This paper explores the relationship between physicians' personal orientations toward death and their responses to patient death. A group of 25 pediatric residents were asked to complete the Threat Index and to re...
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This paper explores the relationship between physicians' personal orientations toward death and their responses to patient death. A group of 25 pediatric residents were asked to complete the Threat Index and to respond to vignettes depicting personal death. Consistent with predictions derived from personal construct theory, particular death orientations were associated with various behavioral and psychophysiological reactions. Residents with high death threat and anxiety were more likely to adopt avoidance and denial strategies and to experience fewer psychophysiological symptoms when faced with a patient's death. Implications of these findings for further research and treatment are discussed.
The review highlights the interdependence among the various subsystems involved in medical education and hence the need for coordination. Observations and perceptions derived from interviews and the review of the lite...
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The review highlights the interdependence among the various subsystems involved in medical education and hence the need for coordination. Observations and perceptions derived from interviews and the review of the literature were reported to underline the existing difficulties and factors which impede the integration of efforts of the various subsystems. Problems of coordination seem to relate to the functioning of the existing mechanisms rather than to the absence of structural arrangements. Hence, it seems necessary to improve the skill of committees and other coordinating bodies in the processes of mutual adjustment and responsiveness to changing conditions.
Through the use of questionnaires and interview schedules during extended site visits, sixteen programs training residents in non-family medicine primary care were studied to determine what factors contributed to prog...
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Through the use of questionnaires and interview schedules during extended site visits, sixteen programs training residents in non-family medicine primary care were studied to determine what factors contributed to program success -- known as "institutionalization" -- or to program failure. The findings revealed that programs were initiated for either philosophic or pragmatic money reasons. For programs to begin, to continue, and to be institutionalized was due to several contributing key factors. These included the resolution of programmatic differences in regard to goals; development of a substantive quality program; presence of forceful and respected leadership; tangible support of the administration and key academic departments; commitment of the teaching staff; anticipation of potential conflicts; participation of the involved lay and professional community; and the availability of some continued funding. The study also revealed that one program was a complete failure and had to be aborted because none of the key factors were present. The study concluded that the best way for institutionalization to occur is to assure that sound and comprehensive planning takes place. With thorough and anticipatory planning, the conditions essential to program institutionalization can be met more easily.
It has been documented that most transfusion errors are either administrative or clerical. It is necessary to ascertain if those responsible for transfusing patients have the knowledge to do it properly. Since house s...
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This paper examines the relationship between medical students' practice plans and residency plans. The paper concludes that most students surveyed knew where they wanted to practice and that, unless otherwise cons...
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This paper examines the relationship between medical students' practice plans and residency plans. The paper concludes that most students surveyed knew where they wanted to practice and that, unless otherwise constrained, students who knew where they wanted to practice tended to apply to programs there. This finding suggests that the Weiskotten literature and its apparent policy implications should be evaluated critically. In particular, the results call into question the rationale for unrestricted subsidies of undergraduate and graduate medical education by the states.
Pregnancy is a time of natural stress that can have a marked effect on the relationship of the expectant parents and, subsequently, on the child. A group was formed to provide emotional support for the women and to in...
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Pregnancy is a time of natural stress that can have a marked effect on the relationship of the expectant parents and, subsequently, on the child. A group was formed to provide emotional support for the women and to involve the husbands in the process. By offering this service in a family practice residency program, it not only has a beneficial effect on the outcome of the pregnancy but also gives family practice residents a valuable learning experience.
The major impact on the development of obstetrics-gynecology during the next 15 years will come from the substantially increased number of practicing physicians in the specialty and the less rapidly increasing patient...
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The major impact on the development of obstetrics-gynecology during the next 15 years will come from the substantially increased number of practicing physicians in the specialty and the less rapidly increasing patient population they will serve. Even at present record low fertility rates, the annual number of births in the United States will increase slowly to a level near 4 million by the early 1980's; children already born will contribute to a 16 per cent increase in the female population 15 to 44 years of age between now and 1990. Over the same time interval, the number of practicing specialists will increase dramatically, based on rising numbers of medical school graduates and more Ob-Gyn residents; there will be a 52 per cent increase in certified specialists per unit population over the next 15 years.
Because of the projected increase in the demand for high-quality prosthodontic services in the future, it will be necessary to upgrade undergraduate prosthodontics and to provide, in addition, improved prosthodontic t...
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Because of the projected increase in the demand for high-quality prosthodontic services in the future, it will be necessary to upgrade undergraduate prosthodontics and to provide, in addition, improved prosthodontic training in the general dentistry residencies. The Federation of Prosthodontic Organizations is the unified voice of our specialty and must stand at the forefront to provide and direct this training. Every accredited program should be required to offer training in prosthodontics. We cannot expect graduate students to specialize in prosthodontics if we allow it to be downgraded, reduced in scope in our dental schools, and excluded from general dentistry residencies.
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