Prognosis

Bloomfield, A. L.

doi:10.1001/archinte.1956.00250210013001

Cited by 2 publications

(2 citation statements)

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“…Thus, the PPS may be considered as a key prognostic tool for both ''quoad vitam'' (prediction of life expectancy) and ''quoad sanantionem'' (prediction of healing capacity) in patients with advanced illness. 34 Future studies should avoid looking at heterogeneous care settings such as NHs, LTCs, or intensive care units, and focus on cohorts of patients that are homogeneous in terms of patient characteristics, prognosis, and philosophy of care. In addition, future research also should consider biochemical, hematologic, and other laboratory investigations for potential associations with wound healing.…”

Section: Resultsmentioning

confidence: 99%

Clinical Parameters Associated With Pressure Ulcer Healing in Patients With Advanced Illness

Maida

Ennis

Kesthely

2014

Journal of Pain and Symptom Management

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Section: Resultsmentioning

confidence: 99%

Clinical Parameters Associated With Pressure Ulcer Healing in Patients With Advanced Illness

Maida

Ennis

Kesthely

2014

Journal of Pain and Symptom Management

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“…During the era of Hippocrates the core competencies of a physician consisted of diagnosis, therapeutics, and prognosis. However, the paucity of effective diagnostic and therapeutic modalities rendered the ability to prognosticate the most important role of a physician [ 1 - 3 ]. Conceptually, Hippocrates described prognosis as a two dimensional construct: quoad vitam (predictions about survival and life expectancy) and quaod sanantionem (predictions about healing and restoration of function) [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Prognosis: the “missing link” within the CanMEDS competency framework

Maida

Cheon

2014

BMC Med Educ

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BackgroundThe concept of prognosis dates back to antiquity. Quantum advances in diagnostics and therapeutics have relegated this once highly valued core competency to an almost negligible role in modern medical practice. Medical curricula are devoid of teaching opportunities focused on prognosis. This void is driven by a corresponding relative dearth within physician competency frameworks. This study aims to assess the level of content related to prognosis within CanMEDS (Canadian Medical Education Directives for Specialists), a leading and prototypical physician competency framework.MethodsA quantitative content analysis of CanMEDS competency framework was carried out to measure the extent of this deficiency. Foxit Reader 5.1 (Foxit Corporation), a keyword scanning software, was used to assess the CanMEDS 2005 framework documents of 29 physician specialties and 37 subspecialties across the seven physician roles (medical expert, communicator, collaborator, manager, health advocate, scholar, and professional). The keywords used in the search included prognosis, prognostic, prognosticate, and prognostication.ResultsOf the 29 specialties six (20.7%) contained at least one citation of the keyword “prognosis”, and one (3.4%) contained one citation of the keyword “prognostic”. Of the 37 subspecialties, sixteen (43.2%) contained at least one citation of the keyword “prognosis”, and three (8.1%) contained at least one citation of the keyword “prognostic”. The terms “prognosticate” and “prognostication” were completely absent from all CanMEDS 2005 documents. Overall, the combined citations for “prognosis” and “prognostic” were linked with the following competency roles: Medical Expert (80.3%), Scholar (11.5%), and Communicator (8.2%).ConclusionsGiven the fundamental and foundational importance of prognosis within medical practice, it is recommended that physicians develop appropriate attitudes, skills and knowledge related to the formulation and communication of prognosis. The deficiencies within CanMEDS, demonstrated by this study, should be addressed in advance of the launch of its updated version in 2015.

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Prognosis

Cited by 2 publications

References 0 publications

Clinical Parameters Associated With Pressure Ulcer Healing in Patients With Advanced Illness

Clinical Parameters Associated With Pressure Ulcer Healing in Patients With Advanced Illness

Prognosis: the “missing link” within the CanMEDS competency framework

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