摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

The Robert Wood Johnson Foundation Clinical Scholars Program was developed to allow selected physician clinicians to acquire certain skills which are not part of the usual physician's repertoire. Begun in 1969 with support from the Carnegie Corporation and the Commonwealth Fund, funding has been provided since 1973 by the Robert Wood Johnson Foundation. By June 1981, 309 physicians had completed their training as clinical scholars, and a majority were pursuing careers in academic medicine. This paper recounts the factors and forces which led to the initiation and development of the program, its successes and failures, the problems faced, the achievements of clinical scholar alumni, and the program's current status.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

U.S. medical schools were surveyed to determine the extent and nature of instruction in medical writing. Of the 101 schools responding, only 15 offered writing courses. Seven of the 15 offered only brief seminars or workshops. The other eight offered full-term courses (greater than eight weeks or more than 15 hours of instruction). Those not offering courses indicated a need but claimed lack of time, lack of interest on the part of those needing instruction, or lack of qualified faculty members as major reasons for not having the courses. These obstacles can be overcome by designing the writing course to complement existing elements of the curriculum and by soliciting the help of writing specialists on campus.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Emergency room residents face a range of clinical decisions and often call on senior residents or faculty members for help. The individual clinical decision process has frequently been analyzed, but little attention has been given to the social process in clinical decision-making. Based on data from interviews and over 100 hours of direct observation at two large urban general hospitals with busy emergency rooms staffed by medical and surgical residents, the authors suggest there are five basic decision situations. In each situation, the residents appeared to follow implicit decision patterns about involving other medical and surgical staff in the final clinical decision. The decision situations are nonacute, routine acute, nonroutine acute, multispecialty acute, and crisis. These situations call for individual, consultive, or consensual patterns in making decisions. The consequences of these patterns are explored. Improving residents' decision-making should contribute to improved understanding of the resident's role, better resident supervision, and better emergency room functioning.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Transfer of learning among the cognitive, psychomotor, and affective domains and among three clinical disciplines--medicine, pediatrics, and surgery--was examined in the final year of a medical student clerkship program. Rather than following the traditional psychological approach, the authors used a model based on ethnographic analysis followed by performance measurement. The general assumption that what students learn in one subject area is transferred to another area was questioned. A total of 120 medical students were assessed in knowledge, skills, and attitudes prior to and after three clinical rotations. The results indicated that learning was discipline-specific as well as specific to the learning domain studied. Therefore, no generalizations can be made from the study of one subject area or one specific aspect of student learning to another. The use of an alternative methodology to study complex behavior rather than the traditional paradigm is suggested.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

The problems encountered, diagnostic procedures performed, and treatments prescribed in dermatology were studied in a primary care practice and in a dermatology clinic. Referrals from a primary care practice to a dermatology practice were analyzed. It was determined that nine disease categories accounted for more than 75 percent of the problems encountered in both settings. Only one diagnostic procedure was performed commonly in both the primary care and dermatology practices--skin scraping for fungal infection. Approximately 90 percent of the treatments prescribed in both settings fell within 13 categories. It is proposed that these findings be the basis for designing the curriculum in dermatology for residents in primary care medicine. The curriculum also should provide practical experience in dermatology and familiarity with selected, rarely encountered dermatologic conditions that have important therapeutic implications.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1983

数据来源: OVID