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Biomedical subjects

D D Hunt

Publications and source records attributed to D D Hunt.

At least 37 records · Page 2Linked to original sources
PubMed1988

Early identification of future medical students using initial undergraduate grades.

This study assessed whether overall academic performance in undergraduate medical coursework can be predicted with reasonable accuracy by using grades from initial college-level courses rather than total premedical grade point averages (GPAs). Initial college grades from four areas, MCAT scores, and NBME I and II scores were recorded for students admitted to the University of Washington Medical School, for students admitted to other medical schools, and for students not admitted to any medical school. The results documented a high relationship between cumulative GPAs and initial grades, with differences found between those students admitted to medical school and those not admitted. The importance of this study is the documentation that little predictive utility is gained by waiting for overall college GPAs from medical school applicants. Initial GPAs are available 2 years earlier than overall GPAs and provide virtually the same information. Exploratory suggestions for medical school admission policies are made.

Achievement↗
PubMed1987

Performance of residents who had academic difficulties in medical school.

An assessment of how well graduates of one medical school performed in residency training was undertaken to assess the school's monitoring of students' performances. The minutes of the school's student progress committee for four years were reviewed to identify all students who had had academic difficulty. Seven students had been recommended for dismissal but ultimately graduated, 22 students were on academic probation for longer than one year, and 22 students were on academic probation for less than one year. The residency performance of 43 of these 51 students were compared with the performances of a randomly selected group of students who had had no academic difficulties and had graduated during the same period. Of 12 performance and knowledge items assessed by the residency directors for the studied graduates, the one dealing with quality of interaction with patients showed significant differences among the residents. The residents who had had academic difficulty had lower ratings on this item than the residents who had not had academic trouble. On all other items, those residents who had had academic difficulties received generally lower scores than the other residents, but the differences were not statistically significant. Of the seven students considered for dismissal, one had been dismissed and one had withdrawn from the residencies; the other five generally received positive ratings from their residency directors. The findings suggest that the medical school's overall monitoring of students' performance was working and confirmed the authors' opinion that each decision concerning a student with academic difficulties should be based on the student's individual situation.

Educational Measurement↗
PubMed1984

Contrasts in the professional identities of psychiatrists and internists.

Projected manpower shortages in psychiatry have prompted studies identifying factors that influence medical students in career choice. In the present study, the authors compare self-images as individuals with professional images of psychiatrists using subjects from internal medicine as a control group. A total of 353 subjects from two university clinical practices completed questionnaires that utilized the Osgood Semantic Differential to determine attitudes in the areas of evaluation, potency, and activity. The hypothesis that psychiatrists differ significantly in their self-images as individuals and their professional role images was partially confirmed. In the areas of activity and power, significant (p less than .001) differences existed in their attitudes. In the concept of evaluation, the self-images and the professional images were similar. The impact of these discrepancies on students making career choices is discussed.

Career Choice↗
PubMed1981

Cognitive correlates of biologic sex and gender identity in transsexualism.

Twenty-two individuals seeking sex-change surgery and diagnosed as transsexual by a Gender Identify Research Team underwent extensive neuropsychological and cognitive testing prior to surgery. On the Wechsler Adult Intelligence Scale transsexuals performed in congruence with their biologic sex rather than gender identity. In contrast, on a measure of conceptual styles, transsexuals performed in congruence with their gender identity. The MMPI did not provide evidence of a major psychopathological process.

Adult↗
PubMed1981

An appraisal of methods of evaluating training in psychiatry.

A survey of American chief residents in psychiatric training centres was carried out to assess how these training programmes gathered feedback on teacher effectiveness and programme content. The chief resident in each programme was asked to report how his or her department elicited information from their residents about course and teacher quality. Responses from 184 training centres in the United States were obtained and accounted for 75% of the existing centres. Fifty questionnaires were returned with the survey results and were analysed. The seven factors of clinical teacher effectiveness previously described in the literature were used to evaluate these questionnaires. The majority lacked consistent coverage of the teaching factors with the percentages of questionnaires covering a specific behaviour as follows: teacher organization, 58%; instructor knowledge, 42%; group interactional skills, 42%; instructor enthusiasm, 30%; clinical supervision skills, 25%; display of professional characteristics, 19%; and clinical competence, 17%.

Behavior↗
PubMed1981

Pragmatic issues in design and implementation of a psychotherapy outcome study.

Studies of the outcome of psychotherapy are becoming an important part of health policy development, cost control, and program evaluation. The authors describe steps in the design and implementation of an outcome study, including the selection of measurement instruments, the role of human subject review boards, the cost of the study and the desirability of computerization, the time frame for collecting data, and methods of keeping track of the data. They emphasize the importance of staff cooperation and discuss ways it can be fostered. They also stress the need for periodic reviews and identify issues that should be addressed in such reviews to keep the study on course.

Data Collection↗
PubMed1980

Transsexualism: a standardized psychosocial rating format for the evaluation of results of sex reassignment surgery.

A follow-up rating format for the postsurgical evaluation of sex reassignment was designed from the existing literature and a follow-up study in progress. The format assesses areas of interpersonal relationship psychopathology, legal problems, sexual adjustment and acceptance, family acceptance of the change, and employment patterns. The format was then tested for reliability and validity through the follow-up of 17 biological male transsexuals an average 8.2 years after surgery. Reliability between two judges was 0.9, and there was a significant correlation of the overall ranking with MMPI testing (p less than 0.01). The format can be used both for an overall ranking of the study groups and as indication of specific pre- and postsurgery changes.

Attitude↗
PubMed1980

Follow-up of 17 biologic male transsexuals after sex-reassignment surgery.

The authors followed up 17 biologic male transsexuals who had received sex-reassignment surgery an average of 8.2 years previously. Information was collected from the transsexuals, their partners, and family members when appropriate; MMPI scores were obtained from 12. No changes in levels of psychopathology and only modest gains overall in economic functioning and interpersonal relationships were found. Larger gains were made in sexual satisfaction and being accepted by family members. None of the 17 transsexuals had doubts about having had the surgery. The authors believe that for a select group surgery is still the best means of coping with transsexualism and that an individual's adjustment before surgery is one of the best indicators of success in coping with the stress of surgery.

Adult↗
PubMed1980

Medical students and psychiatric patients: an encounter of the first kind.

The use of psychiatric patients in teaching interview techniques to inexperienced medical students is a common practice. This report describes the impact of this training as assessed through questionnaire analysis of 35 patients and 32 medical students involved in an interview course for second-year medical students. The experience was viewed by both patients and students as useful, and more students reported it as being stressful than did patients. Patients valued it because they thought it would improve medical education, while students found it personally helpful. Most patients (94 percent) and all students indicated they would participate in a similar experience. Most patients felt that the students understood them well in contrast to the student's perception of not understanding the patient.

Attitude to Health↗