摘要:

This study reports the results of a survey by the Association of American Medical Colleges (AAMC) to identify the salient problems and issues regarding medical school faculty clinical practice in the views of faculty members and administrators in academic medical centers. The population surveyed consisted of university vice-presidents for health affairs, teaching hospital directors, and medical school deans, department chairmen, and faculty representatives. A content analysis of the narrative responses revealed that the apportionment of faculty time to create the appropriate institutional balance among teaching, research, and service missions was the most frequently mentioned concern. Other dominant themes included threats to the patient base needed for teaching and research and/or to future income posed by the new competitive and reimbursement environment and changes required in modes of faculty practice to respond to the new environment. The latter included the need for organizing practice activities into a “true group practice,” a change that would accommodate growing demands of purchasers for integrated systems of care. Hospital directors were particularly concerned with issues of faculty-hospital relationships. Results of the survey provide an agenda for a recently formed AAMC ad hoc Committee on Faculty Practice, which will propose initiatives by the AAMC to assist its member institutions in responding to the issues raised.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Addressed in the study reported here is the question of which set of scores for those students who retake the Medical College Admission Test (MCAT) yields a better predictive validity. The sample was comprised of 304 students who retook the MCAT prior to entering Jefferson Medical College between 1978 and 1981. Five sets of MCAT scores were considered as predictors in the study: earlier, later, higher, and lower sets of MCAT scores and the average of the earlier and later scores for each MCAT subtest. Twenty-five criteria were used, including grades earned in the freshman and sophomore years and scores on the subtests of Part I and Part II of the examinations of the National Board of Medical Examiners. Correlational techniques, such as bivariate and multiple correlation analyses and canonical correlation followed by redundancy analysis were utilized. The magnitude of redundancy indices indicated that the set of MCAT scores in which the earlier and later scores were averaged was the best predictor, followed by the earlier, lower, higher, and later sets of MCAT scores. The implications of these findings for the admissions process and for validity studies are discussed.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

In a survey conducted by the authors, the goals of medical school curricula regarding the clinical competencies of graduating students were explored. Inventories listing 83 clinical skills were sent to 123 U.S. medical schools and to 462 volunteer clinical faculty members at the University of Utah School of Medicine. The responding medical schools singled out 43 clinical skills as definite goals of their curricula, and the practicing physicians identified 49 clinical skills in which graduating medical students should be competent. The study provided an easy mechanism to compare the clinical expectations of practicing physicians and of medical schools regarding medical students.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The authors in this paper discuss a new approach to the assessment of physicians' performances in practice using undetected standardized (simulated) patients. Case-specific performance criteria were established for seven standardized patients by eight family physicians and two specialists. The patients were then introduced into the practices of the family physicians and of a second cohort of seven family physicians. No differences were found between the criteria-setting and the noncriteria-setting physicians; but large differences were found among the criteria, the physicians' performances as indicated by the patient, and the data recorded by the physicians on the patient chart. Depending on the method used to score the performance and the recorded data, about 30 to 45 percent of the procedures were not performed, and 50 to 70 percent of the criteria were not recorded. The implications of the study for assessment of physician performance are discussed.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Seventy-nine family practice residents were studied to test the hypotheses that the level of job stress and the level, source, and type of social support affect residents' psychological health. Self-report data were collected on measures of job stress, life stress, social support provided by three sources (supervisors, coworkers, and people outside work), and psychological health symptoms. Analysis of variance showed that high levels of job stress and/or low levels of social support were associated with a high number of reported symptoms of psychological distress. Low levels of problem-solving and of emotional support from people at and outside work also were associated with a high number of reported symptoms. The author concludes that residents who perceive high job stress and/or low social support should be identified early in their residencies so that assistance can be provided.

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

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