Education research: patient telephone calls in a movement disorders center: lessons in physician-trainee education.
Identifieur interne : 000110 ( PubMed/Corpus ); précédent : 000109; suivant : 000111Education research: patient telephone calls in a movement disorders center: lessons in physician-trainee education.
Auteurs : O Adam ; J Ferrara ; L Aguilar ; M Nashatizadeh ; M. Negoita ; J. JankovicSource :
- Neurology ; 2009.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Movement Disorders.
- education : Medical Staff, Hospital.
- methods : Academic Medical Centers, After-Hours Care, Remote Consultation.
- therapy : Movement Disorders.
- Humans, Physician's Role, Prospective Studies, Telephone, Time Factors.
Abstract
Telephone medicine is part of clinical practice, but there are no published data on the volume, nature, and time allocation of patient-related telephone calls received in a movement disorders center. Such data might provide insights which augment patient care, and may be instructive regarding medical education, since patient-related telephone calls are often addressed by physicians-in-training.
DOI: 10.1212/WNL.0b013e3181b6bb7f
PubMed: 19738167
Links to Exploration step
pubmed:19738167Le document en format XML
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<author><name sortKey="Adam, O R" sort="Adam, O R" uniqKey="Adam O" first="O" last="Adam">O Adam</name>
<affiliation><nlm:affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USA. oradam@bcm.tmc.edu</nlm:affiliation>
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<author><name sortKey="Ferrara, J M" sort="Ferrara, J M" uniqKey="Ferrara J" first="J" last="Ferrara">J Ferrara</name>
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<author><name sortKey="Aguilar Tabora, L G" sort="Aguilar Tabora, L G" uniqKey="Aguilar Tabora L" first="L" last="Aguilar">L Aguilar</name>
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<author><name sortKey="Nashatizadeh, M M" sort="Nashatizadeh, M M" uniqKey="Nashatizadeh M" first="M" last="Nashatizadeh">M Nashatizadeh</name>
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<author><name sortKey="Negoita, M" sort="Negoita, M" uniqKey="Negoita M" first="M" last="Negoita">M. Negoita</name>
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<author><name sortKey="Jankovic, J" sort="Jankovic, J" uniqKey="Jankovic J" first="J" last="Jankovic">J. Jankovic</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Education research: patient telephone calls in a movement disorders center: lessons in physician-trainee education.</title>
<author><name sortKey="Adam, O R" sort="Adam, O R" uniqKey="Adam O" first="O" last="Adam">O Adam</name>
<affiliation><nlm:affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USA. oradam@bcm.tmc.edu</nlm:affiliation>
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<author><name sortKey="Ferrara, J M" sort="Ferrara, J M" uniqKey="Ferrara J" first="J" last="Ferrara">J Ferrara</name>
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<author><name sortKey="Aguilar Tabora, L G" sort="Aguilar Tabora, L G" uniqKey="Aguilar Tabora L" first="L" last="Aguilar">L Aguilar</name>
</author>
<author><name sortKey="Nashatizadeh, M M" sort="Nashatizadeh, M M" uniqKey="Nashatizadeh M" first="M" last="Nashatizadeh">M Nashatizadeh</name>
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<author><name sortKey="Negoita, M" sort="Negoita, M" uniqKey="Negoita M" first="M" last="Negoita">M. Negoita</name>
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<author><name sortKey="Jankovic, J" sort="Jankovic, J" uniqKey="Jankovic J" first="J" last="Jankovic">J. Jankovic</name>
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<series><title level="j">Neurology</title>
<idno type="e-ISSN">1526-632X</idno>
<imprint><date when="2009" type="published">2009</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Academic Medical Centers (methods)</term>
<term>After-Hours Care (methods)</term>
<term>Humans</term>
<term>Medical Staff, Hospital (education)</term>
<term>Movement Disorders (diagnosis)</term>
<term>Movement Disorders (therapy)</term>
<term>Physician's Role</term>
<term>Prospective Studies</term>
<term>Remote Consultation (methods)</term>
<term>Telephone</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Movement Disorders</term>
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<keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Medical Staff, Hospital</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Academic Medical Centers</term>
<term>After-Hours Care</term>
<term>Remote Consultation</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Movement Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Physician's Role</term>
<term>Prospective Studies</term>
<term>Telephone</term>
<term>Time Factors</term>
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<front><div type="abstract" xml:lang="en">Telephone medicine is part of clinical practice, but there are no published data on the volume, nature, and time allocation of patient-related telephone calls received in a movement disorders center. Such data might provide insights which augment patient care, and may be instructive regarding medical education, since patient-related telephone calls are often addressed by physicians-in-training.</div>
</front>
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<DateCreated><Year>2009</Year>
<Month>09</Month>
<Day>09</Day>
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<DateCompleted><Year>2009</Year>
<Month>09</Month>
<Day>28</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1526-632X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>73</Volume>
<Issue>10</Issue>
<PubDate><Year>2009</Year>
<Month>Sep</Month>
<Day>8</Day>
</PubDate>
</JournalIssue>
<Title>Neurology</Title>
<ISOAbbreviation>Neurology</ISOAbbreviation>
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<ArticleTitle>Education research: patient telephone calls in a movement disorders center: lessons in physician-trainee education.</ArticleTitle>
<Pagination><MedlinePgn>e50-2</MedlinePgn>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Telephone medicine is part of clinical practice, but there are no published data on the volume, nature, and time allocation of patient-related telephone calls received in a movement disorders center. Such data might provide insights which augment patient care, and may be instructive regarding medical education, since patient-related telephone calls are often addressed by physicians-in-training.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Characteristics of patient-related calls to a movement disorders center were prospectively recorded during a 2-month period.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 633 calls were generated by 397 patients. The average time per call was 6.6 +/- 4.7 minutes. Disease-related questions (35.1%), treatment-related questions (21.3%), and side effect reports (15.3%) represented the majority of calls. Patients with Parkinson disease, Tourette syndrome (TS), and atypical parkinsonism (AP) called more frequently, while patients with dystonia and tremor called less frequently.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Patient telephone calls contribute substantially to the patient care in a movement disorders center and represent an important aspect of training, providing an opportunity for movement disorders fellows to develop independent decision-making skills and monitor effectiveness of their physician-patient counseling. Parkinson disease, Tourette syndrome (TS), and atypical parkinsonism (AP) contribute disproportionately to the total patient telephone volume, possibly due to coexisting obsessive-compulsive and impulse-control comorbidities in patients with TS, and complications or a change of diagnosis and prognosis in patients with AP. Emphasis on the management of these specific diagnostic groups early in fellowship training may be warranted.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Adam</LastName>
<ForeName>O R</ForeName>
<Initials>OR</Initials>
<AffiliationInfo><Affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX 77030, USA. oradam@bcm.tmc.edu</Affiliation>
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<Author ValidYN="Y"><LastName>Aguilar Tabora</LastName>
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<Author ValidYN="Y"><LastName>Nashatizadeh</LastName>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D010819">Physician's Role</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013689">Telephone</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName>
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