摘要:

Current medical school admissions criteria favor candidates with superior scientific aptitude and strong interests in scientific subjects. Four measures of this cluster were studied: Medical College Admission Test Science subtest scores, premedical grades in scientific subjects, preference for scientific subjects, and an equally weighted composite of these three. In a sample of 1,135 medical school graduates the four predictors were moderately related to academic performance in the first two years of medical school but almost completely unrelated to performance in the fourth year and to faculty ratings of general and clinical competence. The scientifically oriented graduates tended to enter specialties such as anesthesiology, pathology, and surgery, whereas graduates ranking lower on the overall index showed a slight tendency to prefer internal medicine, pediatrics, and psychiatry. Ratings and adjectival descriptions of premedical students with above average scores on the four measures revealed them to be narrower in interests, less adaptable, less articulate, and less comfortable in interpersonal relationships than their lower scoring peers.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

A study of patient records sampled from the office practices of 28 family practitioners and general surgeons in a 16-county nonmetropolitan area revealed that a sizable percentage of the diagnoses of problems encountered by family practitioners concern conditions the management of which is primarily taught on a residency service other than family practice, internal medicine, or pediatrics. Surgeons, conversely, are seeing a large percentage of patients with conditions the management of which is generally taught on a primary care residency service. Data from office records were augmented by interview responses of 32 family practitioners and general surgeons to questions about the training that family practice and general surgical residents should receive if they are to be well prepared for practice in nonmetropolitan areas.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

In most medical schools attitudinal goals are confined to special courses in the curriculum and, as such, remain isolated. Failure to attend to both psychosocial and physical factors of disease are compounded by faculty failure to integrate both principles into teaching strategies. Here a conceptual model is proposed to ensure that psychosocial factors, age, and physical illness are all considered in the planning of educational units. Examples are given of skill impairment pitfalls that, when included in a patient-management problem (PMP), allow faculty to assess potential student attitudinal bias and identify students for additional learning experiences. Further application of this model can help educators plan course work in order to narrow the present gulf between the physical and behavioral sciences.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

A problem of American citizens studying medicine abroad is reviewed along with that of foreign medical graduates who are foreign nationals, and a prototype “fifth pathway” program is briefly described. The objective of the program is the return of qualified American students who study medicine abroad to the mainstream of contemporary American medical education and the preparation of these students for further graduate education and the fulfillment of responsible roles in the delivery of health care.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

The criteria of high-quality care as determined by a sample of practicing Californian physicians were analyzed. In addition, the effects of year of graduation and specialty choice were examined relative to choice of criteria. As a group these physicians perceived the cognitive competencies of the doctor, the traditional doctor-patient relationship, and the outcome of treatment as the essential ingredients in high-quality care. They paid considerably less attention to criteria reflecting sensitivity to costs, geographic availability of care, and differences in cultural expectations regarding care. Specialty choice exerted very little influence on the selection of criteria; year of graduation from medical school was more influential. Physicians graduating in 1970–71 were more sensitive to the place of preventive medicine in ensuring quality as well as more aware of social and economic factors affecting care.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

This paper, presenting the findings from a 1975 survey of first-year medical students in the state of North Carolina, describes medical students' professional orientations by focusing on specific values and expectations which may have relevance for health care problems. The professional orientations concern four problem areas: physicians' relationships with patients, political and economic change in the medical profession, the treatment of women physicians and patients, and geographic and specialty maldistribution of physicians. The data suggest that incoming medical students are concerned with helping people but not necessarily through political means, committed to some geographic and specialty areas of patient need, choosing medicine for reasons other than economic rewards but not opposed to physicians' large income and status, and somewhat unaware of discrimination toward women physicians and patients.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Family medicine faculty members are accountable for the quality of training and the level of proficiency that residents attain. Determination of board certification and hospital privileges is dependent on technical and affective skills as well as cognitive testing. Self-evaluation and self-education behaviors will result from placing the responsibility for documentation of satisfactory performance with the resident. “Performance documentation” is defined as those parts of an evaluation system combining a cumulative record of patient care experiences with proficiency ratings indicating performance at or above the criteria specified in a program's behavioral objectives.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

An important educational objective of an obstetric-gynecologic residency program is to provide an ambulatory experience from which residents can develop attitudes and skills that will enable them to provide high-quality comprehensive care to their patients. Often traditional outpatient clinics hold second-class positions in a training program, with surgical or obstetrical procedures being more highly valued experiences. From the patients' point of view many of these clinics are uncomfortable, noisy, and unattractive; and the patients in many instances receive depersonalized, discontinuous care. There is, therefore, a pressing need to implement efficient strategies to meet the increasing community demands for outpatient services while at the same time providing an innovative and effective ambulatory experience for residents. This paper describes how in a cooperative effort between a hospital's Department of Ambulatory Services and Department of Obstetrics and Gynecology these educational objectives were successfully integrated with those of continuous and comprehensive patient care.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1978

数据来源: OVID