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Education research: patient telephone calls in a movement disorders center: lessons in physician-trainee education.

Identifieur interne : 000110 ( PubMed/Corpus ); précédent : 000109; suivant : 000111

Education 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. Jankovic

Source :

RBID : pubmed:19738167

English descriptors

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:19738167

Le document en format XML

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<title xml:lang="en">Education research: patient telephone calls in a movement disorders center: lessons in physician-trainee education.</title>
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<name sortKey="Adam, O R" sort="Adam, O R" uniqKey="Adam O" first="O" last="Adam">O Adam</name>
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<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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<name sortKey="Ferrara, J M" sort="Ferrara, J M" uniqKey="Ferrara J" first="J" last="Ferrara">J Ferrara</name>
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<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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<name sortKey="Nashatizadeh, M M" sort="Nashatizadeh, M M" uniqKey="Nashatizadeh M" first="M" last="Nashatizadeh">M Nashatizadeh</name>
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<name sortKey="Negoita, M" sort="Negoita, M" uniqKey="Negoita M" first="M" last="Negoita">M. Negoita</name>
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<title xml:lang="en">Education research: patient telephone calls in a movement disorders center: lessons in physician-trainee education.</title>
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<name sortKey="Negoita, M" sort="Negoita, M" uniqKey="Negoita M" first="M" last="Negoita">M. Negoita</name>
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<title level="j">Neurology</title>
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<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>
</keywords>
<keywords scheme="MESH" qualifier="education" xml:lang="en">
<term>Medical Staff, Hospital</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Academic Medical Centers</term>
<term>After-Hours Care</term>
<term>Remote Consultation</term>
</keywords>
<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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<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>
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<Month>09</Month>
<Day>09</Day>
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<DateCompleted>
<Year>2009</Year>
<Month>09</Month>
<Day>28</Day>
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<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>
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<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>
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<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>
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