Usefulness of a medical interview support application for residents: A pilot study.
Usefulness of a medical interview support application for residents: A pilot study.
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DOI：
10.1371/journal.pone.0274159
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
要进行适当的医学面谈，教育和临床经验是必要的。以计算机为基础的医疗诊断支持系统在医学访谈中的有效性已有报道。然而，只有少数报告实际应用了这些系统，并注意到居民医学访谈的质量发生了变化。我们的目的是研究医学访谈支持应用程序的使用如何改变住院医生的医学访谈。这项研究是对15名住院医生(毕业后不到两年)进行的，从2020年11月持续到2021年3月。教职员工扮演模拟患者的角色20例，住院医生进行医学访谈。在20个案例中，有10个使用了医学访谈支持应用程序。采访结束后，住院医生被要求列出最多10种不同的疾病；如果采访包括模拟患者描述的疾病，则被认为是适当的。此外，还评估了医学访谈的持续时间、提出的问题的数量以及压力参数的变化。医学访谈支持应用程序的使用增加了适当的医学访谈的百分比。考虑到频率，医学访谈支持应用程序的使用增加了罕见疾病组的适当医学访谈的比率，以及问题的数量和访谈的持续时间。没有观察到应力降低。医学访谈支持应用程序可能是一种有用的工具，可以在居民的医学访谈期间识别适当的鉴别疾病。
To conduct an appropriate medical interview, education and clinical experience are necessary. The usefulness of computer-based medical diagnostic support systems has been reported in medical interviewing. However, only a few reports have actually applied these systems and noted changes in the quality of the medical interview of residents. We aimed to examine how the use of a medical interview support application changes the medical interviews of residents. The study was conducted on 15 residents (with less than two years post-graduation) and ran from November 2020 to March 2021. Faculty members played the role of simulated patients in 20 cases, and the residents conducted the medical interviews. In 10 of the 20 cases, a medical interview support application was used. After the interview, the residents were asked to list up to 10 differential diseases; the interview was considered appropriate if it included the disease portrayed by the simulated patient. Furthermore, the duration of the medical interview, the number of questions asked, and changes in stress parameters were evaluated. The use of a medical interview support application increased the percentage of appropriate medical interviews. Considering the frequency, the use of a medical interview support application increased the rate of appropriate medical interviews in the rare disease group, as well as the number of questions and duration of the interviews. No stress reduction was observed. The medical interview support application may be a useful tool in identifying appropriate differential diseases during medical interviews by residents.
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影响因子：
7.7
作者：
Seixas, Flavio Luiz;Zadrozny, Bianca;Muchaluat Saade, Debora Christina
通讯作者：
Muchaluat Saade, Debora Christina
影响因子：
--
作者：
Phillips, RL;Bartholomew, LA;Green, LA
通讯作者：
Green, LA
影响因子：
3.9
作者：
Gonzalez-Lopez, J. J.;Garcia-Aparicio, A. M.;Westcott, M. C.
通讯作者：
Westcott, M. C.
影响因子：
2
作者：
Järvelin-Pasanen S;Sinikallio S;Tarvainen MP
通讯作者：
Tarvainen MP
影响因子：
2.8
作者：
Watanabe, Yoshiyuki;Tanaka, Takahiro;Yoshiya, Kazuhisa
通讯作者：
Yoshiya, Kazuhisa