Provides an annotated bibliography of the 39 best science and technology books from 1993 in the areas of animal life, astronomy, biography, chemistry, earth science, environmental sciences, evolution, mathematics, medical sciences, natural history, paleontology, philosophy of science, physics, psychology, general science, and technology. Ethical…

Generalist physicians of the future will need new knowledge and skills for continuous improvement of health care. Successful examples can be found in the work of generalist physicians who combine knowledge for improvement with discipline-specific knowledge to improve patient and community health. Curricula can be developed to teach students and…

A survey of U.S. medical schools (104 responses) found a significant association between required family practice clerkships or preceptorships and those institutions ranking in the highest quartile for percent of graduates entering family practice. A similar significant association was found between student selection of family practice options and…

Carolinas Medical Center (North Carolina) initiated a behavioral training program for general practice dental residents to develop skills in handling patient anxiety/stress, obesity, and depression. The program includes monthly seminars, a clinical rotation in behavioral medicine with additional related seminars, and a month-long clinical rotation…

A study investigated whether medical residents' compliance with guidelines for health promotion and disease prevention improved after exposure to a revised curriculum over three years. Chart audits indicate that, although compliance increased during the first year, activities returned to baseline levels thereafter, despite continued exposure to…

Reviews the prevalence, natural history, causes, impact on performance, diagnosis, and treatment of iron deficiency in adolescent and young adult athletes. All athletes should be screened and treated. The best diagnosis involves determining serum ferritin and hemoglobin levels. Treatment requires therapeutic doses of oral ferrous iron for several…

The presence of older Olympians suggests aging itself may not be the primary obstacle to long-term athletic performance. For older athletes, scheduling sufficient training and recovery time becomes increasingly difficult, but physical and financial rewards entice them to try. No studies have directly addressed the true potential of aging athletes.…

Statistical approaches to assess how prevention and intervention programs achieve their effects are described and illustrated through the evaluation of a health promotion program to reduce dietary cholesterol and a school-based drug prevention program. Analyses require the measurement of intervening or mediating variables to represent the…

A study compared the practice patterns of 41 dentists with graduate training in general dentistry with those of 41 dentists without such training, in terms of number and types of procedures performed, patient characteristics, professional and community activities, and practice characteristics. Some differences were found, particularly in patient…

The Temple University (Pennsylvania) advanced general dentistry program includes seminars and clinical rotations in social work, to help students gain an appreciation and working knowledge of social workers' function in health care provision, to improve interpersonal skills, to interact with social workers, to address diversity issues, and to…

A wellness program is a formalized approach to preventive health care that can positively affect employee lifestyle and reduce future health-care costs. Describes programs for health education, smoking cessation, early detection, employee assistance, and fitness, citing industry success figures. (eight references) (MLF)

Despite the effectiveness of vaccinations in preventing disease, preschool children, particularly in the inner cities, are not being adequately immunized. Inadequate clinic staff and hours, inconvenient locations, prohibitive policies, and missed opportunities within the health care system may contribute to this problem. Suggests policy changes…

This study attempted to establish the validity of an essay test of clinical judgment by defining the domain of clinical judgment and operationalizing this definition in a 12-item essay examination administered to 98 residents in internal medicine. The relationship between essay scores and other measures of competence was then examined and the…

A survey of 391 dentists completing a postdoctoral general dentistry program and 369 not participating in such a program revealed 75% of program participants were trained in civilian programs and the remainder in either military or Veterans Administration training programs. Employment patterns, treatment settings, and patterns of practice or…

Provides an overview of professions working in multidisciplinary health promotion and disease prevention efforts, focusing on medical specialties, public health, behavioral medicine, health psychology, health education, and health behavior. Major challenges general to all the fields include reimbursement, priorities, professional preparation,…