Historically, most third-year medical student clerkships have been confined primarily to inpatient settings in order to take advantage of what was thought of as a “limitless patient supply.” Early studies of ambulatory education noted an increasing shift in patient volume to the outpatient setting, and many felt that because such volume shifts reflected the future of medical practice, training for the outpatient setting needed to be represented more fully in medical school curricula. , , (Perkoff, 1986), (Davidson, 1989), (Ogrinc, et al, 2002).
Those observing these shifts towards ambulatory care also began to advocate for “rigorous and coherent research on the learning process in these settings and the desired outcomes of these educational experiences” , (Bordage et al., 1998; see also Irby, 1990). Subsequent studies demonstrated unique opportunities for teaching and learning in the ambulatory care setting, such as the one-minute preceptor (Irby et al, 1991; Irby 1994) , In addition, interest in the cognitive implications of learning specific to the ambulatory setting emerged. (Gruppen, 1997)
At the time the present study was conceptualized, the scope of medical student learning on ambulatory sites was still not entirely known, nor were the methods or structure of effective teaching in an ambulatory setting (Whitcomb, 2002). Thus, the research question identified at the time focused on the extent to which the ambulatory setting provides a unique learning experience to medical students, when compared to their traditional inpatient experience.
Today, a gap still exists in understanding the true scope of medical student learning in traditional ambulatory settings as compared to inpatient settings (citations). Particularly little is known about the perceived unique learning values of the inpatient and outpatient settings for building clinical competency (citations). We believe the data collected by the late Steve Miller in 2002 still contributes to the questions currently in the literature.
Rationale. We hypothesized (a priori) that the outpatient, or ambulatory, experience touches on skills that rely on repetitive practice, and its strengths are in students’ frequency of patient interaction and breadth of exposure. For example, the high quantity of patients seen in outpatient, or ambulatory, clinical experiences affords a venue for learning a wide breath of diagnostic reasoning skills.
Medical coding nomenclatures and classifications have extreme importance when assessing the patients’ diagnosis, billing, and more. They also make it possible to standardize health information so there is interoperability, accurate health information exchange, and reliable secondary data usage. The common medical coding nomenclatures and classifications are SNOMED CT, ICD-10-CM and ICD-10-PCS, and CPT. The implementation of these have changed medical coding and impacted the workforce in many ways
summarize and describe the data, and forecast outcomes. As discussed above, our study involves both qualitative and quantitative research. If an average of 5 primary care professionals respond to the survey, that would total 75 participants from 15 clinics. The data obtained from the survey will be categorized according to the type of health care professionals: doctors, nurses, front desk employees, medical assistants, and nurse practitioners. The frequency of each class will then be classified as a
Health Information Technology (ONC) (n.d.) lists CPSI System, Version 19, and Cerner Millennium Powerchart, Version 2010.01.07, as having the Certification Commission for Health Information Technology (CCHIT). Both systems meet the same inpatient clinical quality measures and general and inpatient criteria (Office of the National Coordinator for Health Information Technology, n.d.). By government standards, prospective users are unable to see unique differences. Therefore, hospitals will need to research
probably took you to see a pediatrician. Pediatricians are doctors who work to diagnose, treat, and manage a child's illness. Pediatricians work with both the child, and the parents of the child, informing them of the illness they are dealing with. They spend their days talking to the patients, their parents, and many others from different medical fields. This career interests me because of my desire to help and work with children. Being a pediatrician is something I see myself investing my time
adults in acute medical Units: Evidence based nursing interventions. Introduction A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s falls in acute care settings varies widely and
benefits of a large academic medical center and a large tertiary community hospital; and finally, how medical global tourism will affect state and national healthcare policies. Decreasing Healthcare Costs: Bundled Pricing and Lowering Administrative Costs It would be necessary for a hospital administrator to look closely at ways to lower healthcare costs and provide more efficient care when a large employer like BRPP states they are thinking of relocating their employee inpatient hospital services to a
patient centered, equitable and timely. Despite of being hailed as the leader of medical advancements, the US healthcare system is disorganized and fragmented; thus resulting in poor quality care and patient/family dissatisfaction. A problem in the system can be corrected with development of new leadership to tackle the chaos (1). Leadership is vital and essential in all levels of organization especially in the varied settings of healthcare
A. What is the issue? An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of
Introduction A health care system has two types of models in practice including; the traditional model and dispersed model. In particular, the traditional model employed in a health care setting involves primary care, secondary care, and tertiary care of patients. In that, a patient goes to primary care and receives treatment of the common problems diagnosed. The problems that go unsolved are referred to the secondary care, and the tertiary care is for those cases that require intensive care provision