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Biomedical subjects

D D Federman

Publications and source records attributed to D D Federman.

11 recordsLinked to original sources
PubMed1992

Relation of the internal medicine residency and the medical school curriculum.

Students should have contact with faculty members in internal medicine throughout their medical education. Faculty internists should play a role in admission of students, in the basic science courses of the first year of medical school, and in the introductory course to clinical medicine and pathophysiology of the second year of medical school. The core medical clerkship is not an academic advertisement and should not be designed specifically to attract students to internal medicine. The core clerkship is designed for all students, regardless of their intended specialty and should include inpatient and outpatient care in a context and at a pace that allow time for reflection, reading, and problem solving. The advanced medicine experience should give students at least a glimpse of the mastery of the discipline of internal medicine. For students entering internal medicine, the fourth year of medical school and first year of residency could be combined to improve the content and quality of both.

Career Choice↗
PubMed1991

Hyperthyroidism in the geriatric population.

Although the thyroid gland can become overactive at any age, the syndrome of hyperthyroidism changes considerably in elderly persons. The principal reason is comorbidity. The patient over age 65 is much more likely than a young adult of 20 or 25 to have one or more preexisting disorders when the thyroid becomes overactive. In the elderly, therefore, the classic picture of hyperthyroidism--the constellation of irritability, sweating, palpitations without heart disease, weight loss despite good appetite, goiter, and warm, fine skin, familiar to all physicians--may never develop. Well before it might have appeared, a milder degree of thyroid hyperfunction may become manifest because of worsening of an underlying disease. Accordingly, the recognition of the thyroid disorder is often delayed. The purpose of this article is not so much to review hyperthyroidism as to delineate the special features found in geriatric patients and to describe a simple but effective scheme of evaluation.

Aged↗
PubMed1990

The education of medical students: sounds, alarums, and excursions.

The core of good doctoring--what everyone must learn in medical school--is a set of behaviors that link the physician's professional, scholarly, and personal preparation with patients and society. Five general criticisms concern the academic medicine community. These criticisms concern the complexity of the health care system; the difficulty of integrating advances in science and technology into medicine; ethics; the doctor-patient relationship; and the importance of the individual student. Several medical schools use innovative curricula and organization in responding to these concerns, and other schools should study the assessments of these efforts and borrow anything useful. The problems of cost, access, and quality of care in the U.S. system are not primarily the fault of academic medicine and cannot be solved readily by it, but medical education can contribute to the solutions by preparing students to engage the problems.

Education, Medical, Undergraduate↗