Journal of Medical Education最新文献_第6页

Correlates of burnout among family practice residents. 家庭执业住院医师职业倦怠的相关因素。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00003

J P Lemkau, R R Purdy, J P Rafferty, J R Rudisill

{"title":"Correlates of burnout among family practice residents.","authors":"J P Lemkau, R R Purdy, J P Rafferty, J R Rudisill","doi":"10.1097/00001888-198809000-00003","DOIUrl":"https://doi.org/10.1097/00001888-198809000-00003","url":null,"abstract":"Burnout among 67 residents in four family practice training programs was explored. The residents' scores on the emotional exhaustion, depersonalization, and lack of accomplishment subscales of the Maslach Burnout Inventory were used to assess burnout. These scores were examined in relation to situational and background measures, two personality instruments (the Millon Clinical Multiaxial Inventory and the Myers-Briggs Type Indicator), and to regrets about career decisions. Few significant relationships were found between the background and situational factors and the burnout scores, but numerous relationships were found among personality measures, burnout scores, and measures of regret. The pattern of these relationships indicates the importance of interpersonal comfort and skills in mitigating burnout. Although personality factors were more predictive than demographic and situational variables of the variability in burnout among residents in the sample, the variables shared across the sample--long hours, little time for leisure activities and social contact, and compulsive personality characteristics--may contribute to the moderate level of burnout shared by these residents.","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 9","pages":"682-91"},"PeriodicalIF":0.0,"publicationDate":"1988-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198809000-00003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14545122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 105

A controlled experiment with a medical student honor system. 一个医学院学生荣誉制度的对照实验。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00006

F S Sierles, B D Kushner, P B Krause

引用次数: 22

Rural applicants. 农村的申请者。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00015

H K Rabinowitz

引用次数: 1

A health promotion program for medical students. 医学院学生健康促进计划。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00009

G R Parkerson, H J Eisenson, K A Munning, J L Michener, M J Helms

引用次数: 19

A survey of AIDS patients regarding their experiences with physicians. 关于艾滋病患者就医经历的调查。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00011

R O Valdiserri, G M Tama, M Ho

引用次数: 9

Home care services as teaching sites for geriatrics in family medicine residencies. 居家照护服务作为家庭医学住院医师老年病学教学场所。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00001

E Laguillo

{"title":"Home care services as teaching sites for geriatrics in family medicine residencies.","authors":"E Laguillo","doi":"10.1097/00001888-198809000-00001","DOIUrl":"https://doi.org/10.1097/00001888-198809000-00001","url":null,"abstract":"Evaluating the physical and psychological constitution of elderly patients and their social and cultural environments requires skills that should be taught to all physicians in training. A survey was conducted among all accredited U.S. residency programs in family medicine to examine training in geriatrics. The teaching sites most commonly used by the responding programs were the family practice center (used by 96.4 percent), nursing home (81.9 percent), family medicine inpatient ward (62.4 percent), and home care service (HCS) (48.2 percent). The professional most frequently in contact with the resident during training at an HCS was the attending physician. Longitudinal rotations (that is, long-term rotations involving part of each week for months or years) in geriatrics were used more often than block rotations. The HCS rotations ranked highest in residents' evaluations were those in which the resident followed patients long-term and discussed problems and management with a multidisciplinary team. A combined rotation involving a family practice center, a family medicine inpatient ward, and a home care service is discussed as an alternative method of teaching geriatrics in family medicine.","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 9","pages":"667-74"},"PeriodicalIF":0.0,"publicationDate":"1988-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198809000-00001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14542470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Residents' perceptions of the effects of a practice plan on their training. 实习医生对实习计划对其培训的影响的看法。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00004

D C Anderson, I B Harris, A L Schultz

{"title":"Residents' perceptions of the effects of a practice plan on their training.","authors":"D C Anderson, I B Harris, A L Schultz","doi":"10.1097/00001888-198809000-00004","DOIUrl":"https://doi.org/10.1097/00001888-198809000-00004","url":null,"abstract":"Residents were surveyed about the characteristics and quality of their education before and twice after a new practice plan for faculty members was implemented at a county medical center. The residents assessed the impact of the practice plan on their training programs. Compared with the ratings before the plan began (1984), the responses one and two years (1985 and 1986) after institution of the plan were significantly more positive on three of nine characteristics: quality of staff, quality of supervision, and heterogeneity of patients. Contrary to concerns expressed by faculty members and residents prior to the plan, the 1985 and 1986 residents did not identify significant decline in the level of their patient care responsibility and opportunities for independent decision-making. One-third of the residents in 1985 and 1986, however, commented (usually negatively) about increased time required for attending rounds due to involvement of faculty members in ward care and documentation activities. These results suggest that changes in faculty organization to increase patient care reimbursement are not necessarily incompatible with maintaining and even improving graduate education.","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 9","pages":"692-8"},"PeriodicalIF":0.0,"publicationDate":"1988-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198809000-00004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14545123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A year-long clerkship in ambulatory care. 在门诊做了一年的见习。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00005

T J Ruane

引用次数: 7

An assessment instrument to measure physicians' knowledge of diabetes management. 一种测量医师糖尿病管理知识的评估工具。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00002

K S Flavin, J R Gavin

{"title":"An assessment instrument to measure physicians' knowledge of diabetes management.","authors":"K S Flavin, J R Gavin","doi":"10.1097/00001888-198809000-00002","DOIUrl":"https://doi.org/10.1097/00001888-198809000-00002","url":null,"abstract":"A 57-item multiple choice test to assess physicians' knowledge of current approaches to diabetes management was devised by a multidisciplinary team that developed the test's case studies and questions. This test was revised based on critiques by diabetologists and other specialists at the Washington University Medical Center and its Diabetes Research and Training Center. A pilot test of the instrument was conducted with 95 residents from five accredited residency training programs and 17 medical students, and the results demonstrated consistent gaps in the respondents' knowledge in several major categories of diabetes management. The test was validated by administering it to 20 endocrinologists with known diabetes expertise and 16 nonspecialist family practice and internal medicine physicians. Analysis of these results revealed significant differences in test performance between the nonspecialists and experts. This initial body of data was used to refine the instrument further to the 56-item test presently being administered nationwide by the diabetes center to groups of family practice and internal medicine physicians and to residents and medical students.","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 9","pages":"675-81"},"PeriodicalIF":0.0,"publicationDate":"1988-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198809000-00002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14542471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Use of and alternatives to animals in laboratory courses at U.S. medical schools. 在美国医学院的实验课程中动物的使用和替代品。

Journal of Medical Education Pub Date : 1988-09-01 DOI: 10.1097/00001888-198809000-00008

N D Barnard, J Stolz, L Baron

引用次数: 15