Evaluation of the physical examination performed by last year medical students and residents of the Internal Medicine Service of Hospital São Lucas – PUCRS <b>[Abstract in English]</b>

Authors

  • Carlos Henrique Barrios
  • Vinícius L. Silva
  • Rafael F. Pinheiro
  • Rodrigo L. de Oliveira
  • Rose Gasnier

Abstract

Objective: In this study we evaluate medical charts for certain segments of the physical exam as performed by last year medical students and medical residents in patients admitted to the Internal Medicine Service of the Hospital São Lucas, PUCRS.
Methods: Following a pre-determined protocol we evaluated retrospectively since january 2000 until march of 2002, 120 randomly chosen charts.
Results: Even though certain segments of the exam are registered in over 90% of the cases (cardiovascular, pulmonary and abdominal examinations), the exam was considered incomplete in all the charts. The neurological exam is an example of a particularly serious problem we identified in this evaluation. Even in patients with neurological symptoms, the exam is not performed or registered adequately. Certain segments of the exam such as lymphnodes, thyroid, fundoscopic, otologic, rectal, breast and testicular examination are registered in an absolute minority of the cases.
Conclusion: We feel that lack of orientation and role models among the teaching staff is the main reason that explains this situation. Is imperative to develop specific strategies to revert this reality.
KEY WORDS: PHYSICAL EXAMINATION; INTERNAL MEDICINE; EDUCATION, MEDICAL; MEDICAL STAFF, HOSPITAL; STUDENTS, MEDICAL.

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Published

2006-10-17

How to Cite

Barrios, C. H., Silva, V. L., Pinheiro, R. F., Oliveira, R. L. de, & Gasnier, R. (2006). Evaluation of the physical examination performed by last year medical students and residents of the Internal Medicine Service of Hospital São Lucas – PUCRS <b>[Abstract in English]</b>. Scientia Medica, 15(3). Retrieved from https://revistaseletronicas.pucrs.br/index.php/scientiamedica/article/view/1562

Issue

Vol. 15 No. 3 (2005)

Section

Original Articles

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