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Studies in Health Technology and... May 2022Personal contact between radiologists and their patients is scarce due to time constraints and logistical reasons which impacts on patient knowledgeability and...
BACKGROUND
Personal contact between radiologists and their patients is scarce due to time constraints and logistical reasons which impacts on patient knowledgeability and satisfaction, but also on examination and diagnostic quality.
OBJECTIVE
We illuminate medical history interviews from a radiologist's perspective and discuss its impact on the diagnostic quality. Based on these insights, we develop a digital medical interview assistant (DMIA) for radiology that is intended to collect information helping in improving radiological diagnostics.
METHODS
Conditions, issues, problems in the radiological examination process are assessed to collect requirements and to specify questions for a digital medical history interview.
RESULTS
A DMIA with conversational user interface is developed using the scripting language RiveScript. It is accessible through a social media messenger (Telegram messenger). An initial assessment of usability demonstrates a good usability.
CONCLUSION
To overcome the information gap in radiology, a DMIA can simulate an assessment interview. It is still necessary to remove existing barriers in interaction with the DMIA for example by facilitating data entry options.
Topics: Allied Health Personnel; Communication; Humans; Language; Radiology
PubMed: 35592958
DOI: 10.3233/SHTI220345 -
Journal of the American Medical... Jun 2022A participant's medical history is important in clinical research and can be captured from electronic health records (EHRs) and self-reported surveys. Both can be...
OBJECTIVE
A participant's medical history is important in clinical research and can be captured from electronic health records (EHRs) and self-reported surveys. Both can be incomplete, EHR due to documentation gaps or lack of interoperability and surveys due to recall bias or limited health literacy. This analysis compares medical history collected in the All of Us Research Program through both surveys and EHRs.
MATERIALS AND METHODS
The All of Us medical history survey includes self-report questionnaire that asks about diagnoses to over 150 medical conditions organized into 12 disease categories. In each category, we identified the 3 most and least frequent self-reported diagnoses and retrieved their analogues from EHRs. We calculated agreement scores and extracted participant demographic characteristics for each comparison set.
RESULTS
The 4th All of Us dataset release includes data from 314 994 participants; 28.3% of whom completed medical history surveys, and 65.5% of whom had EHR data. Hearing and vision category within the survey had the highest number of responses, but the second lowest positive agreement with the EHR (0.21). The Infectious disease category had the lowest positive agreement (0.12). Cancer conditions had the highest positive agreement (0.45) between the 2 data sources.
DISCUSSION AND CONCLUSION
Our study quantified the agreement of medical history between 2 sources-EHRs and self-reported surveys. Conditions that are usually undocumented in EHRs had low agreement scores, demonstrating that survey data can supplement EHR data. Disagreement between EHR and survey can help identify possible missing records and guide researchers to adjust for biases.
Topics: Documentation; Electronic Health Records; Humans; Information Storage and Retrieval; Population Health; Surveys and Questionnaires
PubMed: 35396991
DOI: 10.1093/jamia/ocac046 -
Ui Sahak Apr 2023Medical history education enables the medical students to understand the humanistic aspects of medicine and also help to promote the professionalism of doctors. It makes...
Medical history education enables the medical students to understand the humanistic aspects of medicine and also help to promote the professionalism of doctors. It makes them understand the disappearing or emerging diseases by recognizing the historical changes and trends to respond appropriately. Therefore, it is helpful to study and understand modern medicine. As of March 2023, 22 (55.0%) out of 40 medical schools in Republic of Korea have medical history course as an independent subject and two schools have integrated courses with medical ethics. Compared to 53.1% in 1995 and 56.2% in 2010, similar percentage of medical schools maintained the subject independently. However, the average credits of 18 schools in 2023(2.0) are higher than those of 1995(1.4) and 2010(1.2). The number of full-time professor who specialized in the history of medicine was 2 in 1995, 6 in 2010, and 11 in 2023. Generally, a full-time professor majoring medical history tend to have other duties besides the education and research of medical history, depending on the role of the department to which he or she belongs since they are assigned to the humanities education other than medical history education. Currently, the curriculums that have been recommended by Korea Association of Medical Colleges(KAMC), Korean Institute of Medical Education and Evaluation(KIMEE), and The Korean Society of Medical Education(KSMED), emphasize medical humanities but do not necessarily include the medical history. As a result, medical history courses have increased slightly, but the other humanities classes have increased significantly since 2000. The knowledge of medical history will help students become a doctor, and a doctor with professionalism adapting to the rapidly changing medical environment. Students will also be able to establish the ideas they must pursue in the present era when they come into contact with numerous historical situations. And if they share a sense of history, they will inspire a sense of unity as a profession and will be more active in solving social problems such as health equity. It is hoped that The Korean Society for the History of Medicine will step forward to set the purpose and goal of the medical history education, and organize the contents of the education. Classes should be prepared so that students are interested in them, and education should be focused on how the contents of education will be able to be used in medicine. To this end, it is necessary to establish the basic learning outcomes of history of medicine, and prepare learning materials based on these learning outcomes. It is also necessary to increase the competencies of educators for the history of medicine, such as performing workshops. With the dedication of the pioneers who devoted their energy to the education of medical history, it is expected that medical history will find out what to do in medical education to foster better doctors and provide better education.
Topics: Humans; History of Medicine; Republic of Korea; Korea; Education, Medical; Humanities; Curriculum
PubMed: 37257927
DOI: 10.13081/kjmh.2023.32.147 -
Korean Journal of Radiology Jan 2020The history and administrative system of the Asian Society of Abdominal Radiology (ASAR) are described briefly with a focus on its academic activity, including...
The history and administrative system of the Asian Society of Abdominal Radiology (ASAR) are described briefly with a focus on its academic activity, including congresses and education. ASAR is one of the three regional societies in the field of abdominal radiology, comprising approximately 2500 members from seven countries in Asia. A further increase in the numbers of members and affiliated societies is expected with the advancement of imaging technology and the distribution of radiologic equipment and knowledge. ASAR is responsible in Asia for matters of interdisciplinary collaboration in the field of abdominal radiology and has successfully represented Asia in the field of radiology.
Topics: Asia; Congresses as Topic; History, 20th Century; History, 21st Century; Radiology; Societies, Medical
PubMed: 31920024
DOI: 10.3348/kjr.2019.0528 -
Journal of Abdominal Wall Surgery : JAWS 2023Women in medicine and surgery are a recent phenomenon. The aim of this study was to review the modern history of pioneering women in medicine and surgery in Scotland.... (Review)
Review
Women in medicine and surgery are a recent phenomenon. The aim of this study was to review the modern history of pioneering women in medicine and surgery in Scotland. A variety of sources were searched including Google, PubMed, and the Royal College of Surgeons of Edinburgh publications to source the material for this paper. Despite over five centuries of Scottish universities offering medical degrees, women have only had the right to study medicine for 150 years. However, the lives of women pioneers who either circumnavigated or surmounted this inequality, namely, "James Barry" and Sophia Jex-Blake, are briefly told. Doctors today owe a debt to those who pushed the boundaries, challenged the unfair rules and tackled institutional gender inequality in medicine. Reading about their lives and work is uplifting.
PubMed: 38312431
DOI: 10.3389/jaws.2023.11227 -
Radiography (London, England : 1995) Aug 2020
Topics: Allied Health Personnel; History, 20th Century; History, 21st Century; Humans; Radiography; Societies, Medical; United Kingdom
PubMed: 32631595
DOI: 10.1016/j.radi.2020.06.014 -
Journal of Vascular Surgery Nov 2021
Topics: Biomedical Research; Education, Medical; History, 20th Century; History, 21st Century; Humans; Leadership; Mentors; Vascular Surgical Procedures
PubMed: 34688400
DOI: 10.1016/j.jvs.2021.03.026 -
BMJ Open Quality Aug 2023Despite measures for physicians' excellence in diagnosis, the need for improvement of medical history techniques has been pointed out as one of the critical elements for...
Despite measures for physicians' excellence in diagnosis, the need for improvement of medical history techniques has been pointed out as one of the critical elements for improving diagnosis. Specific and proactive frameworks related to methods of effective history acquisition are needed to minimise bias and optimise decision-making. Therefore, this paper uses Linear Sequential Unmasking- Expanded to develop and propose a structured medical history acquisition strategy. The strength of this lies in its reliance on cognitive psychological processes. Breaking information gatherings and decisions into smaller tasks and ordering them correctly reduces cognitive load as well as minimises noise and bias cascade. Additionally, this approach can help physicians develop diagnostic expertise regardless of specialty.
Topics: Humans; Information Management; Bias; Physicians
PubMed: 37612048
DOI: 10.1136/bmjoq-2023-002367 -
Journal of Zhejiang University.... Sep 2023This study investigated the perceptions and medical history of third molars (M3s) and assessed the prevalence of visible M3s (V-M3s) among 904 Chinese adults. The...
This study investigated the perceptions and medical history of third molars (M3s) and assessed the prevalence of visible M3s (V-M3s) among 904 Chinese adults. The enrolled participants were interviewed to complete a structural questionnaire focused on sociodemographic information and their understanding of, attitudes toward, behaviors regarding, and medical history with respect to M3s. In addition, the number of V-M3s in the cohort was determined by oral examination. Logistic regression analysis was performed to explore the association between individuals' sociodemographic characteristics and their perception of M3s or the presence of V-M3s. The Chi-square test was used to compare the actions taken against symptomatic M3s and the corresponding outcomes among different groups divided according to respondents' sociodemographic factors. In total, 904 completed questionnaires were gathered and analyzed. Nearly half (43.9%) of the respondents knew nothing about M3s, and only 12.7% provided correct answers to all the questions asked. Male sex, older age, occupation involving physical labor, and no previous dental experience were active factors in unawareness of M3s. Male sex was also significantly associated with the presence of at least one V-M3 and negative behavior about symptomatic M3s. In terms of medical history, 192 participants reported having had at least one M3 extracted (438 in total), and 72.6% of the M3s were removed due to the presence of related symptoms or pathologies. In conclusion, the population investigated had a shortage of knowledge about M3s and adopted negative attitudes and actions about M3-related problems.
PubMed: 37752091
DOI: 10.1631/jzus.B2200617 -
Der Nervenarzt Aug 2020
Topics: Humans; Medical History Taking; Stroke
PubMed: 32789688
DOI: 10.1007/s00115-020-00968-z