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A model to evaluate whether a community can support a physician. 一个评估一个社区是否能够支持医生的模型。
Pub Date : 1988-07-01 DOI: 10.1097/00001888-198807000-00002
G A Doeksen, D A Miller, E Howe

A major concern to the rural citizens of the United States is the availability of health care in their community. Community leaders and physicians considering locating in rural communities need a method by which they can evaluate a community's potential for supporting a physician. A detailed survey was conducted in 1986 of 25 physicians' practices in rural Oklahoma. Data were collected from the physicians on their number of patient visits and practice costs in 1985. Using this information, the authors designed a model to project the economic feasibility of establishing a physician practice in a specific community. This model can be used to project the number of physician visits a community can generate, the costs to establish and maintain a clinic, and the gross and net income of the practice.

美国农村居民关心的一个主要问题是他们所在社区能否获得医疗保健。考虑在农村社区工作的社区领导人和医生需要一种方法来评估一个社区支持医生的潜力。1986年对俄克拉何马州农村地区的25名医生进行了详细的调查。从医生那里收集了1985年患者就诊次数和执业费用的数据。利用这些信息,作者设计了一个模型来预测在特定社区建立医生实践的经济可行性。这个模型可以用来预测一个社区可以产生的医生访问量,建立和维持诊所的成本,以及实践的毛收入和净收入。
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引用次数: 4
The medical profession's duty to HIV-infected persons. 医务人员对艾滋病毒感染者的责任。
Pub Date : 1988-07-01 DOI: 10.1097/00001888-198807000-00014
S H Miles
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引用次数: 0
Comparison of graduates of regular curriculum and unified basic-science-clinical curriculum. 普通课程与统一基础-临床课程毕业生的比较。
Pub Date : 1988-07-01 DOI: 10.1097/00001888-198807000-00001
A Barbato, R Frazier, R Leischner, L Gunzburger, T Loesch, L M Yang

The purpose of the study reported here was to identify differences between graduates who were in different curricula at Loyola University of Chicago Stritch School of Medicine. The physicians who had been in the special track, which combined the basic and clinical sciences throughout the program, chose specialties in family practice and psychiatry more than the regular track students and more often were salaried. One-third of those in the special curriculum felt the greatest strength of their medical school training was the preparation for independent learning, and a majority viewed a practice in which there were uncertainties in diagnosis as desirable. The traditional program graduate preferred to deal with cases in which important decisions had to be made rapidly and the effects of treatment could be immediately addressed. The two groups disagreed as to who should have major control of health care, on issues of peer review in the office, and on the emphasis physicians should give preventive care.

本研究报告的目的是为了确定在芝加哥医学院洛约拉大学不同课程的毕业生之间的差异。在整个项目中结合了基础科学和临床科学的特殊课程上学习的医生,比普通课程的学生更多地选择了家庭实践和精神病学专业,而且往往是带薪的。参加特殊课程的学生中,有三分之一的人认为,他们在医学院接受培训的最大优势是为独立学习做准备,大多数人认为,在诊断中存在不确定性的做法是可取的。传统项目的毕业生更喜欢处理那些必须迅速做出重要决定和治疗效果可以立即解决的病例。在谁应该主要控制医疗保健、办公室的同行评议问题以及医生应该重视预防保健等问题上,两组人存在分歧。
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引用次数: 8
A radiology elective for internal medicine residents. 为内科住院医师开设的放射学选修课。
Pub Date : 1988-07-01 DOI: 10.1097/00001888-198807000-00013
L J Bingley, J Messaros, J L Anderson
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引用次数: 2
Combined B.S.-M.D. programs. 理学士-医学博士联合项目。
Pub Date : 1988-07-01 DOI: 10.1097/00001888-198807000-00015
J R Boex
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引用次数: 0
An all-elective senior year as viewed by physicians 20 years after graduation. 毕业二十年后医生们所认为的全选修课。
Pub Date : 1988-06-01 DOI: 10.1097/00001888-198806000-00011
J Q Miller, P E Weary
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引用次数: 0
Faculty development: a continuing process. 教师发展:一个持续的过程。
Pub Date : 1988-06-01
G W Bates
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引用次数: 0
Research participation. 研究参与。
Pub Date : 1988-06-01 DOI: 10.1097/00001888-198806000-00020
P B Zeldow, S Kleinerman
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引用次数: 0
Increasing correspondence between test items and objectives as part of a physician assistant curriculum evaluation. 作为医师助理课程评估的一部分,增加测试项目和目标之间的对应关系。
Pub Date : 1988-06-01 DOI: 10.1097/00001888-198806000-00016
S H Stumpf, W G Kent
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引用次数: 1
A management skills workshop for chief residents. 总住院医师管理技能讲习班。
Pub Date : 1988-06-01 DOI: 10.1097/00001888-198806000-00003
N Whitman

A needs assessment was used to plan a national workshop on management skills for chief residents. Of replies from 1,256 residency programs, 50 percent of the respondents reported a high likelihood of attending such a workshop. The three skills that the respondents considered should be given high priority in such a workshop were giving feedback, delegating duties, and building teamwork. Based on these responses, the author designed and conducted a two-day workshop in June 1987 that was attended by 180 chief residents from 138 programs in 21 specialties from 36 states. Each skill was taught by presenting a lecture and a small-group exercise to apply the skill; these small groups were led by trained faculty members. The participants rated the workshop as 4.21 (on a 5-point scale in which 5 = very helpful). The workshop will be offered annually.

一项需求评估被用来规划一个关于总住院医师管理技能的全国讲习班。在1256个住院医师项目的回复中,50%的受访者表示很有可能参加这样的研讨会。受访者认为在这样的研讨会中应该给予高度优先的三种技能是给予反馈、委派职责和建立团队合作。基于这些反馈,作者于1987年6月设计并举办了为期两天的研讨会,来自36个州21个专业138个项目的180名总住院医师参加了该研讨会。每种技能都是通过演讲和小组练习来教授的;这些小组由训练有素的教员领导。参与者对研讨会的评价为4.21分(满分为5分,5分代表非常有帮助)。研讨会将每年举办一次。
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引用次数: 12
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Journal of Medical Education
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