It was quite homogeneous among the other specialization subgroups (trainees in general medical practice 18.2%, internists 20%, trainees in internal medicine 22,6% and doctors employed in the post-law compulsory rural primary care medical service 20,5%).
Analyzing the results of a national survey of over 15,000 trainees in internal medicine, researchers at the Mayo Clinic in Rochester, Minn., found that a majority of residents reported spending as many as six hours a day documenting, while only a small fraction of residents spent as much time with patients.
Nonetheless, we found the same low level of diagnostic skill observed in previous studies for trainees in internal medicine or family practice: residents in pediatrics found a diagnostic accuracy of 33% using an adult size mannequin [ 8] and trainees in internal medicine and family practice recognized 20% of auscultatory events in a study using tape recordings [ 7].
Nephrology currently faces several critical challenges including work force shortages, declining interest in nephrology as a career choice among trainees in internal medicine, and multiple requirements that are mandated for meaningful use credit.
This has been very inadequate, with first year trainees in internal medicine not being observed more than once by a faculty member in a patient encounter involving history taking and a physical examination [ 11].
The purpose of this study was to test, at the bedside, the clinical auscultation skills of trainees in internal medicine and family practice and to evaluate the impact of a 5-month bedside training program (45 min per week).
1) In an academic primary care center, 20 physicians (trainees in internal medicine and family practice) and two skilled academic cardiologists listened to 33 cardiac events in 13 patients directly at bedside and identified the cardiac events by completing an open questionnaire.
The information contained within these pages is also key reading for all trainee physicians in internal medicine and cardiology, and nurses, technicians and other professionals involved in the management of patients needing ECG evaluation.
A trainee doctor in internal medicine or surgery supervises groups of six to eight students.
Therefore, the purpose of this study was to evaluate and compare the knowledge related to the management of diabetes among registered nurses (RN) and trainee residents of internal medicine (IMR), family medicine (FMR) and surgery (SR) at tertiary care hospitals of Karachi, Pakistan.
