Razi Journal of Medical Sciences

Background: Studies indicate that using interventions including education may improve medical record documentation and decrease incomplete files. Since, having perfect summaries especially in Rheumatology disease is helpful in treatment process, the researchers aimed to examine the effect of patient post discharge conference on recording summaries skills.

Methods: This interventional quasi experimental study was conducted in 2013-2014 on 36 resident of internal medicine in rheumatology ward of Firoozgar hospital. These conferences are held every two weeks and in order to assess conferences on function of residents, a checklist is designed. The checklist contains 19 items. The checklist had formal validity based on data elements in the records.

Data were analyzed by SPSS for windows (version16) through descriptive statistics and Chi-square test.

Results: Before conferences, 18 (50%) of residents had week function, 12 (33.3%) moderate function and6 (16.7%) of them had good function. After conferences, 1 (2.8%) of residents had moderate function and 35 (97.2%) good function. The study showed statistically significant relation between before and after conferences on function of resident (p=0.012).

Conclusion: Holding patient post discharge conferences has significant effect on recording summaries skills of Residents and their promotion of education