Using review of medical clinic charts to teach occupational health.
Sokas-RK; Orellana-L; Day-SC
J Med Educ 1988 Feb; 63(2):125-130
The effectiveness of medical clinic chart audit with written feedback as a tool for teaching occupational health to medical residents was evaluated. The charts of 20 residents on patients who presented for complete history taking and physical examination were reviewed and scored for various aspects of occupational history taking; intervention was then directed at ten of the residents, while the other ten served as comparisons. For each of the ten residents in the intervention group, five to 12 charts were reviewed; the scoring sheet, scoring criteria, results, and a brief discussion of potentially relevant occupational concerns for a given patient were returned to the resident along with copies of relevant pages of the patient' records. While chart review indicated no difference in total scores for occupational history taking between the two groups prior to intervention, the postintervention scores improved insignificantly for the intervention group while scores for the comparison group deteriorated significantly. The authors conclude that deterioration in obtaining occupational information appears to have been prevented by intervention; other methods suggested for improving the recording of occupational history include: structured interventions such as self completed patient histories; the development of problem oriented learning tools that require active participation by residents; and faculty development programs.
NIOSH-Grant; Cardiovascular-system-disorders; Occupational-health; Medical-examinations; Clinical-diagnosis; Occupational-medicine
Medicine 3 Silverstein Hosp of U of P 3400 Spruce Street Philadelphia, PA 19104
Journal of Medical Education
University of Pennsylvania, Philadelphia, Pennsylvania