In an era of spiraling costs, librarians must carefully assess literature use among their patron groups when making decisions on selection, deselection, and storage of journals. A citation analysis was conducted using a group of 52 papers submitted by research physicians at the Summa Health System (Akron, Ohio) for a research award competition…

Previous research has shown that, unlike novice physicians' performance, diagnostic quality of expert physicians improves when contextual information (the "Enabling Conditions") about a patient is available. The present study was designed to explore these findings further by systematically varying the typicality of enabling conditions…

The resource manual provides guidelines and resources for individuals interested in integrating a substance abuse curriculum into existing programs for medical students and residents in internal medicine. Materials and resources appropriate for practicing physicians are also included. Three sections are: (1) a statement of minimum knowledge and…

Presented in this final volume are the Graduate Medical Education National Advisory Committee (GMENAC) members' commentaries and appendix. Included are: the members and staff of GMENAC; a preface; individual member's commentaries; appendices that include GMENAC recommendations from each of the other six volumes; a cross reference of GMENAC…

A survey of learning styles of 108 family practice residents and faculty was conducted to determine correlations between learning style and career choice and to examine possible implications for resident-faculty interaction, especially in instructional activities. Learning style preferences tended toward the concrete and active modes

Since moonlighting by residents in addition to their demanding residency work schedule might jeopardize patient care, decisions to moonlight are examined. The results indicate that the main motivating factor behind their moonlighting is economic, and residents with higher levels of indebtedness were more likely to moonlight. (Author/MLW)

A survey of residents at a county medical center concerning their education before and after a new faculty practice plan found improved ratings on three of nine characteristics: quality of staff, quality of supervision, and heterogeneity of patients. Some commented on increased time needed for rounds due to faculty responsibilities. (Author/MSE)

A study to determine whether affective skills could be taught to residents in a family practice center without placing arduous constraints on their schedules is described. Residents at the University of Louisville Department of Family Practice were videotaped during a regular patient visit and then scheduled for review sessions. (MLW)

A survey of one medical school's freshmen, internal medicine residents, and full-time faculty asked for opinions concerning (1) the value of trying to modify patients' health-related behaviors in 22 areas and (2) their own preparedness to counsel patients in those areas. (MSE)

To improve clinical teaching, simple and consistent expectations for the learning performance of students, residents, and attending faculty members will suffice. Comprehensive bedside teaching permits the educational and evaluative loops to occur. Excessive focus on details, regimentation, national guidelines, and long lists of goals and…

Construct validity was investigated for three tests of clinical competence in medicine: National Board of Medical Examiners examination (NBME), California Psychological Inventory (CPI), and Resident Evaluation Form (REF). Scores from 166 residents were analyzed. Results suggested low construct validity for CPI and REF scales, and moderate…

The Resident Evaluation Form (REF) was developed to assess resident physicians' clinical performance. This research sought to empirically evaluate the intuitively derived REF scales representing areas of clinical performance: interpersonal ability, cognitive ability, clinical skills, and professional attributes. Analysis yielded cognitive…

In a survey of a national, stratified random sample of graduate medical educational program directors regarding the way they selected their residents, the interview was found to be the most important selection variable. The results indicate that the recent increase in competition for residency positions has increased the importance of academic…

A study of the influence of a psychiatrist accompanying pediatric residents in daily rounds on residents' attention to psychosocial issues in patient care showed no change in notes taken in the psychiatrist's presence, but the presence of notes did vary with follow-up plans, consultations ordered, and admission and discharge diagnoses. (MSE)

The national experience with reduced-schedule residency training during the last 10 years is reviewed. Data on University of Rochester Hospital pediatric residents who chose a reduced-schedule training option between 1977 and 1984 are discussed. (Author/MLW)