Deficiencias en la entrevista médica: Un aspecto del método clínico

To assess, under direct visualization, medical interviews, performed by 48 interns in 96 inpatients, we used a list of 44 deficiencies. Such deficiencies concerning to the history of the present disorder (HPD), types of questions, and general features, classified as mayor, important, and minor. Ther...

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Main Author: Miguel Moreno Rodríguez
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2010-12-01
Series:Medisur
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Online Access:http://medisur.sld.cu/index.php/medisur/article/view/1319
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author Miguel Moreno Rodríguez
author_facet Miguel Moreno Rodríguez
author_sort Miguel Moreno Rodríguez
collection DOAJ
description To assess, under direct visualization, medical interviews, performed by 48 interns in 96 inpatients, we used a list of 44 deficiencies. Such deficiencies concerning to the history of the present disorder (HPD), types of questions, and general features, classified as mayor, important, and minor. There was a total of 783 deficiencies (media, 8.1 per interview) where 29.6 % corresponded to HPD, 20 % to types of questions, and 50,4 % to general features. 27 % were major, 46.4 % were important, and 26.6 % were minor. It was evident that there is a trend to obtaining information by means of brief and closed questions, inducing to responses and start by personal pathologic backgrounds, as well as serious difficulties in interrogation abilities. Some deficiencies must not arise so frequent in the last year of study. More than third of interns weren´t supervised just when they obtained data for medical record. We conclude that there is the need for increase direct supervision of students as a fundamental measure to improve their clinical abilities in making medical records.
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publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
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spelling doaj-art-080e48051f624fc692576f260ef09df72025-01-30T21:28:42ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2010-12-01854551637Deficiencias en la entrevista médica: Un aspecto del método clínicoMiguel Moreno Rodríguez0Hospital Militar Central "Carlos J Finlay", Ave. 31 y calle 114, Marianao, Ciudad de La Habana, Cuba.To assess, under direct visualization, medical interviews, performed by 48 interns in 96 inpatients, we used a list of 44 deficiencies. Such deficiencies concerning to the history of the present disorder (HPD), types of questions, and general features, classified as mayor, important, and minor. There was a total of 783 deficiencies (media, 8.1 per interview) where 29.6 % corresponded to HPD, 20 % to types of questions, and 50,4 % to general features. 27 % were major, 46.4 % were important, and 26.6 % were minor. It was evident that there is a trend to obtaining information by means of brief and closed questions, inducing to responses and start by personal pathologic backgrounds, as well as serious difficulties in interrogation abilities. Some deficiencies must not arise so frequent in the last year of study. More than third of interns weren´t supervised just when they obtained data for medical record. We conclude that there is the need for increase direct supervision of students as a fundamental measure to improve their clinical abilities in making medical records.http://medisur.sld.cu/index.php/medisur/article/view/1319registros medicosexamen fisicoestudios de casos y controles
spellingShingle Miguel Moreno Rodríguez
Deficiencias en la entrevista médica: Un aspecto del método clínico
Medisur
registros medicos
examen fisico
estudios de casos y controles
title Deficiencias en la entrevista médica: Un aspecto del método clínico
title_full Deficiencias en la entrevista médica: Un aspecto del método clínico
title_fullStr Deficiencias en la entrevista médica: Un aspecto del método clínico
title_full_unstemmed Deficiencias en la entrevista médica: Un aspecto del método clínico
title_short Deficiencias en la entrevista médica: Un aspecto del método clínico
title_sort deficiencias en la entrevista medica un aspecto del metodo clinico
topic registros medicos
examen fisico
estudios de casos y controles
url http://medisur.sld.cu/index.php/medisur/article/view/1319
work_keys_str_mv AT miguelmorenorodriguez deficienciasenlaentrevistamedicaunaspectodelmetodoclinico