Interacción entre los miembros del colectivo de estudiantes—con—Edmodo®

This appendix contains a list of the 24 tasks as they appear in the third revision of the questionnaire, including individual definitions and examples. The list also appears in appendix A of the thesis summary.

No Task Definition Examples

1 Review the patient's problems

Gather enough existing information to formulate the patient's main problem(s), in order to perform or order new investigations or make a clinical decision.

1) Assess the patient's history during consultation; 2) "jog the memory” during rounds.

2 Seek out specific information from patient records

Seek out a specified, limited amount of information about the patient in the patient records

1) Find out what blood pressure the patient had five years ago; 2) identify the type of pacemaker used by the patient; 3) seek out the last measured creatinine level; 4) find out what antibiotics the patient actually was taking during a reported spell of allergy- like symptoms three years ago. 3 Follow the results of a test

or investigation over time

Get the result of at least to identical

investigations performed at different points of time, in order to assess the development of the underlying patterns of disease.

1) Assess how quickly the systolic murmur has changed; 2) identify a suspicious decline in hemoglobin concentration following surgery.

4 Obtain the results from new tests or

investigations

Identify and gather results from performed and analyzed investigations not yet assessed by a physician.

Gather the latest lab printout sheet for a patient during rounds.

5 Enter daily notes Personally type or write updated

assessments of the patient's condition like progress notes.

Type a progress note for a patient describing decrease in CRP and improved general condition. 6 Obtain information on

investigation or treatment procedures

Gather information about the hospital's consensus about how a certain investigation or treatment procedure should be performed.

Look up a treatment of diabetic ketoacidosis in the Hospital's paper- based collection of endorsed procedures. 7 Answer questions concerning general medical knowledge (e.g.concerning treatment, symptoms, complications etc.)

Gather information answering general medical questions about investigation or treatment of a certain condition.

1) Look up in a medical text book about COPD; 2) Ask an experienced colleague about prognosis of COPD.

8 Produce data reviews for specific patient groups, e.g. complication rate, distribution of diagnoses.

Gather or produce data reviews of a certain patient group relevant to the physican's own work.

1) Gather the frequency of certain diagnoses in the local population; 2) compare it to that of the general population.

9 Order clinical biochemical laboratory analyses

Order one or several clinical biochemical laboratory analyses. The booking of the test may be performed by the physician or other personnel.

1) Tell the nurse to order C-reactive protein and white blood cell count; 2) order white blood cell count by using the computerized physician order entry module in the EMR system.

10 Obtain the results from clinical biochemical laboratory analyses

Obtain any results of clinical biochemical laboratory analyses, new and old.

Look in the lab printout sheet for the latest hemoglobin concentration measured before surgery. 11 Order X-ray, ultrasound or

CT investigations

Decide upon and order an X-ray, ultrasound or CT investigation, including providing a clinical summary of the patient if required. The booking of the investigation may be performed by the physician or other personnel.

Order X-ray of the thorax by filling in an investigation form by hand, describing symptoms suggesting pneumonia in the lower left lung.

12 Obtain the results from X- ray, ultrasound, or CT investigations

Obtain any results of X-ray, ultrasound, or computer tomography investigations, new and old.

Gather the results of a previous abdominal CT scan by searching for the results sheet in the patient record 13 Order other

supplementary investigations

Order supplementary investigations other than clinical biochemical lab tests, X-ray, ultrasound or CT investigation. The booking of the investigation may be performed by the physician or other personnel.

1) Personally order scintigraphy through the order entry system in the EMR; 2) order a microbiological investigation of specimen from a punctured abscess by completing a form.

14 Obtain the results from other supplemental investigations

Obtain any results of laboratory analyses other than clinical biochemical lab tests, X- ray, ultrasound and computer tomography, new and old.

Look up the results of a scintigraphy in the EMR system.

15 Refer the patient to other departments or specialists

Inquire an assessment by a specialist, leading to advice on further follow-up or transfer to another department. The task includes provision of a clinical summary and the purpose of the referal.

Fill in and send a referral form for an endocrinologist's advice on a patient suffering from a fractured hip and poorly managed diabetes.

16 Order treatment directly (e.g. medicines,

operations etc.)

Order treatment (medication, surgery, other) to be performed on the hospital, usually not administered by the patient. Writing a prescription is not included in this task.

1) Order aorto-coronar bypass surgery by filling out a form by hand and contacting the head nurse in surgery unit; 2) order peroral anticoagulant medication by writing in the medication list on a continuous medical treatment form during rounds.

17 Write prescriptions Order medications (or other types of self- administered treatment) for the patient (or a representative) to buy, collect and

administer. The order must include instructions for the patient about how and when the treatment should be applied.

Write a prescription of erythromycin against sinusitis by hand, and give it to the patient.

18 Complete sick-leave

forms Produce standarized recommendation of sick leave, including required clinical information, usually by filling in a form.

Fill in a sick leave form by hand, recommending a week sick leave due to a sprained ankle.

19 Collect patient data for various medical declarations

Gather enough clinical information about the patient to produce a valid medical

declaration.

Collect information to provide a declaration about the patien't ability to work after the convalescence from a traffic accident is complete. 20 Give written individual

information to patients (such as medication lists, status of the disease, etc)

Provide the patient with written clinical information about the patient's condition relevant for continuing care.

Provide the patient with an updated medication list and a summary of the hospital stay upon discharge

21 Give written general information to patients about the illness

Provide the patient with written information about the patient's condition in general; its cause, prognosis and treatment.

Give a leaflet to the patient describing heart failure in general, its causes, prognosis and treatment

22 Collect patient information

for discharge reports Gather enough information to generate a discharge report, including a summary of the hospital stay, current medications or other treatment and planned follow-up.

Gather the patient record and all lab sheets, read, sort and spread out the relevant papers on a table before dictating the discharge report. 23 Check and sign typed

dictations

Verify that the contents of transcribed dictations are correct, and sign it.

Check and sign a printed discharge note.

24 Register codes for diagnoses or performed procedures

Perform selection(s) from various classification system for performed clinical procedures or current diagnoses, and document the selections.

Look up in a classification book, and dictate a relevant code for the performed surgery at the end of the surgery report.

Appendix B