摘要:

In the study reported here, the author examined the relevance of students' statements on career intentions to predictions of career choices. Similar career intentions questionnaires were administered to the members of the 1973 University of Toronto Faculty of Medicine graduating class at the end of their first undergraduate year and three years later at graduation. Ten years after graduation, the professional activities and geographic locations of the class members were determined using available directories and registers. The study provided evidence of considerable congruence between the early statements on career intentions and the actual career dispositions 10 years after graduation.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

In a survey on the availability of mental health resources for medical students and residents in academic medical centers, the author found that most centers offer some mental health assistance to medical students but few centers provide any formal mental health assistance to house officers. The structures and limitations of the programs for residents are described in this paper. Therapists lacking comprehensive training are frequently employed in these programs. The author concludes that the emotional needs of residents are not being adequately addressed.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The authors describe the structure and the development of an internal medicine clerkship designed to promote proficiency in the process of clinical reasoning. The clerkship is centered around a “student ward” in which the student assumes the role of primary physician. The environment provides not only close supervision and counsel but also allows a great deal of autonomy as students embark on their first clinical medicine rotation. The student ward offers a structured environment where the emphasis is on in-depth clinical exposure and the acquisition of clinical knowledge in a manner consistent with the principles of problem-based learning. Breadth of clinical exposure is accomplished through a variety of educational approaches.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

A study was conducted by the authors to compare cognitive functioning in acutely and chronically sleep-deprived house officers. A multivariate analysis of variance revealed significant deficits in primary mental tasks involving basic rote memory, language, and numeric skills as well as in tasks requiring high-order cognitive functioning and traditional intellective abilities. These deficits existed only for the acutely sleep-deprived group. The finding of deficits in individuals who reported five hours or less of sleep in a 24-hour period suggests that the minimum standard of four hours that has been considered by some to be adequate for satisfactory performance may be insufficient for more complex cognitive functioning.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The goals for residency training in internal medicine were assessed by faculty and house staff members at one university-based program using a 38-item questionnaire based largely upon American Board of Internal Medicine criteria. The respondents rated each item according to its ideal importance, its actual emphasis in training, and the respondents' degree of satisfaction with their own level of accomplishment for that item. Faculty and house staff members shared similar perceptions of ideal goals and actual emphases of training, with both groups rating clinical judgment, gathering data, and formulating problems as the most important. Both groups also tended to rate highly as ideal goals those items that they considered to be their own professional strengths and that reflected their current respective roles in medical training. This trend was the most apparent for faculty members in ratings of academic skills and for house staff members in ratings of technical proficiency and patient management skills. The tendency to idealize one's own professional role and strengths may inhibit needed changes in residency training.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Prior investigations of empathy in medicine have used several available instruments for assessment, including a scale developed by Hornblow, Hogan's empathy scale, the Carkhuff-Truax empathic understanding scale, and the Barrett-Lennard relationship inventory. The purpose of the study reported in this article was to investigate the intercorrelations of the scores on these four instruments when used in a medical student-simulated patient interaction. The results showed that measures of empathy based on observed behavior of the students were highly intercorrelated but that empathy self-assessed by the students themselves as having that trait did not correlate significantly with any of the behavior-based measures. No significant effect on these findings was attributable to the timing of the instrument administration, to the students' interpersonal skills training or experience in taking histories and performing physical examinations, or to the sex of the students and the observers.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Eighty-eight medical students and house officers were given patient management questions to assess their ability to convert from one narcotic regimen to an approximately equal analgesic dose of a second regimen. Only 8 percent of their answers were within the correct range, even though commonly used reference material was supplied to assist them in answering the questions. There were no significant differences in the responses of house officers from different medical specialties or among all the individuals at different educational levels. Correct answers to the patient management questions markedly increased after instruction on the use of a narcotic equivalency table. More emphasis on the importance of adequate pain control, better teaching of the pharmacology of narcotic analgesic drugs, and additional instruction on the use of narcotic equivalency tables are needed in medical school and house staff training programs.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID