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D B Witzke

Publications and source records attributed to D B Witzke.

51 records · Page 3Linked to original sources

Factors influencing the success of academic radiologists in publishing research.

To guide changes that might improve radiologists' research productivity, we surveyed 1400 members of the Association of University Radiologists. We evaluated the impact of influences related to background, education, training, attitudes, and practice environment on 558 respondents' frequency of research publication. Attending medical school, obtaining radiology training, and practicing at an institution among the 20 with the highest amount of research funding was associated with the highest research productivity in academic practice. Taking a radiology research fellowship, regularly attending research seminars, and association with a research mentor during training were also associated with higher career productivity. Virtually all aspects of the academic practice milieu, and particularly having time set aside for research, were significant influences on radiologists' frequency of publication. Men published research more frequently than women. This phenomenon appears related to women being afforded fewer research experiences during radiology training and a greater concern on the part of women about obstacles that hinder their doing research. These data might be employed to guide changes that would improve the selection and nurturing of individuals likely to be productive in research.

Attitude of Health Personnel↗

A schema for teaching differential diagnosis.

Eighty-one third-year and early fourth-year medical students were taught a simple schema for generating differential diagnoses. Significant gain in listing correct diagnoses was realized following training.

Clinical Clerkship↗

Adolescent medicine education in pediatric residency programs following the 1978 Task Force on Pediatric Education report.

In 1982, the Society for Adolescent Medicine initiated a survey of all pediatric residencies in the United States and Canada to determine: if there had been an increase in the amount and quality of adolescent medicine training since the 1978 report by the Task Force on Pediatric Education; if pediatric departments were assuming responsibility for the care of adolescents; and the curriculum objectives for adolescent medicine (AM), the educational methods used, and whether program graduates (PGs) felt competent to care for adolescents. One hundred directors and 72 recent graduates completed an initial questionnaire. A follow-up telephone survey of program directors (PDs) who did not respond resulted in 109 completed interviews. The survey results suggest a favorable trend in AM training. Evidence of this favorable trend includes: a 10% increase (p less than 0.05) in the number of AM wards, and a 33% increase (p less than 0.01) in clinics; a 29% increase (p less than 0.01) in programs having a block of time devoted to AM; increased time spent caring for adolescents at all resident levels; and an increase in adolescent inpatients of 32% and outpatients of 45% (p less than 0.01). An increase in the number of and time for mastery of curriculum objectives and educational methods was reported by PDs.

Adolescent↗

Emotional impairment in internal medicine house staff. Results of a national survey.

A questionnaire was sent to all internal medicine program directors who were members of the Association of Program Directors in Internal Medicine to identify the scope of the problem of debilitating emotional impairment in internal medicine house staff for each of the five years 1979 through 1984; 63% of the questionnaires were returned. During these five years, 55.5% of internal medicine training programs granted leaves of absence to medical residents because of emotional impairment; an average of 0.9% of internal medicine house staff required leaves of absence, with the rate twice as common in female residents. Most impaired residents recovered and apparently did well, for 79% continued in medicine. However, 10% completely dropped out of medicine and 2% had a successful suicide; an additional 3% attempted suicide unsuccessfully.

Female↗

What physicians know about the prognosis of preterm newborns.

A questionnaire assessing physicians' understanding of the prognosis of preterm newborns was sent to every pediatrician, obstetrician, family practitioner, and general practitioner in South Dakota. Fifty-three percent of the total sample completed and returned the questionnaire that covered the mortality, general care, and physical, developmental, and psychosocial morbidity of the preterm newborn. The average physician answered 75% of all items with responses consistent with our interpretation of the medical literature. The physicians did better on items concerning mortality and physical morbidity than on those items related to psychosocial or developmental morbidity. Stepwise multiple regression analysis showed that a physician's years of experience was the most significant predictive variable and was negatively related to his or her overall score.

Humans↗

What it means to "spoil" a baby: parents' perception.

Discussion concerning spoiling a baby frequently takes place in pediatric-care settings and may occur without a clear understanding of how parents define the word "spoil" when baby care is discussed. This study presents data from 531 parents asked to respond to a questionnaire on spoiling babies. The majority of mothers and fathers believe a baby can be spoiled, but considerable variation exists in perceptions of how this takes place, what a spoiled baby is like, and the present and future effects of spoiling. The younger and less educated parents have more rigid and negative views about the effects of spoiling babies.

Adolescent↗

Substance use and alcohol abuse in emergency medicine training programs, by resident report. SAEM Residency Survey Task Force.

OBJECTIVE: To determine the prevalence of substance use and alcohol abuse among emergency medicine residents. METHOD: The study instrument was an anonymous, self-report survey that assessed the use of 13 substances and included the CAGE questions for measuring alcohol abuse. The survey was administered to emergency medicine residents at the time of the American Board of Emergency Medicine's annual In-Service Examination. RESULTS: Alcohol was the substance most commonly used by emergency medicine residents for nonmedical reasons. Using the CAGE score, 4.9% of residents were classified as alcoholic and another 7.6% as suspect for alcoholism, rates similar to those for housestaff of all specialties as reported in earlier studies. Instruction related to physician impairment during training in their emergency medicine residency was reported by only 36% of the respondents. CONCLUSIONS: Emergency medicine residents report a low rate of illicit substance use and do not appear to misuse alcohol differently than other housestaff. Interpretation of these results must be tempered with the potential for underreporting that may occur with a voluntary self-report survey of a sensitive nature.

Adult↗