Effectiveness of a Curriculum in Telephone Medicine.

Autor: Elnicki, D. Michael, Cykert, Sam, Linger, Barry, Ogden, Paul, Hannis, Mark
Předmět:
Zdroj: Teaching & Learning in Medicine; 1998, Vol. 10 Issue 4, p223-227, 5p
Abstrakt: Background: Telephone medicine is an important but seldom-taught part of generalist physician's practices. Surveyed residents have expressed discomfort with this aspect of ambulatory care. Description: To determine if a telephone-medicine curriculum improves telephone-medicine skills of internal-medicine residents. Evaluation: Residents at West Virginia University (WVU) and the Moses Cone Memorial Hospital ( N = 29) tested a telephone-medicine curriculum. They completed pre- and postcurriculum objective structured clinical examinations (OSCEs). Half of the WVU residents underwent the post-OSCE immediately and half after 6 months. All residents completed daily evaluations of the curriculum. Conclusions: The post-OSCE scores improved significantly ( p s for each group < .01). Means of daily evaluations were 4.2-4.7 (on 1-5 scales) for curricular content and delivery. The residents felt significantly better able to manage patients' calls after 2 sessions ( p < .01). Improvement was seen in the telephone OSCE and was maintained 6 months later. This curriculum is well received and an effective method for teaching telephone-medicine skills. [ABSTRACT FROM AUTHOR]
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