Rutgers Medical School was started in 1962 as a two year medical school. By 1976 its basic science enrollment had grown to 108 and it retained 56 students each year for clinical instruction. During the early 1970'...
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Rutgers Medical School was started in 1962 as a two year medical school. By 1976 its basic science enrollment had grown to 108 and it retained 56 students each year for clinical instruction. During the early 1970's the medical school had been frustrated on three different occasions in its attempts to build an on-campus teaching hospital. This paper describes the school's successful post-1976 planning efforts to provides its faculty and students with the appropriate clinical facilities by a model which would generate support among external constituencies. The history of the medical school prior to 1976 is presented briefly. The paper then develops the rationale for the new planning model and shows the relationship of the model to the educational bases of the institution. It then tracks the planning process from program development through approvals by the external constituencies and brings the school's experience to the present where inverted question mark million dollars of construction is under contract for health care delivery and medical education facilities.
On 1 April 1991, the financial base of the NHS underwent its most dramatic change since its inception in 1948. All NHS services are now based on contracts and this has major implications for library services. This cha...
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On 1 April 1991, the financial base of the NHS underwent its most dramatic change since its inception in 1948. All NHS services are now based on contracts and this has major implications for library services. This change was perceived by the South West Thames Regional Library Service as presenting a unique opportunity and the paper outlines the background to the thinking and the strategy adopted to meet the challenges. Sources of library funding and precise spending details were identified by means of a survey and contracts agreed covering all NHS staff in each of the 13 districts. The contracts are operating as 'shadow contracts' for 1991-92 allowing a valuable period of evaluation and monitoring before any money actually changes hands. The survey form for collecting library budgetary information and the service agreement are included as Appendices to the article.
The Royal College of General Practitioners' Membership examination, the only postgraduate qualification in family medicine in the United Kingdom, has developed a direct assessment of candidates' interpersonal ...
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The Royal College of General Practitioners' Membership examination, the only postgraduate qualification in family medicine in the United Kingdom, has developed a direct assessment of candidates' interpersonal skills performance using videotaped consultations of the actual doctor-patient encounters. At present about 1,200 doctors are examined each year. The methodology has been developed and piloted over a period of eight years. The central tenet of the methodology is a clear definition, which is known both to the candidate and to the examiner, of the clinical and consulting competencies that are required to be demonstrated in order to pass the examination. The candidate is required to provide evidence of his or her competence usually by selecting appropriate patient encounters that demonstrate the fulfillment of the required performance criteria, effectively producing a portfolio of his ol her communicative competence. The methodology is intended to encourage the learning and teaching of communication skills by malting it part of an important examination and clearly defining the competencies required to pass. Reliability has been demonstrated to be satisfactory and refinement of the mal king processes is likely to improve this further.
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