveness of residency training programmes.
The study involved ranking ICD-10 diagnosis codes by frequency for each department and surveying clinical medicine residents in their second year and above to gather their perspectives on speciality training.
Twenty-four clinical medicine departments (13 internal, 11 surgical medicine) were included. The top 5 diagnoses for each speciality and their rates in all patient encounters were determined. While the first 5 diagnoses in some of the specialities covered almost 90% (or above) of the outpatient diagnoses (Ophthalmology, Child & Adolescent Psychiatry, Gynaecology & Obstetrics), the place of the first five diagnoses in all diagnoses was determined as a very small proportion in departments such as Family Medicine, Emergency Medicine, Orthopaedics and Traumatology. The survey, which included 193 residents, uncovered that about half of the residents in both fields found the educational content partially sufficient (51.8%) and indicated a need for improvement in terms of expertise (70% in internal, vs. 51.8% in surgical medicine).
The research emphasises the importance of early training focused on the most prevalent diagnoses in each speciality to enhance patient management and advocates for a more active role for trainers in developing a tailored education program considering the prevalence of top diagnoses in different specialities.
本研究旨在确定一家培训医院门诊数据库中记录的最常见诊断，该医院住院医师在带教老师的监督下为患者提供护理，评估当前培训项目在应对这些诊断方面的充分性，并为带教老师提供数据，以加强住院医师早期教育，为课程开发提供见解并提高住院医师培训项目的有效性。
该研究包括按每个科室的频率对ICD - 10诊断代码进行排名，并对二年级及以上的临床医学住院医师进行调查，以收集他们对专科培训的看法。
纳入了24个临床医学科室（13个内科，11个外科）。确定了每个专科的前5种诊断及其在所有患者就诊中的发生率。虽然某些专科的前5种诊断涵盖了几乎90%（或以上）的门诊诊断（眼科、儿童与青少年精神病学、妇产科），但在家庭医学、急诊医学、骨科和创伤科等科室中，前5种诊断在所有诊断中所占比例非常小。该调查包括193名住院医师，发现两个领域中约一半的住院医师认为教育内容部分足够（51.8%），并表示在专业知识方面需要改进（内科为70%，外科为51.8%）。
该研究强调了针对每个专科中最常见诊断进行早期培训以加强患者管理的重要性，并主张带教老师在制定考虑不同专科前5种诊断发生率的定制教育计划方面发挥更积极的作用。
