Teaching experience for medical students to complete problem-oriented medical records in undergraduate medical practice

Tadanari HARADA; Yohei FUKUMOTO; Setsu KOBAYAKAWA; Sayako ONO; Momoe SANECHIKA; Fujio MURAKAMI; Masaru KAWASAKI

Medical Education 2010;41(1):47-50

Tadanari HARADA ; Yohei FUKUMOTO ; Setsu KOBAYAKAWA ; Sayako ONO ; Momoe SANECHIKA ; Fujio MURAKAMI ; Masaru KAWASAKI

Keywords

clinical practice; medical record; problem-oriented medical record; scenario

Country

Japan

Language

Japanese

Abstract

1) A possible reason that medical students do not complete problem-oriented medical records is a problem in putting information received from patient into a problem list.
2) We invented a clinical case and asked students to list problems from the case and to establish an initial plan for admission. The exercise was effective for teaching students to complete medical records.

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