摘要:

Responses of 423 freshmen and 410 seniors at Jefferson Medical College in 1980–81 and 1982–83 to 15 questions on economic aspects of the health care system were compared. A majority of the students considered the cost of medical care, the cost of medical education, malpractice claims, and the failure of individuals to assume responsibility for their health to be major problems. A majority of the seniors also considered excessive government influence on the financing of medical care a major problem. More freshmen than seniors favored national health insurance and health maintenance organizations. More seniors than freshmen supported the professional standards review organization concept and action to discourage increases in the supply of physicians. Concern about the number of physicians entering the profession increased among seniors between 1981 and 1983. The data suggest that at graduation the students were more concerned about the position of physicians but might not be more informed about important aspects of the functioning of the health care system than they were at entry.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

From 1971 to 1983, a number of administrative decisions were made at the University of Oklahoma College of Medicine regarding the National Board of Medical Examiners (NBME) Part I examination. Students' performance on this examination was found to be associated with administrative decisions that required (a) a passing score for promotion, (b) the student to take the examination, and (c) the student to take an integrated basic sciences review course. A modest improvement in student performance was noted when passage of the examination was made mandatory. The introduction of a review course into the curriculum effected a major upward change in scores that has persisted despite the removal of all requirements to pass, or even take, the Part I NBME examination.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

In a study of 131 residents, 34 faculty members, and 236 graduates at nine family practice residency programs in Iowa, 29 office and outpatient procedural skills (for example, repair of lacerations) were identified as representing the ideal core content for family practice residency training, and another 11 procedures (for example, endometrial biopsy) were identified as elective procedures. The faculty members' responses that residents were taught these 40 procedures by direct supervision were much higher than third-year residents' reports of having been supervised while performing them. There was a positive relationship between the percentage of residents who reported having been supervised and the percentage who felt competent to perform the procedures. There was strong agreement among faculty members, residency graduates, and the residents that residents should be evaluated by direct observation of their performance of both core and noncore procedures. Therefore, the view that evaluation by direct observation would be resisted by residents is not supported by this study. As a result of these findings, the authors encourage programs to establish processes for assessing and documenting residents' performances of office and outpatient procedures.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

A cybernetic control program aimed at reducing inappropriate days of hospital stay for patients was implemented for all Medicare admissions at hospitals in four counties in Western Maryland. The findings of a study of the program are reported here. The objective of the study was to determine the relationship of the volume of the physician's hospitalized patients on both the existing levels of inappropriate hospital utilization and the physician's response to the cybernetic system. The findings indicated that: (a) existing levels of inappropriate hospital use generally increased with higher patient volume, (b) physicians with a low volume of hospitalized patients were less likely to decrease their inappropriate use of hospitals as a result of feedback than physicians with medium or high volumes of admitted patients, and (c) at all volume levels, the average decrease in inappropriate days was larger than the average increase in inappropriate days.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The clinical facilities of many American medical schools are geographically separate from the main campuses of their parent universities. Traditionally, medical schools and teaching hospitals have made little effort to attract university faculty and staff members as patients. Academic medical centers have tried various strategies to maintain, expand, and broaden the patient population necessary for medical education, clinical research, and fiscal solvency. The University of California, San Diego, School of Medicine has established a campus-based ambulatory clinic to encourage university faculty and staff members to seek care from medical school physicians and to use its teaching hospital several miles away. This approach may be applicable to other institutions where the hospital and the major university campus are located at different sites.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Multiple-choice examinations were given three times each year in a pediatric residency training program. The test scores correlated highly with subsequent scores on the intraining examination of the American Board of Pediatrics. The results were replicated and cross-validated in another study the following year. Use of the local tests and the board examination to evaluate the residents makes it possible to provide continual feedback to the residents regarding the adequacy of their performance and feedback to faculty members regarding the effectiveness of the program. Local test scores can be used to predict the residents' standing on the national examination, and they provide a sound basis for counseling individual residents and for improving specific components of the training program.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The Clinical Oncology Assistantship Program has been offered to approximately 16 sophomore medical students each year at the University of Arkansas for Medical Sciences since 1975. This is an elective, 10-week program given during the summer recess. In the first week of the program, core lectures are given by a multidisciplinary team of cancer educators affiliated with the University of Arkansas. Following this, students spend nine weeks rotating through medical, surgical, and pediatric oncology services of the University of Arkansas for Medical Sciences. In addition, they spend several hours during the program participating in self-directed learning activities at the university's Cancer Teaching Center. The program has been well received by the students, and each year all of the available positions have been filled. Responses on a follow-up questionnaire sent in July 1983 to past participants showed that they continued to rate the program highly. Moreover, 78 percent of the respondents felt the program had influenced positively their attitude toward cancer patients.

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