{"title":"From the President","authors":"R. Petersdorf","doi":"10.1080/14434318.2015.1048557","DOIUrl":"https://doi.org/10.1080/14434318.2015.1048557","url":null,"abstract":"","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"65 1","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14434318.2015.1048557","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60446188","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}
{"title":"A Methodological Framework for the Design of Research on the Evaluation of Residents","authors":"D. Risucci, A. Tortolani","doi":"10.1097/00001888-199001000-00017","DOIUrl":"https://doi.org/10.1097/00001888-199001000-00017","url":null,"abstract":"Abstract This paper describes a construct validation framework for research on the selection and evaluation of residents. The application of the proposed methodology to surgery residents is described. The need to measure non‐cognitive and neuropsychological factors in addition to cognitive knowledge and technical ability is emphasized, and a research strategy that integrates theory formulation, internal validation, and external validation is presented. In this context, residents' competence is viewed as a multivariate construct that requires validation through longitudinal empirical studies and the use of multivariate statistical approaches. Acad. Med. 65(1990):36–41.","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"65 1","pages":"36–41"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-199001000-00017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61713076","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}
{"title":"First Year's Experience of the MAClinical Computer Workstations Project","authors":"T. Stair, M. Corn, N. Broering","doi":"10.1097/00001888-199001000-00006","DOIUrl":"https://doi.org/10.1097/00001888-199001000-00006","url":null,"abstract":"We have an installed base of MAClinical workstations available on hospital wards, which have been used for patient care, education, and research 24 hours a day for the past year. We began with eight machines in the hospital but now have distributed ten more machines to faculty. We have recently increased the programming staff so we can develop more software. The machines and their installation were costly, but have already proven useful for teaching and patient care. Plans for the second and third years of the MAClinical project include workstations for the faculty coordinators of clinical clerkships and expansion of workstations to affiliated hospitals where our students and residents rotate. Software will be expanded to include patient simulations and expert consultations. Medical practice, research, and teaching in the future will need to make more use of information technology. It is not yet clear exactly how and where computers will best serve clinical medicine, but the teaching hospital can be both a laboratory for developing applications and a school for training physicians to use them.","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"65 1","pages":"20–22"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-199001000-00006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61712382","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}
{"title":"The National Health Service Corps in the 1990s","authors":"D. Weaver","doi":"10.1097/00001888-199004000-00009","DOIUrl":"https://doi.org/10.1097/00001888-199004000-00009","url":null,"abstract":"","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-199004000-00009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61712958","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}
{"title":"Academic Computing in Medicine","authors":"R. Rubeck","doi":"10.1097/00001888-199001000-00005","DOIUrl":"https://doi.org/10.1097/00001888-199001000-00005","url":null,"abstract":"","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"65 1","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-199001000-00005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61712305","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}
{"title":"Humanism in Medical Education: A Study of Educational Needs Perceived by Trainees of Three Canadian Schools","authors":"B. Maheux, P. Delorme, F. Béland, Jean Beaudry","doi":"10.1097/00001888-199001000-00018","DOIUrl":"https://doi.org/10.1097/00001888-199001000-00018","url":null,"abstract":"Abstract The authors examined how medical trainees and recent graduates of three Quebec medical schools value 16 dimensions of medical competence classified in four broad categories: clinical, technological, humanistic, and social and preventive. To assess perceived educational needs, the trainees' perceptions of the importance that medical faculties attribute to these same dimensions in the education of physicians were also examined. The survey was conducted in 1986–87 via a questionnaire mailed to 2,030 individuals, including freshmen, juniors, interns, residents, and newly practicing generalists; 80.3% responded. Compared with the views attributed to the faculty, the medical trainees gave more importance to basic diagnostic and therapeutic skills such as the medical history, the physical examination, and the treatment of common diseases. They also valued to a greater extent non‐biological dimensions of clinical competence, such as communication with patients, patient education, the social context of disease, and the multidisciplinary nature of patient care, while they ascribed less importance to medical technology and rare diseases. The study raises the question of the relevance of medical education to medical practice by suggesting that those who are preparing them‐selves to become doctors may not be receiving the training they wish to receive. Acad. Med. 65(1990):41–45.","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"65 1","pages":"41–45"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-199001000-00018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61712692","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}
{"title":"Evaluation by Second‐Year Medical Students of Their Computer‐Aided Instruction","authors":"G. Xakellis, C. Gjerde","doi":"10.1097/00001888-199001000-00007","DOIUrl":"https://doi.org/10.1097/00001888-199001000-00007","url":null,"abstract":"","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"65 1","pages":"23–26"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-199001000-00007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61712565","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}
M. Barer, A. Kazanjian, N. Pagliccia, J. Ruedy, W. Webber
{"title":"A Profile of Academic Physicians in British Columbia","authors":"M. Barer, A. Kazanjian, N. Pagliccia, J. Ruedy, W. Webber","doi":"10.1097/00001888-198909000-00018","DOIUrl":"https://doi.org/10.1097/00001888-198909000-00018","url":null,"abstract":"Abstract —To determine the extent of involvement of British Columbia's physician community in the operation of the province's only medical school, the authors sent questionnaires to all physicians who had any affiliation with the University of British Columbia (UBC). About 20 percent of the province's physicians were involved in some capacity with the UBC Faculty of Medicine, which accepts about 120 students into the first year annually. Most faculty held “clinical” appointments, meaning that they pursued largely non‐academic careers. Full‐time academic appointees worked more than 20 percent more hours annually than did their “clinical” counterparts, and average hours for men exceeded those for women. As many as two‐thirds of the full‐time faculty were also engaged in sufficient clinical practice activity to be classified as fulltime practicing physicians by a definition adopted by a provincial Joint Medical Manpower Committee. Acad. Med. 64(1989):524–532.","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"64 1","pages":"524–532"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198909000-00018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61712193","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}
{"title":"Medical Students' Early Expectations and Later Opinions of Aspects of Their First Year","authors":"R. Tiberius, D. Sackin, Arline McLean","doi":"10.1097/00001888-198909000-00020","DOIUrl":"https://doi.org/10.1097/00001888-198909000-00020","url":null,"abstract":"Abstract —A survey of medical students on their first day of medical school and again near the end of their first year measured the discrepancy between their expectations of various aspects of the first year and their retrospective opinions about these aspects. The entering students had specific, detailed expectations about numerous aspects, many of which were not confirmed by their subsequent experience. The same students were reminded, one year later, of their unfulfilled expectations about the first year and were asked to describe any effects these expectations had had on class emotional climate and morale. They recalled both serious disappointments and pleasant surprises but no general change of class morale. A serendipitous finding was the profound indifference of the secondyear students to their first‐year emotional responses. Our results challenge the general practice of basing curriculum renewal programs on cross‐sectional student surveys with no consideration of baseline expectations, and of relying on students to initiate improvements in educational programs. Acad. Med. 64(1989):538–542.","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"64 1","pages":"538"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198909000-00020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61712222","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}
{"title":"Unmet Needs and Unused Skills: Physicians' Reflections on Their Liberal Arts Education","authors":"David W. Fraser, Leah J. Smith","doi":"10.1097/00001888-198909000-00019","DOIUrl":"https://doi.org/10.1097/00001888-198909000-00019","url":null,"abstract":"Abstract —Physicians who graduated from 1955 to 1982 from three liberal arts colleges in southeastern Pennsylvania were asked about the ways that their undergraduate education had prepared or failed to prepare them for careers in medicine and about changes that they would, in retrospect, have made in their courses of undergraduate study. For many, college had failed to meet their perceived need, as physicians, for skill in dealing with people, but had provided skills in the form of basic science knowledge and willingness to be different that exceeded the demands of their careers. They wished that in college they had taken more courses in the humanities — especially art, history, music, and English literature — and less chemistry, mathematics, physics, and biology. Would‐be physicians should be encouraged to take full advantage of the humanizing opportunities of a liberal arts education with confidence that it will contribute to their future professional and personal lives. Acad. Med. 64(1989):532–537.","PeriodicalId":87653,"journal":{"name":"Journal. Association of American Medical Colleges","volume":"64 1","pages":"532–537"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00001888-198909000-00019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61712199","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}