摘要:

Changes in the method of financing health care in the United States in order to gain better control over escalating costs are receiving considerable attention. If major changes are made in the system, the nation's teaching hospitals are particularly vulnerable and must be given special consideration. The attributes of teaching hospitals and the special role which they play in the health care delivery system are delineated. Since responsiveness to system changes by teaching hospitals is key to their survival, several short-term and long-term strategies are identified. Teaching hospitals will need to be as innovative in their management and organizational approaches as they are clinically.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

In the study reported here, the authors, using data from two American Medical Association surveys, examine the impact of board certification on selected physician practice characteristics. The results indicate that board certification is more prevalent for certain specialties, ages, types of practice, and locations of practice. Board certification has a substantial impact on the gross income of most major specialties, but these differences decline significantly for net incomes. Finally, comparisons of the hours worked per week and weeks worked per year show only small differences between board-certified and nonboard-certified physicians.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

A survey of all U.S. and Canadian medical schools was undertaken to assess the current extent and nature of instruction in dental topics for medical students. The perceived importance of including such instruction in the undergraduate medical curriculum was ascertained, and barriers to teaching dental topics to medical students were identified.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Although self-evaluation is crucial in the practice of medicine, few educators have formally introduced self-assessment into the undergraduate medical curriculum. However, students in the baccalaureate-M.D. degree program at the University of Missouri, Kansas City, must complete a self-evaluation at the close of every medical school course and rotation during the last four years of a six-year curriculum. In this paper, the authors examine the self-ratings of 211 of these students as they progressed through the program in order to discover trends in and correlates of the self-assessments. Although the students' self-evaluations and faculty members' ratings of these students' performances rose year by year, the relationship between the students' and the faculty's ratings decreased through time. Yet, results suggest that self-evaluation has educational merit as a measure of noncognitive abilities associated with clinical performance and as a stimulus to further learning and professional development.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Seventy-two medical students were studied regarding the predictive value of a number of evaluation procedures as they rotated through the Department of Medicine during their four-year undergraduate medical program at Queen's University in Kingston, Ontario, Canada. Scores obtained in two subjective evaluation procedures--one compiled at the completion of the second-year clinical skills course and the other at the end of the fourth-year clerkship--were compared with each other and with scores obtained on an objective structured clinical examination, two multiple-choice examinations, and two oral examinations. Even in this fairly homogeneous group of teachers and students, correlation between the different evaluation procedures was absent or slight.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The results of a survey of 182 graduates from the University of South Dakota School of Medicine between 1969 and 1973 are reported and discussed. The study was designed to determine which factors are predictive of practice location. Individual factors found to be related significantly to physician location were size of community where the physician grew up, size of community where the physician's spouse was raised, size of the physician's high school graduating class, number of contacts with other physicians, importance to the physician of continuing medical education opportunities, importance to the physician of professional growth opportunities, and importance of the availability of medical facilities. In addition, a multiple regression procedure was used to determine the viability of a number of independent variables in predicting physician location. From a total of 29 independent variables obtained from the survey instrument, nine factors were found to contribute significantly to the overall prediction of practice location.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The challenge to train medical students in cost awareness regarding medical care led to a program at the Oregon Health Sciences University that integrates concern for costs with medical ethics. Cost awareness is a perspective that balances the physician's ethical obligations toward individual patients with their duties toward society whose pooled resources pay for medical services. The program integrates the subject of cost awareness into major required courses spanning the four-year curriculum. First-year students see costs in the context of an overview of social aspects of medical care. For second-year students, cost awareness is incorporated into training in basic clinical skills. Third- and fourth-year students are shown the bill for one of their patients and analyze their ward experiences from the perspective of resource utilization. Junior and senior students examine the impact of the legal system and professional ethics on health care costs. Elective course work on cost awareness is also 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

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1985

数据来源: OVID