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...

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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
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spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Díaz Llano, Rodrigo6690bd40-21e4-4b07-8ec4-4f54ab4a2f653002019-06-26T15:13:33Z2019-06-26T15:13:33Z1999https://repositorio.unal.edu.co/handle/unal/32288http://bdigital.unal.edu.co/22368/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.Los hospitales universitarios necesitan aumentar los rendimientos y la eficiencia para sobrevivir. El trabajo docente en la consulta externa, es más lento que lo observado en otros consultorios no  universitarios, porque el sistema académico induce a los estudiantes ha hacer historias clínicas extensas y exámenes físicos completos. Además, el valor predictivo de muchas herramientas diagnósticas, incluyendo los componentes de la historia clínica y del examen físico, sugieren que muchos procedimientos constituyen un uso ineficiente de recursos. Para mejorar la eficiencia, a los estudiantes se les debe enseñar a hacer la historia clínica y el examen físico con la estrategia hipotético deductiva, como hacen los clínicos en su ejercicio real.application/pdfspaRevista de Salud Públicahttp://revistas.unal.edu.co/index.php/revsaludpublica/article/view/18968Universidad Nacional de Colombia Revistas electrónicas UN Revista de Salud PúblicaRevista de Salud PúblicaJournal of Public Health; Vol. 1, núm. 3 (1999); 235-241 Revista de Salud Pública; Vol. 1, núm. 3 (1999); 235-241 0124-0064Díaz Llano, Rodrigo (1999) Why not teach medicine how we practice? Journal of Public Health; Vol. 1, núm. 3 (1999); 235-241 Revista de Salud Pública; Vol. 1, núm. 3 (1999); 235-241 0124-0064 .Why not teach medicine how we practice?Artículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTeducación médicahistoria clínicaexamen físicohospital universitariomedical educationmedical historiesphysicalsuniversity hospitalsORIGINAL18968-61918-1-PB.pdfapplication/pdf131036https://repositorio.unal.edu.co/bitstream/unal/32288/1/18968-61918-1-PB.pdfde6b43885147afd2785d8b23cacc0c73MD51THUMBNAIL18968-61918-1-PB.pdf.jpg18968-61918-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg6659https://repositorio.unal.edu.co/bitstream/unal/32288/2/18968-61918-1-PB.pdf.jpg4b2e555a3cd7ce25b3e778785c87e713MD52unal/32288oai:repositorio.unal.edu.co:unal/322882022-12-05 23:05:47.441Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co
dc.title.spa.fl_str_mv Why not teach medicine how we practice?
title Why not teach medicine how we practice?
spellingShingle Why not teach medicine how we practice?
educación médica
historia clínica
examen físico
hospital universitario
medical education
medical histories
physicals
university hospitals
title_short Why not teach medicine how we practice?
title_full Why not teach medicine how we practice?
title_fullStr Why not teach medicine how we practice?
title_full_unstemmed Why not teach medicine how we practice?
title_sort Why not teach medicine how we practice?
dc.creator.fl_str_mv Díaz Llano, Rodrigo
dc.contributor.author.spa.fl_str_mv Díaz Llano, Rodrigo
dc.subject.proposal.spa.fl_str_mv educación médica
historia clínica
examen físico
hospital universitario
medical education
medical histories
physicals
university hospitals
topic educación médica
historia clínica
examen físico
hospital universitario
medical education
medical histories
physicals
university hospitals
description 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.
publishDate 1999
dc.date.issued.spa.fl_str_mv 1999
dc.date.accessioned.spa.fl_str_mv 2019-06-26T15:13:33Z
dc.date.available.spa.fl_str_mv 2019-06-26T15:13:33Z
dc.type.spa.fl_str_mv Artículo de revista
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
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dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/ART
format http://purl.org/coar/resource_type/c_6501
status_str publishedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/32288
dc.identifier.eprints.spa.fl_str_mv http://bdigital.unal.edu.co/22368/
url https://repositorio.unal.edu.co/handle/unal/32288
http://bdigital.unal.edu.co/22368/
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.spa.fl_str_mv http://revistas.unal.edu.co/index.php/revsaludpublica/article/view/18968
dc.relation.ispartof.spa.fl_str_mv Universidad Nacional de Colombia Revistas electrónicas UN Revista de Salud Pública
Revista de Salud Pública
dc.relation.ispartofseries.none.fl_str_mv Journal of Public Health; Vol. 1, núm. 3 (1999); 235-241 Revista de Salud Pública; Vol. 1, núm. 3 (1999); 235-241 0124-0064
dc.relation.references.spa.fl_str_mv Díaz Llano, Rodrigo (1999) Why not teach medicine how we practice? Journal of Public Health; Vol. 1, núm. 3 (1999); 235-241 Revista de Salud Pública; Vol. 1, núm. 3 (1999); 235-241 0124-0064 .
dc.rights.spa.fl_str_mv Derechos reservados - Universidad Nacional de Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados - Universidad Nacional de Colombia
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Revista de Salud Pública
institution Universidad Nacional de Colombia
bitstream.url.fl_str_mv https://repositorio.unal.edu.co/bitstream/unal/32288/1/18968-61918-1-PB.pdf
https://repositorio.unal.edu.co/bitstream/unal/32288/2/18968-61918-1-PB.pdf.jpg
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bitstream.checksumAlgorithm.fl_str_mv MD5
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repository.name.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
repository.mail.fl_str_mv repositorio_nal@unal.edu.co
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