Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Sep 1999
[Computer-based interpretation of ECG--guiding or misleading?].
Computerised ECG diagnostic programs occasionally provide erratic diagnoses, and false diagnostic suggestions may mislead the physician. We wanted to investigate whether a diagnostic computer program guides or misleads the ECG interpretation in the emergency room. A panel of 20 first-line physicians from the Medical Department at Ullevål Hospital, Oslo, Norway each described sets of ten ECGs, composed from a selection of ten excellent and ten wrong computer interpretations, randomly with or without the print-out of this diagnosis. ⋯ Whether an incorrect computer diagnosis was provided or not, did not significantly influence the physicians' conclusions. Among the physicians, the best performing third benefitted most from the presence of a good computer interpretation, whereas the poor performers did not even recognise the help provided. Computer-based ECG diagnoses seem to be helpful to emergency ward physicians, but a certain level of ECG experience is required to utilise the program.
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Tidsskr. Nor. Laegeforen. · Sep 1999
Comparative Study[Is the system of assigned general practitioners more demanding for female than male physicians?].
The Ministry of Health has tried out and evaluated the personal doctor system in four municipalities in Norway (1993-96). We have explored the reported workload, and whether there were any reporting differences between female and male doctors. We also explored some of the possible factors explaining the reported increased workload. ⋯ There were no significant differences between male and female doctors in reporting too heavy total workload. 52% of male doctors and 82% of female doctors reported an increase in workload after the introduction of personal doctor system (p < 0.05). Of the explaining factors analysed, only women-dominated lists were associated with reported heavy workload among female doctors (p < 0.05). If the personal doctor system is to be introduced as a national system, it would seem important to have some control over the generation of lists to avoid too heavy workloads.
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Tidsskr. Nor. Laegeforen. · Sep 1999
[Percutaneous drainage of the gallbladder in acute cholecystitis].
Percutaneous cholecystostomy has replaced surgical treatment for acute cholecystitis in surgical high-risk and critically ill patients. We wished to assess the procedures performed at Lillehammer County Hospital. We report 32 drainages performed in the last three years. ⋯ Dislocation of the catheter occurred in 5 out of 32 drainages. This corresponds well to earlier reports. We conclude that percutaneous cholecystostomy in acute cholecystitis is a safe procedure in this group of high-risk patients at our hospital.
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Tidsskr. Nor. Laegeforen. · Aug 1999
[Misconceptions and tacit learning--a challenge in medical education].
Medical education has undergone several reforms and innovations both in Norway and elsewhere, and the quality of teaching and learning is, and should be, a subject of ongoing discussions and developments. As a contribution to this discussion a teaching experience and a follow-up study of misconceptions among medical students are presented. ⋯ Whereas there has been a vast number of studies into students' misconceptions in school subjects and their tendency to survive formal educational programmes, they have drawn little attention in medical education. The observations are discussed with reference to contemporary theories on learning: some implications for medical education are suggested.