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Case conferences in anesthesiology: ...

Basford, Alice Blanche.

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Case conferences in anesthesiology: Intentions and practices.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Case conferences in anesthesiology: Intentions and practices./
Author:	Basford, Alice Blanche.
Description:	144 p.
Notes:	Source: Dissertation Abstracts International, Volume: 50-06, Section: B, page: 2330.
Contained By:	Dissertation Abstracts International50-06B.
Subject:	Health Sciences, Medicine and Surgery. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=8921665

Case conferences in anesthesiology: Intentions and practices.
Basford, Alice Blanche.

Case conferences in anesthesiology: Intentions and practices. - 144 p.

Source: Dissertation Abstracts International, Volume: 50-06, Section: B, page: 2330.

Thesis (Ph.D.)--University of Rochester, 1989.

That case discussion conferences (scheduled educational meetings at which patient histories are presented for discussion by residents and clinical faculty) are part of essentially all anesthesiology training programs suggests that they are perceived as important, but the variety of forms and styles suggests little agreement about what this importance is. Preliminary inquiry suggested presentation of information, sharing of uncommon clinical experiences, quality assurance and peer review, social solidarity, and practice in clinical problem solving as potential purposes. The kinds of conferences which would best serve these various needs appeared quite different and perhaps contradictory.Subjects--Topical Terms:

1017756
Health Sciences, Medicine and Surgery.

Case conferences in anesthesiology: Intentions and practices.
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008 130610s1989 eng d
035 $a (UnM)AAI8921665
035 $a AAI8921665
040 $a UnM $c UnM
100 1 $a Basford, Alice Blanche. $3 1904958
245 1 0 $a Case conferences in anesthesiology: Intentions and practices.
300 $a 144 p.
500 $a Source: Dissertation Abstracts International, Volume: 50-06, Section: B, page: 2330.
500 $a Supervisors: William T. Lowe; Jerome P. Lysaught.
502 $a Thesis (Ph.D.)--University of Rochester, 1989.
520 $a That case discussion conferences (scheduled educational meetings at which patient histories are presented for discussion by residents and clinical faculty) are part of essentially all anesthesiology training programs suggests that they are perceived as important, but the variety of forms and styles suggests little agreement about what this importance is. Preliminary inquiry suggested presentation of information, sharing of uncommon clinical experiences, quality assurance and peer review, social solidarity, and practice in clinical problem solving as potential purposes. The kinds of conferences which would best serve these various needs appeared quite different and perhaps contradictory.
520 $a This study presents data from structured interviews of case conference organizers, questionnaires circulated to conference participants, and observations of conferences in seven university-affiliated anesthesiology residency programs in the Northeast.
520 $a There was considerable variability among these groups in perceptions of the function of case conferences, with but few systematic differences. Members of departments concurred to some extent. Faculty appeared more aware than residents of social functions; organizers noted the distinction between learning problem solving and learning information; but the major impression was that relatively little thought had been given to function, even by organizers.
520 $a Several conflicts resulting from this ambiguous sense of purpose were noted. Combining quality assurance and educational conferences appeared to give residents substantial ambivalence about reporting and presenting cases. Exhibition of diverse approaches led to some disagreements about which alternatives were acceptable; moderators were sometimes inadequately prepared for these. While practice in problem solving is judged the optimal function for case conferences (with other functions accomplished elsewhere), nearly two-thirds of participants had the advantage of knowing the general nature of the problems from references circulated beforehand, and outcomes of specific patients were known to a third ahead of time. This was noted even in conferences where problem solving practice was a clear objective of the organizer, and the resulting hindsight bias is of serious concern.
520 $a Recommendations are presented, including making practice of clinical problem solving the focus of these conferences and, most urgently, considering function carefully in each department, establishing a consensus among participants, and designing the format to support those functions.
590 $a School code: 0188.
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Health Sciences, Education. $3 1017921
690 $a 0564
690 $a 0350
710 2 0 $a University of Rochester. $3 515736
773 0 $t Dissertation Abstracts International $g 50-06B.
790 1 0 $a Lowe, William T., $e advisor
790 1 0 $a Lysaught, Jerome P., $e advisor
790 $a 0188
791 $a Ph.D.
792 $a 1989
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=8921665