摘要:

American medical colleges are showing increased interest in acquainting their students with legal aspects of the practice of medicine. However, little is known about the role of legal medicine in the medical school curriculum. During the summer of 1978 the author sent a questionnaire to all U.S. medical schools. The 86% response rate suggests considerable interest in the subject matter. The results of the survey indicate that while 40% of the schools require their students to complete some course work in legal medicine, the curricula vary considerably among the schools. The topics most frequently covered are informed consent and malpractice.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

There has been relatively little research on the relationship between the clinical performance of physicians and the criteria used by medical school admissions and promotions committees. The studies which have been done primarily relate clinical performance to cognitive criteria. They have usually found only negligible relationships. By considering both cognitive and noncognitive variables, several investigators recently have improved the prediction of clinical performance in medical school. The present authors attempt to determine the increase in predictive efficiency attained by adding noncognitive variables to cognitive variables in predicting clinical performance of residents. The results of this investigation indicate that a combination of cognitive and noncognitive predictor variables functions much better than any individual variable or even any specific class of variables in predicting the postgraduate clinical performance of physicians.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

An academic general medicine clinic (GMC) was studied to determine current patterns, shortcomings, and potential solutions. Retrospective medical record review of 349 randomly selected GMC patients from 1975 permitted profile generation. Only 11.5% of the patients had first visits in the study year. Almost 75% of the study group used the university hospital as their major source of care. Over two years only 58% continued in active care, while 5% died, 8% needed no further follow-up, and 29% were lost from care. The prevalence of hypertensive cardiovascular disease was disproportionately high. Patients exhibited chronic disease exclusively in 91% of return visits. The authors conclude that the GMC offers insufficient variety of patient presentations for optimal postgraduate medical education and inadequate accessibility for comprehensive medical care. Potential improvements include expanding the patient base, extending availability, and employing nonphysician clinicians.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A study of concerns of 100 middle-class mothers and fathers who had lost infants revealed that the death of an infant or fetus (through miscarriage) was viewed as devastating because of inadequate community recognition of the loss. The impact of these deaths and the lack of community support forces the parents to turn to their physicians from whom they attempt to seek counsel and comfort. Many physicians, unfortunately, are unable to meet the parent's needs because they cannot deal with death on the personal level, and/or their training militates against their accepting a shift in responsibility from “healer” to “counselor-consoler.” Thus, an impasse often is reached in which the expectations of parents exceed the service that the physician is able or willing to render. This detracts from the physician's ability to fulfill adequately his role of provider of total care.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Traditionally, nurse practitioners and physicians' assistants have been trained separately. Despite similarities in curriculum and graduate practice, there has been little or no articulation between their training programs or professional organizations. In 1977 the Family Nurse Practitioner Program at the School of Medicine, University of California, Davis, and the Primary Care Associate Program at Stanford University Medical Center merged clinical curricula. In this article the authors describe the cooperative educational venture and evaluate its first year.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A study of undergraduate medical students' abilities to identify salient information in reviewing patient charts was conducted by members of the Department of Surgery at Southern Illinois University School of Medicine. Specific goals of the two-year study were to develop and test a method for assessing chart skills and to test the following hypotheses: (a) knowledge base is a component of chart review skill; (b) chart skills are related to basic observational skills; (c) performance on one chart is positively correlated with performance on other charts; (d) chart performance is affected by distraction and time pressure; and (e) chart performance improves with clinical experience. Evaluation instruments and methodology are described. Hypotheses a, b, and e and the time effect hypothesized in d were supported; hypothesis c was not supported. Results of the study provide a foundation for further research exploring the effect of instruction on chart performance and investigating the relationships between chart performance and other measures of clinical competence.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Social, cultural, economic, psychological, and interpersonal dimensions of cancer and cancer patient management were addressed by a diverse group of faculty in an elective course conducted for a small number of students in their second, third, and fourth years of medical school. The covert, symbolic attitudes which students held toward this disease were inferred from their scores on the Beck Hopelessness Scale and the Brief Symptom Inventory (BSI) prior to and at the conclusion of the course. At the outset of the course the degree of hopelessness attributed to cancer patients by students was projected in excess of the amount cancer patients actually experience. Test results from an additional 50 medical students identified these bleak perceptions as typical of second-through fourth-year medical students. Significant attitudinal shifts, new insights into cancer patient management, and generally improved interactional skills resulted from the course.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

A continuing medical education program which linked primary care physicians to a source of needed appropriate clinical knowledge at a relatively low cost has been demonstrated. Chronic obstructive pulmonary disease was identified as the health problem; the reference patient population was comprised of coal miner health fund beneficiaries living in a 10-county region. Primary care physicians treating beneficiaries in this region were the eligible program participants. Content of the program was based on multiple sources of information about actual practice needs. Several educational techniques were used in combination to convey the knowledge identified as appropriate in the diagnostic stage. A quasi-experimental program evaluation indicated significant changes in physician knowledge, judgment, and self-reported behavior related to diagnosis and treatment of chronic obstructive pulmonary disease.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID