Thomas Koonce1, Zach Moore2, Gary L Beck Dallaghan3. 1. Department of Family Medicine, University of North Carolina Family Medicine Center at Chapel Hill. 2. University of North Carolina Adams School of Dentistry, Chapel Hill, NC. 3. University of North Carolina School of Medicine, Chapel Hill, NC.
Abstract
BACKGROUND AND OBJECTIVES: Many United States military personnel are not full-time service members. Because of their part-time service, these veterans may not self-report their military service during medical visits. Consequently, past military service can be overlooked when taking a social history. We developed a case to provide preclinical medical students patient interview experience wherein the diagnosis relied on identifying past military service. Our objective was to determine if medical record write-ups included social history details about occupational information after this innovation. METHODS: We conducted this case discussion in small groups during year 1 of medical school. We analyzed clinical skills examination write-ups before and after the case discussion to determine if the social history included occupational issues. RESULTS: Initial results showed increased occupational issues as potential diagnoses or contributing factors. CONCLUSIONS: This case methodology specifically raised awareness of health issues related to military service and generally increased students' likelihood of identifying occupational risk factors when conducting the social history. The template for this military case will allow us to develop additional cases focusing on different occupational health issues to complement other organ systems blocks.
BACKGROUND AND OBJECTIVES: Many United States military personnel are not full-time service members. Because of their part-time service, these veterans may not self-report their military service during medical visits. Consequently, past military service can be overlooked when taking a social history. We developed a case to provide preclinical medical students patient interview experience wherein the diagnosis relied on identifying past military service. Our objective was to determine if medical record write-ups included social history details about occupational information after this innovation. METHODS: We conducted this case discussion in small groups during year 1 of medical school. We analyzed clinical skills examination write-ups before and after the case discussion to determine if the social history included occupational issues. RESULTS: Initial results showed increased occupational issues as potential diagnoses or contributing factors. CONCLUSIONS: This case methodology specifically raised awareness of health issues related to military service and generally increased students' likelihood of identifying occupational risk factors when conducting the social history. The template for this military case will allow us to develop additional cases focusing on different occupational health issues to complement other organ systems blocks.
Authors: Alyson L Mahar; Kate St Cyr; Jennifer E Enns; Alice B Aiken; Marlo Whitehead; Heidi Cramm; Paul Kurdyak Journal: BMC Public Health Date: 2022-09-05 Impact factor: 4.135