Results of testing of an automated system for clinical examination and preventive medical examinations

Implementation of information technology in health care is one of the urgent tasks of modernization. Questions automation of accounting and reporting on clinical examination carried out by certain groups of adults, clinical examination of orphans, professional examinations and adult medical examination of the child population (preventive, preliminary, periodic) make up a significant part of the activities of medical organizations both in terms of achieving the goals of the organization. The implementation of a software system "health card", its implementation and use in the medical organization is effectively used in the integration of medical information system in a medical organization. The functions of the system meet all the requirements necessary to meet its work regulations governing the procedure and forms for clinical examination and professional examinations, monitoring of accounting work, the results of clinical examination and analysis of professional examinations, the acceleration of employees by automatically filling out forms, flexible system configuration. Integration of "health map" with electronic medical records enables to collect card baseline medical examination (clinical examination) of the input specialists medical examinations and investigations.Automation of accounting and reporting of preventive medical exams and clinical examination allows medical organization to reduce the labor of doctors and other staff to fill in the documentation and accounting work to avoid mistakes in documents and reports, provide timely and accurate reporting of the established forms of the Ministry of Health.

Download Full-text

A summative, Objective, Structured, Clinical Examination in ENT used to assess postgraduate doctors after one year of ENT training, as part of the Diploma of Otorhinolaryngology, Head and Neck Surgery

The Journal of Laryngology & Otology ◽

10.1017/s0022215109990545 ◽

2009 ◽

Vol 123 (10) ◽

pp. 1155-1159 ◽

Cited By ~ 3

Author(s):

A B Drake-Lee ◽

D Skinner ◽

M Hawthorne ◽

R Clarke ◽

Keyword(s):

Clinical Examination ◽

Neck Surgery ◽

Objective Structured Clinical Examination ◽

Test Results ◽

High Stakes ◽

Education Literature ◽

Pass Mark ◽

One Year ◽

The Uk ◽

Medical Examinations

AbstractContext:‘High stakes’ postgraduate medical examinations should conform to current educational standards. In the UK and Ireland, national assessments in surgery are devised and managed through the examination structure of the Royal Colleges of Surgeons. Their efforts are not reported in the medical education literature. In the current paper, we aim to clarify this process.Objectives:To replace the clinical section of the Diploma of Otorhinolaryngology with an Objective, Structured, Clinical Examination, and to set the level of the assessment at one year of postgraduate training in the specialty.Methods:After ‘blueprinting’ against the whole curriculum, an Objective, Structured, Clinical Examination comprising 25 stations was divided into six clinical stations and 19 other stations exploring written case histories, instruments, test results, written communication skills and interpretation skills. The pass mark was set using a modified borderline method and other methods, and statistical analysis of the results was performed.Results:The results of nine examinations between May 2004 and May 2008 are presented. The pass mark varied between 68 and 82 per cent. Internal consistency was good, with a Cronbach's α value of 0.99 for all examinations and split-half statistics varying from 0.96 to 0.99. Different standard settings gave similar pass marks.Conclusions:We have developed a summative, Objective, Structured, Clinical Examination for doctors training in otorhinolaryngology, reported herein. The objectives and standards of setting a high quality assessment were met.

Download Full-text

Experience of using the Picoskel apparatus for medical examinations of the population

Kazan medical journal ◽

10.17816/kazmj70920 ◽

1986 ◽

Vol 67 (6) ◽

pp. 454-454

Author(s):

V. S. Trigulova ◽

V. N. Grigoriev ◽

N. K. Akberov ◽

L. V. Malikhova ◽

G. R. Makhmutova

Keyword(s):

Clinical Examination ◽

Ministry Of Health ◽

Clinical Hospital ◽

Medical Examinations

The purpose of this work was to study the possibility of using an automatic blood-forme element counter when conducting clinical examination of the whole population. For this purpose we used "Pikoskel" apparatus produced by the All-Russian People's Republic, which was preliminarily tested in the Republican Clinical Hospital of the Ministry of Health of the TASSR.

Download Full-text

Klipplel-Trénaunay-Weber syndrome: A case report

Stomatoloski glasnik Srbije ◽

10.2298/sgs0902097m ◽

2009 ◽

Vol 56 (2) ◽

pp. 97-101

Author(s):

de Melo ◽

do Boechat ◽

Silva Coutinho ◽

Cardoso Silveira ◽

Cavalcanti Leite

Keyword(s):

Clinical Examination ◽

Complete Blood Count ◽

Port Wine ◽

Normal Range ◽

Anterior Maxilla ◽

Lymphatic Abnormalities ◽

Gingival Enlargement ◽

Weber Syndrome ◽

Orofacial Region ◽

Medical Examinations

Klippel-Tr?naunay-Weber Syndrome (KTWS) is a rare congenital malformation that may include port-wine stain, soft tissue and bony hypertrophy, and venous malformations and lymphatic abnormalities. The oral findings include an enlarged maxilla, gingival enlargement, malocclusion and premature tooth eruption. This report describes a case of gingival enlargement in an 8-year-old male child with KTWS. The extraoral clinical examination revealed discrete hemifacial hypertrophy on the left side and hyperpigmented spots on the anterior region of the neck, left arm and left leg. The intraoral clinical examination showed a deep palate and enlarged buccal and palatal gingiva in the anterior maxilla. Complete blood count and all general medical examinations showed values within normal range while the psychological evaluation indicated a mild learning delay. Although it rarely involves the orofacial region, KTWS should be included in the differential diagnosis of severe gingival enlargement. In view of the potentially dangerous complications that can arise, it is imperative the dental surgeon has a thorough knowledge of this condition and its management.

Download Full-text

Modern aspects of improving the reliability of the medical component of the human factor in railway transport

Russian Journal of Occupational Health and Industrial Ecology ◽

10.31089/1026-9428-2019-59-9-823-824 ◽

2020 ◽

pp. 823-823

Author(s):

N. D. Yui ◽

N. K. Voznesensky ◽

A. A. Titov

Keyword(s):

Human Factor ◽

Automated System ◽

Railway Transport ◽

Software And Hardware ◽

Medical Examinations ◽

Medical Component

The experience of the Sverdlovsk railway in the organization of pre-trip medical examinations using an automated system and software and hardware systems, as well as the ability of the psycho-physiological service in preventing accidents, is presented

Download Full-text

Implementation of written structured feedback into a surgical OSCE

BMC Medical Education ◽

10.1186/s12909-021-02581-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

J. Sterz ◽

S. Linßen ◽

M. C. Stefanescu ◽

T. Schreckenbach ◽

L. B. Seifert ◽

...

Keyword(s):

Medical Students ◽

Prospective Study ◽

Clinical Examination ◽

Essential Element ◽

Objective Structured Clinical Examination ◽

Written Feedback ◽

Point Scale ◽

Multistage Design ◽

Medical Examinations

Abstract Background Feedback is an essential element of learning. Despite this, students complain about receiving too little feedback in medical examinations, e.g., in an objective structured clinical examination (OSCE). This study aims to implement a written structured feedback tool for use in OSCEs and to analyse the attitudes of students and examiners towards this kind of feedback. Methods The participants were OSCE examiners and third-year medical students. This prospective study was conducted using a multistage design. In the first step, an unstructured interrogation of the examiners formed the basis for developing a feedback tool, which was evaluated and then adopted in the next steps. Results In total, 351 students and 51 examiners participated in this study. A baseline was created for each category of OSCE station and was supplemented with station-specific items. Each of these items was rated on a three-point scale. In addition to the preformulated answer options, each domain had space for individual comments. A total of 87.5% of the students and 91.6% of the examiners agreed or rather agreed that written feedback should continue to be used in upcoming OSCEs. Conclusion The implementation of structured, written feedback in a curricular, summative examination is possible, and examiners and students would like the feedback to be constant.

Download Full-text

Tumor Diagnosis

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100053966 ◽

1982 ◽

Vol 40 ◽

pp. 262-265

Author(s):

Bruce Mackay

Keyword(s):

Electron Microscopy ◽

Transmission Electron Microscopy ◽

Differential Diagnosis ◽

Light Microscopy ◽

Clinical Examination ◽

Ultrastructural Study ◽

Diagnostic Procedures ◽

Specific Diagnosis ◽

Transmission Electron ◽

Microscopic Diagnosis

The broadest application of transmission electron microscopy (EM) in diagnostic medicine is the identification of tumors that cannot be classified by routine light microscopy. EM is useful in the evaluation of approximately 10% of human neoplasms, but the extent of its contribution varies considerably. It may provide a specific diagnosis that can not be reached by other means, but in contrast, the information obtained from ultrastructural study of some 10% of tumors does not significantly add to that available from light microscopy. Most cases fall somewhere between these two extremes: EM may correct a light microscopic diagnosis, or serve to narrow a differential diagnosis by excluding some of the possibilities considered by light microscopy. It is particularly important to correlate the EM findings with data from light microscopy, clinical examination, and other diagnostic procedures.

Download Full-text