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An unsuccessful experience with computerized medical records in an academic medical center. 学术医疗中心计算机病历的不成功经验。
Journal of Medical Education Pub Date : 1988-08-01 DOI: 10.1097/00001888-198808000-00005
M R Dambro, B D Weiss, C L McClure, A F Vuturo
{"title":"An unsuccessful experience with computerized medical records in an academic medical center.","authors":"M R Dambro,&nbsp;B D Weiss,&nbsp;C L McClure,&nbsp;A F Vuturo","doi":"10.1097/00001888-198808000-00005","DOIUrl":"https://doi.org/10.1097/00001888-198808000-00005","url":null,"abstract":"<p><p>Computerized medical records systems are used in only a small percentage of U.S. health care facilities, despite predictions that they would be widely used. The authors here report on their experience with the Computer Stored Ambulatory Record (COSTAR), a computerized medical records system, installed at a large primary care clinic at a university medical center. Although some equipment and computer resources were provided by the medical center, ongoing operations were financed by clinic revenues. After four months, use of the system was terminated because clinic revenues could not cover operating costs. The operating costs accounted for 17 percent of the average charge for an office visit. The major component of the operating costs was personnel expenses for data entry.</p>","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 8","pages":"617-23"},"PeriodicalIF":0.0,"publicationDate":"1988-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198808000-00005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14422710","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: 47
A workshop on ethnic and cultural awareness for second-year students. 为二年级学生举办的民族和文化意识讲习班。
Journal of Medical Education Pub Date : 1988-08-01 DOI: 10.1097/00001888-198808000-00006
C Mao, C S Bullock, E C Harway, S K Khalsa
{"title":"A workshop on ethnic and cultural awareness for second-year students.","authors":"C Mao,&nbsp;C S Bullock,&nbsp;E C Harway,&nbsp;S K Khalsa","doi":"10.1097/00001888-198808000-00006","DOIUrl":"https://doi.org/10.1097/00001888-198808000-00006","url":null,"abstract":"<p><p>In 1984, 50 percent of the first-year students at the University of Southern California School of Medicine felt unprepared to handle the cultural barriers between themselves and their patients during their clinical rotations. Therefore, in 1985 a group of students developed a four-hour workshop designed to teach fellow students about ethnic and cultural issues in patient care. Since then the workshop, which uses videotaped vignettes, discussions, and role-playing exercises, has become a required part of the Introduction to Clinical Medicine course for all second-year students. Evaluation of the program in 1985 compared pretest and posttest questionnaires. The participants showed improvement in understanding several specific issues discussed during the workshop, but overall no significant differences were found. In 1986 and 1987, evaluations were based upon the students' attitudes about content, format effectiveness, and subject matter. They consistently responded favorably in all these areas.</p>","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 8","pages":"624-8"},"PeriodicalIF":0.0,"publicationDate":"1988-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198808000-00006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14524186","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: 27
Instruction in research-related topics in U.S. and Canadian medical schools. 美国和加拿大医学院的研究相关主题教学。
Journal of Medical Education Pub Date : 1988-08-01 DOI: 10.1097/00001888-198808000-00001
J R Springer, L J Baer
{"title":"Instruction in research-related topics in U.S. and Canadian medical schools.","authors":"J R Springer,&nbsp;L J Baer","doi":"10.1097/00001888-198808000-00001","DOIUrl":"https://doi.org/10.1097/00001888-198808000-00001","url":null,"abstract":"<p><p>The authors conducted a study to collect information on the teaching of research-related topics at medical schools. A questionnaire was developed and mailed to appropriate administrators of all accredited United States, Canadian, and Puerto Rican medical schools that asked for information on courses offered in epidemiology, statistics, evaluation of medical literature, and research design. Ninety-seven percent of the medical schools responded to the questionnaire. All but one of the 139 respondents reported offering formal instruction in at least one of the four topics; epidemiology and statistics were offered by 98 percent and 96 percent, respectively, of the responding schools. Training in evaluating medical literature was required by slightly less than half of the responding schools, and research methodology was required by one-third. Future studies should evaluate the effectiveness of such courses.</p>","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 8","pages":"591-5"},"PeriodicalIF":0.0,"publicationDate":"1988-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198808000-00001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14521830","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: 11
Use of resident applicant feedback to improve a residency program's matching of highly ranked applicants. 利用居民申请人的反馈来改善居住计划对高排名申请人的匹配。
Journal of Medical Education Pub Date : 1988-08-01 DOI: 10.1097/00001888-198808000-00012
T M Julian, B Bornsztein
{"title":"Use of resident applicant feedback to improve a residency program's matching of highly ranked applicants.","authors":"T M Julian,&nbsp;B Bornsztein","doi":"10.1097/00001888-198808000-00012","DOIUrl":"https://doi.org/10.1097/00001888-198808000-00012","url":null,"abstract":"","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 8","pages":"650-2"},"PeriodicalIF":0.0,"publicationDate":"1988-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198808000-00012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14524191","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: 1
Teaching residents how to teach. 教住院医生如何教书。
Journal of Medical Education Pub Date : 1988-08-01 DOI: 10.1097/00001888-198808000-00016
D G Kassebaum
{"title":"Teaching residents how to teach.","authors":"D G Kassebaum","doi":"10.1097/00001888-198808000-00016","DOIUrl":"https://doi.org/10.1097/00001888-198808000-00016","url":null,"abstract":"","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 8","pages":"660"},"PeriodicalIF":0.0,"publicationDate":"1988-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198808000-00016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14524195","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: 11
Graduating medical students' ratings of stresses, pleasures, and coping strategies. 即将毕业的医学院学生对压力、快乐和应对策略的评分。
Journal of Medical Education Pub Date : 1988-08-01 DOI: 10.1097/00001888-198808000-00008
T M Wolf, J M Faucett, H M Randall, P M Balson
{"title":"Graduating medical students' ratings of stresses, pleasures, and coping strategies.","authors":"T M Wolf,&nbsp;J M Faucett,&nbsp;H M Randall,&nbsp;P M Balson","doi":"10.1097/00001888-198808000-00008","DOIUrl":"https://doi.org/10.1097/00001888-198808000-00008","url":null,"abstract":"<p><p>The authors' objective in the study reported here was to gather data on the stress and coping of medical students in order to design a health promotion and wellness program. A retrospective questionnaire was completed by 71 of 157 graduating seniors. Examinations, classwork, and financial responsibilities were considered the three most stressful aspects of medical education. The most uplifting items (that is, pleasant, happy, or satisfying experiences) were recreation and social interaction, although good examination performance was rated second highest. Planful problem-solving (that is, deliberate problem-focused efforts to alter a situation) was the most frequently used form of coping, although four of the eight forms of coping assessed were used at least moderately often and all eight were used to some extent.</p>","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 8","pages":"636-42"},"PeriodicalIF":0.0,"publicationDate":"1988-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198808000-00008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14524188","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: 101
Description and preliminary evaluation of an orientation module to teach general internal medicine. 普通内科教学定向模块的描述与初步评价。
Journal of Medical Education Pub Date : 1988-08-01 DOI: 10.1097/00001888-198808000-00010
J T Brown, M Linzer
{"title":"Description and preliminary evaluation of an orientation module to teach general internal medicine.","authors":"J T Brown,&nbsp;M Linzer","doi":"10.1097/00001888-198808000-00010","DOIUrl":"https://doi.org/10.1097/00001888-198808000-00010","url":null,"abstract":"","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 8","pages":"645-7"},"PeriodicalIF":0.0,"publicationDate":"1988-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198808000-00010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14524189","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: 2
Board certification rates of majority and minority graduates of seven California medical schools. 加州七所医学院多数和少数族裔毕业生的委员会认证率。
Journal of Medical Education Pub Date : 1988-08-01 DOI: 10.1097/00001888-198808000-00014
R C Davidson, J Fox-Garcia
{"title":"Board certification rates of majority and minority graduates of seven California medical schools.","authors":"R C Davidson,&nbsp;J Fox-Garcia","doi":"10.1097/00001888-198808000-00014","DOIUrl":"https://doi.org/10.1097/00001888-198808000-00014","url":null,"abstract":"","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 8","pages":"655-7"},"PeriodicalIF":0.0,"publicationDate":"1988-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198808000-00014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14524193","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: 1
A program using medical students to teach high school students about AIDS. 这是一个利用医学院学生向高中生传授艾滋病知识的项目。
Journal of Medical Education Pub Date : 1988-07-01 DOI: 10.1097/00001888-198807000-00003
J A Johnson, J F Sellew, A E Campbell, E G Haskell, A A Gay, B J Bell
{"title":"A program using medical students to teach high school students about AIDS.","authors":"J A Johnson,&nbsp;J F Sellew,&nbsp;A E Campbell,&nbsp;E G Haskell,&nbsp;A A Gay,&nbsp;B J Bell","doi":"10.1097/00001888-198807000-00003","DOIUrl":"https://doi.org/10.1097/00001888-198807000-00003","url":null,"abstract":"<p><p>In the spring of 1987, 20 medical students from the Eastern Virginia Medical School of the Medical College of Hampton Roads were involved in a pilot program to teach about the acquired immune deficiency syndrome (AIDS) to high school senior students in Norfolk, Virginia. The medical students received instruction about AIDS from basic science and clinical faculty members at the medical school in preparation for the project. All participating high school seniors completed a 15-item knowledge test about AIDS prior to the intervention and an equivalent posttest one week after the program was completed. T-test analysis revealed a significant increase in knowledge by students at all five high schools. Responses to 10 subjective posttest questions indicated that the high school students were interested in learning about AIDS and having medical students as their teachers. This program provides an example of how medical institutions can develop a collaborative community education project that contributes to the education of medical students.</p>","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 7","pages":"522-30"},"PeriodicalIF":0.0,"publicationDate":"1988-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198807000-00003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14511156","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: 22
An elective course for first-year students based on the New England Journal of Medicine. 一年级学生选修课程，以新英格兰医学杂志为基础。
Journal of Medical Education Pub Date : 1988-07-01 DOI: 10.1097/00001888-198807000-00008
O W Griffith, M E Goss, K Tardiff, E J Cassell, J D Pardee, A M Weinstein
{"title":"An elective course for first-year students based on the New England Journal of Medicine.","authors":"O W Griffith,&nbsp;M E Goss,&nbsp;K Tardiff,&nbsp;E J Cassell,&nbsp;J D Pardee,&nbsp;A M Weinstein","doi":"10.1097/00001888-198807000-00008","DOIUrl":"https://doi.org/10.1097/00001888-198807000-00008","url":null,"abstract":"","PeriodicalId":31052,"journal":{"name":"Journal of Medical Education","volume":"63 7","pages":"559-61"},"PeriodicalIF":0.0,"publicationDate":"1988-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198807000-00008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14511088","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: 2
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