Can Internal Medicine Residents Master Microscopic Urinalysis? Results of an Evaluation and Teaching Intervention
| Autor: | Gay J. Canaris, Stephen D. Flach, Thomas G. Tape, Kathyrn M. Stierwalt, David A. Haggstrom, Robert S. Wigton |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Bacteriuria Urinalysis Urine Education Leukocyte Count Predictive Value of Tests Intervention (counseling) Internal medicine Internal Medicine medicine Humans Cognitive skill Bacteriological Techniques Chi-Square Distribution medicine.diagnostic_test business.industry Internship and Residency Nebraska General Medicine Residency program Prognosis medicine.disease Microscopic urinalysis Education Medical Graduate Family medicine Urinary Tract Infections Female Clinical Competence Educational interventions business Chi-squared distribution |
| Zdroj: | Academic Medicine. 78:525-529 |
| ISSN: | 1040-2446 |
| DOI: | 10.1097/00001888-200305000-00018 |
| Popis: | PURPOSE: Although microscopic urinalysis (micro UA) is commonly used in clinical practice, and residents are trained in micro UA, proficiency in this procedure has not been studied. METHOD: In 1996-97, 38 residents in the University of Nebraska Medical Center's internal medicine (IM) residency program were evaluated on their technical ability to perform micro UA, and on their cognitive skills in recognizing common micro UA findings. After identifying deficits in the residents' cognitive competency, two educational interventions were applied and residents were tested after each intervention. RESULTS: A total of 24 residents (63%) correctly prepared the specimen for analysis (the technical portion). On the cognitive portion, only one of the 38 residents correctly identified 80% of all micro UA findings in the urinary sediment, although 11 (29%) residents identified UA findings specific to urinary tract infection (UTI). The first educational intervention did little to improve residents' performance. A second more intensive intervention resulted in 10 (45%) residents identifying 80% of all micro UA findings, and 19 (86%) residents correctly identifying UTI findings. CONCLUSIONS: Many residents were not proficient in performing micro UA, even after intensive educational interventions. Although micro UA is a simple procedure, residents' mastery cannot be assumed. Residency programs should assess competency in this procedure. |
| Databáze: | OpenAIRE |
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