Why not teach medicine how we practice?

Teaching University hospitals need to increase their productivity and efficiency in order to survive. Ambulatory care in teaching hospitals is slower, compared to others because the academic system promotes o requires students to do lengthy medical histories and physicals, although this is not commo...

Full description

Autores:
Díaz Llano, Rodrigo
Tipo de recurso:
Article of journal
Fecha de publicación:
1999
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/32288
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/32288
http://bdigital.unal.edu.co/22368/
Palabra clave:
educación médica
historia clínica
examen físico
hospital universitario
medical education
medical histories
physicals
university hospitals
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
Description
Summary:Teaching University hospitals need to increase their productivity and efficiency in order to survive. Ambulatory care in teaching hospitals is slower, compared to others because the academic system promotes o requires students to do lengthy medical histories and physicals, although this is not common in medical practice. In addition, the predictive values of many diagnostic tools, including parts of the Clinical history and exam, suggest that most procedures are an inefficient use of resources. To improve efficiency, students should be taught to do medical histories and physicals, with the hypothetical-deductive strategy, as clinicians do in their everyday practice.