INTERNIST-I properties: Representing common sense and good medical practice in a computerized medical knowledge base

1985 ◽  
Vol 18 (5) ◽  
pp. 458-479 ◽  
Author(s):  
Fred E. Masarie ◽  
Randolph A. Miller ◽  
Jack D. Myers
Keyword(s):  
Knowledge Base ◽  
Medical Practice ◽  
Common Sense ◽  
Medical Knowledge ◽  
Good Medical Practice

Medical discourse in a hispanic environment

1999 ◽  
Vol 22 (2) ◽  
pp. 35-50 ◽  
Author(s):  
Marisa Cordelia
Keyword(s):  
Female Patient ◽  
Medical Practice ◽  
Medical Knowledge ◽  
Structured Interview ◽  
Medical Discourse ◽  
Linguistic Competence ◽  
Good Medical Practice ◽  
Insight Into

This paper gives a preliminary insight into Hispanic medical discourse. It explores how a physician exercises power and simpatía in conversations with patients and it includes patients’ perception about good medical practice. The focus is on the analysis of a conversation tape-recorded between the most popular and likeable doctor in the clinic and a female patient. This interaction is compared with the results obtained from a semi-structured interview aiming to discover if this medical exchange represents what patients have identified as positive medical behaviour. The Hispanic data demonstrate that the doctor uses a variety of strategies in the exchange in order to show both his medical knowledge and his linguistic competence in expressing simpatía in discourse. The latter helps to create a pleasant atmosphere in an interaction in which the doctor’s use of the language is paramount.

The effect of the implementation of a good medical practice booklet on nursing home residents’ drug prescriptions: a difference-in-differences analysis based on data from electronic pill dispensers (Preprint)

2019 ◽  
Author(s):  
Stéphane Sanchez ◽  
Cécile Payet ◽  
Marie Herr ◽  
Anne Dazinieras ◽  
Caroline Blochet ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Medical Practice ◽  
Intervention Group ◽  
Medication Use ◽  
Nursing Home Residents ◽  
Control Group ◽  
Multilevel Regression ◽  
Difference In Differences ◽  
Good Medical Practice ◽  
The Impact

BACKGROUND The elderly are particularly exposed to adverse events from medication. Among the various strategies to reduce polypharmacy, educational approaches have shown promising results. OBJECTIVE We aimed to evaluate the impact of the implementation of a good medical practice booklet on polypharmacy in nursing homes. METHODS We identified nursing homes belonging to a geriatric care provider that had launched a policy of proper medication use using a good medical practice booklet delivered to prescribers and pharmacists. Data were derived from electronic pill dispensers. The effect of the intervention on polypharmacy was assessed with multilevel regression models, with a control group to account for natural trends over time. The main outcomes were the average daily number of times when medication was administered and the number of drugs with different presentation identifier codes per resident per month. RESULTS 96,216 residents from 519 nursing homes were included between 1 January 2011 and 31 December 2014. The intervention group and the control group both decreased their average daily use of medication (-0.05 and -0.06). The good medical practice booklet did not have a statistically significant effect (exponentiated difference-in-differences coefficient 1.00, 95% confidence interval 0.99-1.02, P=.45). CONCLUSIONS Although the good medical practice booklet itself did not seem effective in decreasing medication use, our data show the effectiveness of a higher-level policy to decrease polypharmacy.

On Being a Physician

2015 ◽  
Author(s):  
Elizabeth G Nabel
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Lifelong Learning ◽  
Communication Skills ◽  
Medical Practice ◽  
Medical Knowledge ◽  
Health Care Team ◽  
Medical Professionalism ◽  
Standards Of Accreditation

The role of a physician as healer has grown more complex, and emphasis will increasingly be on patient and family-centric care. Physicians must provide compassionate, appropriate, and effective patient care by demonstrating competence in the attributes that are essential to successful medical practice. Beyond simply gaining medical knowledge, modern physicians embrace lifelong learning and need effective interpersonal and communication skills. Medical professionalism encompasses multiple attributes, and physicians are increasingly becoming part of a larger health care team. To ensure that physicians are trained in an environment that fosters innovation and alleviates administrative burdens, the Accreditation Council for Graduate Medical Education has recently revamped the standards of accreditation for today’s more than 130 specialties and subspecialties. This chapter contains 6 references and 5 MCQs.

scholarly journals Could Personalised Self-Inking Stamps Improve Identification Standards in Medical Records?

2012 ◽  
Vol 94 (4) ◽  
pp. 128-130
Author(s):  
Sac MacKeith ◽  
Svelusamy ◽  
A Pajaniappane ◽  
P Jervis
Keyword(s):  
Medical Practice ◽  
Medical Records ◽  
General Medical Council ◽  
Case Note ◽  
Medical Council ◽  
Patient Records ◽  
Medical Case ◽  
Good Medical Practice ◽  
Professional Contact

Doctors' handwriting has long been criticised as being difficult to read or even illegible. In more recent years research has confirmed that it is not uncommon to find medical case note entries that are deficient, illegible or unidentifiable. In Good Medical Practice the General Medical Council (GMC) asks that doctors 'keep clear, accurate, legible and contemporaneous patient records'. In addition, the GMC 'expects that all doctors will use their reference numbers widely to identify themselves to all those with whom they have professional contact'. This includes encouragement for its use in case note entries and prescribing.

Good medical practice for occupational health

The Lancet ◽  
2002 ◽  
Vol 359 (9309) ◽  
pp. 895
Author(s):  
MJ Henderson ◽  
K Holland-Elliot
Keyword(s):  
Occupational Health ◽  
Medical Practice ◽  
Good Medical Practice

TWO MISTAKEN DIAGNOSES OF FATAL ILLNESS IN BROTHERS

PEDIATRICS ◽  
1967 ◽  
Vol 40 (3) ◽  
pp. 390-394
Author(s):  
Richard Winkelmayer ◽  
A. Bradford Judd ◽  
Richard P. Stearns
Keyword(s):  
Medical Practice ◽  
Physical Illness ◽  
Emotional Impact ◽  
Fatal Disease ◽  
Art Of Medicine ◽  
Good Medical Practice ◽  
Fatal Illness ◽  
Difficult Challenge

Understanding the emotional impact of physical illness is generally recognized as an indispensable aspect of good medical practice. The diagnosis of fatal illness and the feelings connected with it possibly present the most difficult challenge in the art of medicine. We have tried to present some of the factors that led a mother to influence independent specialists to supply her with diagnoses of fatal diseases for two of her children. We feel that such processes are quite often at work, and we might have dismissed the untenable diagnosis of a fatal disease with the remark, "such things happen," were it not for the fact that this unlikely event happened twice in the same family. As physicians, we should all like to believe that our knowledge of the science of medicine is sufficient to remove us from the possibility of parental or other influence in such an instance. However, we are always exposed to these influences, and we may be swayed by them more often than we care to admit.

On Being a Physician

2013 ◽  
Author(s):  
Elizabeth G Nabel
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Lifelong Learning ◽  
Communication Skills ◽  
Medical Practice ◽  
Medical Knowledge ◽  
Health Care Team ◽  
Medical Professionalism ◽  
Standards Of Accreditation

The role of a physician as healer has grown more complex, and emphasis will increasingly be on patient and family-centric care. Physicians must provide compassionate, appropriate, and effective patient care by demonstrating competence in the attributes that are essential to successful medical practice. Beyond simply gaining medical knowledge, modern physicians embrace lifelong learning and need effective interpersonal and communication skills. Medical professionalism encompasses multiple attributes, and physicians are increasingly becoming part of a larger health care team. To ensure that physicians are trained in an environment that fosters innovation and alleviates administrative burdens, the Accreditation Council for Graduate Medical Education has recently revamped the standards of accreditation for today’s more than 130 specialties and subspecialties. This review contains six references.

Why a New Approach to Medical Ethics Is Needed

2020 ◽  
pp. 9-43
Author(s):  
Rosamond Rhodes
Keyword(s):  
Medical Ethics ◽  
Medical Practice ◽  
Systematic Approach ◽  
Biomedical Ethics ◽  
Common Morality ◽  
Medical Professionalism ◽  
New Approach ◽  
Good Medical Practice ◽  
Everyday Ethics ◽  
The Common

The Trusted Doctor: Medical Ethics and Professionalism rejects the well-entrenched views of medical ethics as everyday ethics or common morality applied to medicine. This chapter lays the foundation for the original account of medical ethics that follows in the book’s succeeding chapters. By presenting vivid examples and general arguments the author demonstrates ways in which the ethics of medicine is distinct and different from common morality. The chapter discusses the most popular common morality views, namely, the four principles approach expounded by Tom Beauchamp and James Childress in Principles of Biomedical Ethics and the ten rules approach presented by Bernard Gert, Charles Culver, and K. Danner Clouser in Bioethics: A Systematic Approach by presenting arguments that challenge their applicability to medical practice. A chart identifies some stark differences between the common morality approach and good medical practice and shows how everyday ethics is incompatible with medical professionalism.

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