摘要:

In this paper, the author first deals briefly with the general interrelationship of market forces, government regulation, and professional responsibility. He then reviews the Federal Trace Commission's ongoing program involving competition in the health care field. Finally, he attempts to cover some prevalent concerns and what he believes are some misconceptions in the medical community about the commission's involvement in the health area.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Approximately two-thirds of all U.S. and Canadian medical schools have provisions for the evaluation of their departments on a periodic or ad hoc basis. Most of these institutions have initiated the departmental review process since 1970. It appears that use of the practice is increasing and is becoming an important tool in providing guidance for departmental activities, programs, and leadership. Departmental review may be conducted in a variety of ways with varying levels of intensity, flexibility, and skill, depending on the environment, resources, dean, department chairmen, faculty, and attitudes of university administrators. Departmental review may be employed to identify, elaborate, document, and/or contribute to the resolution of current and potential organizational concerns. When carefully administered, the process can be a stabilizing rather than a disruptive force; however, by itself, it does not solve major institutional problems.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The Institutional Review Board (IRB) at the University of Texas Health Science Center at San Antonio is charged with the responsibility of review of all protocols involving human subjects in research. A large medical institution has many clinical protocols requiring review. The review of hundreds of protocols per year requires much time from the IRB staff, the committees which review the protocols, and the investigators who prepare them. This cost is borne by the institution. Additional federal regulations add to the complexity of review and require additional time on the part of all concerned. An attempt has been made to document the costs of operation of the IRB in a single group of institutions. About 850 new or renewal applications are reviewed each year for $100,000 or about $100 per application. This is a sizable financial burden to be placed on the average medical school. Legislation is now proposed to support IRB activities by direct grants from the federal government.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Illinois is one of 11 states to develop area health education center (AHEC) projects as recommended by the Carnegie Commission on Higher Education and funded by the federal government. The experience of the University of Illinois Medical Center with its project suggests the evolution of a regional health education center concept in which AHEC functions are undertaken within the context of regional schools of medicine. A conceptual model is presented here which relates to regionalized health professions education, with medical education as the locus for its development.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

For this study of attitudes surrounding premedical education, the authors examined the consequences of competitive pressure for admission to medical school. Responses of premedical and other students were compared on a number of topics including: self-descriptions, premedical stereotypes, occupational values, attitudes toward various occupations, and perceptions of college pressures. Differences are reported for premedical subgroups, including science and nonscience majors, men and women, and minority group members and others.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Although the role of general practice is well established in the United Kingdom's National Health Service, formal postgraduate training for primary care practice is a recent development. Trainees may enter three-year programs of coordinated inpatient and outpatient training or may select a series of independent posts. Programs have been developed to train general practitioners as teachers, and innovative courses have been established. Nevertheless, there is a curious emphasis on inpatient experiences, especially since British general practitioners seldom treat patients in the hospital. In their outpatient experiences trainees are provided with little variety in their instructors, practice settings, and medical problems. The demands on this already strained system will soon be increased due to recent legislation requiring postgraduate training for all new general practitioners. With a better understanding of training for primary care in the National Health Service, those planning American primary care training may avoid the problems and incorporate the attributes of British training for general practice.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Described in this paper is an evaluation of the impact of a course in family and community health care on health associate students in the Johns Hopkins University. A simple before-after design was used. Students were observed interviewing an actor (simulated patient) and rated on their ability to obtain information about the “patient's” family situation. Results showed a significant increase in family orientation from pretest to posttest. The positive changes seemed to occur in the areas of family structure and family events, with no significant change being observed in the area of family dynamics. The investigator concluded that a clinical course can increase the family orientation of health associate students as evidenced in their clinical (history-taking) behavior.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

In this paper, the authors describe a popular elective clerkship in family practice a Community Hospital, Santa Rosa, California. The key element in the clerkship for the past six years has been the student's General Medical Clinic. Here, under the supervision of a family physician teacher, senior medical students care for patients with a wide variety of problems. The students work as a team with family nurse practitioners. The clinic has succeeded in offering patients an alternative to the emergency room and an entrance to the hospital's Model Family Practice Center. The students give the clerkship a very high rating as an educational experience. It has also been viable economically.

ISSN:0022-2577    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

In an earlier study medical students were found to view psychiatry with considerable anxiety partly because of an underlying fear of contact with psychiatrists and mentally ill patients. After supervising medical students for several years, the present authors found that the students' reactions to psychiatric patients may include, besides fear, a variety of behaviors which seem to reflect a process of identification with the patient. In this paper they describe various patterns of this process and their effects upon student-patient interaction.

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