in delivery of the guard today one of the residents presented a clinical case. And academic interest, however, at that time our projector was not available and no longer in the hospital (or is very difficult to find) films "real" because almost the entire hospital system is digitized and is easier to see the Study online or other electronic means.
I told one of the residents who share the x-ray image and the patient's electrocardiogram. In the end it was not possible for the time and difficulty to be going all to see the image on a screen of 13 inches.
deliveries guard are surely a time for academic excellence. Some institutions is carried out during the medical visit (when feasible), but most, at least in our area, are in addition to the patients and in a moment of attention to what the resident collected, held and studied during night watch. Verified income aloud and tutor usually chooses a case for presentation.
On other occasions I've reviewed and written about this opportunity and how you can use evidence-based medicine at the time academics, including the possibility of relying on technology and social networks.
I thought about using Facebook for delivery guard for two reasons: 1) everyone has Facebook, and 2) is the ideal platform to share information (links, videos, documents, questions, photos) with the necessary discretion in medicine.
immediately came to my mind any criticism "is going to distract" "will violate the privacy of patients" have to have internet "" Do not be novelty ", etc. I accept what the "new" and that it is always necessary to have internet. First, it's actually good, the latter occurs in almost every end of the duty to which I attended. Even most residents already have an Internet connection on their mobile phones, which in time (the majority) already have access to Facebook through the respective applications.
The other two concerns can be handled easily by the tutor (ideally should be cognizant of the use of the platform, which is not of this world). In Facebook you can create a group to quickly and easily while dis-invite and invite any of their residents, medical students or other teachers. Plus it can decide who puts something and only the administrator has the ability to veto or accept the post. The administrator must have control of that patient privacy is so important being or frequently cited, especially in the U.S. where there has already been demands and reprimands by the misuse of Facebook or other social networks for invasion of privacy of patients. However, I believe that these isolated cases are not properly know how to use the tool and lack of common sense.
By creating a group, immediately placed in a private environment in Facebook. Only residents can discuss and will not appear on the page of any other person.
participants can watch the delivery of their smartphones, or laptops iPads write questions that come out during the discussion of the case and answer live, with links to evidence that is at that time.
certainly can be a time to practice fast, effective (efficient) of the questions clinics, either by using search engines or metasearch engines such as clinical or SUMSearch Tripdatabase . Also, questions can be left set up "homework" for the resident on duty and answer from the comfort of your home over coffee, or even from the line while waiting shift at the bank.
is just an idea. Food for thought.
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