[Treatment with infliximab of peristomal pyoderma gangrenosum in ulcerative colitis].
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Antibodies, Monoclonal↗
Biomedical subjects
Peter Gjersøe
Publications and source records attributed to Peter Gjersøe.
[Learning clinical skills].
INTRODUCTION: The purpose of this study was to analyse the learning environment of medical students in a medical ward and on the basis of this study to make specific suggestions as to how the students' clinical stay in a ward can be optimized. These suggestions were implemented and the effect evaluated. MATERIAL AND METHODS: This is a qualitative study. Through observations and interviews with students and staff in the ward the learning environment was analysed. After that an evaluation of the implemented project was carried out in a questionnaire to the ward and in interviews with the persons involved in the project. RESULTS: The result of the study concerning analysis and improvement of the students' stay can briefly be summarized as follows: The students' position in the unit can be characterized as that of an observer rather than as an active working participant in the ward. With this there is a risk that the medical student's trainee stay in a ward will turn into a "work-experience placement", the primary purpose of which will be for the medical student just to dip into the profession. This has consequences for the students' learning process in securing that the students acquire the necessary practical qualifications and acquire essential personal qualifications, such as self-dependence and abilities in decision-making and working under pressure. DISCUSSION: The study shows that doctors and students agree on the aim of the students' trainee stay: To involve the students in a working partnership in order to obtain the best learning experience. The study concludes that it is difficult to change well-established routines despite good intentions of all parties involved. Therefore, the study rises the question on how new routines are established in the educational culture of medicine.
Clinical Competence↗
[The Good Medical Department. The quality of patient information at the departments of internal medicine].
INTRODUCTION: The purpose of this study was to identify the factors that influence the quality of information given in medical departments and to examine the efforts made to ensure the quality and further improvement of this information. The study is part of the research project "The Good Medical Department". MATERIAL AND METHODS: A total of 73 semi-structured interviews were carried out with patients, doctors, nurses and departmental managements. The medical records and nursing case notes were analysed. RESULTS: The quality of information given correlates with the staff's knowledge of the period of hospitalization of their patients. Contact with various doctors and nurses results in patients perceiving statements as being divergent. Information is best communicated in a dialogue. The patients want detailed and written information. Documentation of given information in the medical records was scanty. DISCUSSION: The outcome of this study indicates some areas that can contribute to ensuring the quality and improvement of patient information. Recent studies also describe lack of quality in these areas. It is a question of restructured planning, delegation of responsibility, documentation, written patient information, and training in communication skills.
Communication↗