家庭医学中的医院大查房。内容与教育结构。
Hospital grand rounds in family medicine. Content and educational structure.
作者信息
Lewkonia R, Sosnowski M, Murray F
机构信息
Department of Medicine, University of Calgary.
出版信息
Can Fam Physician. 1996 Feb;42:301-6.
OBJECTIVE
To investigate hospital grand rounds in family medicine, to examine their content and organization, and to recommend improved educational structures for these ubiquitous continuing medical education events.
DATA SELECTION
Retrospective analysis of titles and content of 358 family medicine grand rounds offered in the department of family medicine of a large urban hospital from mid-1983 to the end of 1994.
FINDINGS
Only 10% of family medicine grand rounds were presented by family physicians. Most grand rounds were in the form of specialists exhibiting their own interests in a lecture format. Analysis of grand rounds titles showed no consistent pattern of topics but an emphasis on practical aspects of medical care. Patient-based presentations were uncommon, as were grand rounds with more than one speaker.
CONCLUSIONS
The content and mix of topics appeared appropriate, but in the absence of a curricular structure, or evaluation of learning gain, it is difficult to assess the value of grand rounds.
目的
调查家庭医学中的医院大查房，审视其内容与组织形式，并为这些普遍存在的继续医学教育活动推荐改进的教育架构。
资料选择
对1983年年中至1994年底一家大型城市医院家庭医学科提供的358次家庭医学大查房的标题和内容进行回顾性分析。
研究结果
只有10%的家庭医学大查房由家庭医生进行。大多数大查房采用专家以讲座形式展示自身兴趣的形式。对大查房标题的分析显示，主题没有一致的模式，但强调医疗护理的实际方面。以患者为基础的展示很少见，有多位发言者的大查房也很少见。
结论
主题的内容和组合似乎合适，但由于缺乏课程结构或对学习收获的评估，很难评估大查房的价值。
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