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Biomedical subjects

D D Schmidt

Publications and source records attributed to D D Schmidt.

28 records · Page 2Linked to original sources
PubMed1977

The use of video-tape techniques in the psychiatric training of family physicians.

This paper describes the use of video-tape techniques in the training of family physicians. Some general objectives for the psychiatric curriculum for family medicine training programs are enumerated. The implementation of these goals include (1) development of a library of video recordings which contain illustrative examples of psychiatric syndromes and management problems that appear frequently in family practices; and (2) use of video-tape recordings of the trainee during routine medical encounters and during counseling sessions for later review with supervising faculty. Some specific examples are cited of what to look for in the medical encounters and of how the video tape allows faculty to be more concrete in their instruction.

Curriculum↗
PubMed1975

The role of the family physician in the crisis of impending divorce.

The divorce rate in the United States is approaching 30 to 40 percent. Because the family physician cares for the entire family, he often finds himself in the midst of the turmoil created by the crisis of impending divorce. Using a case presentation, we have offered some specific suggestions to help the family physician manage this common problem. Few traditional training programs have adequately prepared the primary physician to be effective in marriage counseling. The integration of the behavioral sciences with the medical sciences should be a major goal of the developing discipline of family medicine. If training programs in family medicine successfully develop curricula that teach the skills required to support a troubled marriage, the family physician of the future may make a more significant contribution towards the preservation of the nuclear family.

Adolescent↗
PubMed1975

The management of ordinary grief.

Considerable experience with the problem of ordinary grief has led to the development of some basic management principles which are presented in this paper. The discussion is centered around a case history which originated in a family practice setting. A transcribed interview with the patient emphasizes technique. The working through of grief requires an early and open expression of the pain associated with loss of a loved one. After a discussion of the dynamics of anxiety, grief, and hostility that underlie a grief reaction, specific suggestions for means of helping the bereaved express their feelings and work out their grief are offered.

Aged↗
PubMedDate not supplied

The temporal relationship of psychosocial stress to cellular immunity and herpes labialis recurrences.

This study used a prospective single-subject study design and time series analysis for repeated measures data to investigate the hypothesis that variations in psychosocial stress are associated with changes in cellular immunity in a study subject with recurrent herpes labialis. A study subject who was antibody positive for HSV-1 but reported no clinical manifestations of disease served as a control. Psychosocial stress, as measured by a questionnaire; cellular immunity, as measured by the monoclonal antibodies CD4 (OKT4), which defines the helper/inducer subset of T lymphocytes; and CD8 (OKT8), which defines the suppressor/cytotoxic subset, were measured weekly over the 32-week study period. Analysis of data using bivariate time series (ARIMA) demonstrated significant inverse correlations between stress level scores and percent CD4 helper/inducer T lymphocytes in both subjects. In the study subject with recurrent herpes simplex labialis, a Mann-Whitney U statistic determined that the percent of CD4 in the early stages of a recurrence were significantly lower than the percent of CD4 at other times when blood samples were drawn. The data presented are repeated measures on two individuals with positive antibodies to the herpes simplex virus, one with recurrent herpes and one without a history of recurrent herpes. Relevance for stress research is discussed.

Adult↗
PubMedDate not supplied

Power in academic medicine.

The inherent strengths from which family medicine can gain power in the academic medical center include the following. 1. Family medicine is the ambulatory primary care discipline. Consider increasing your capabilities of teaching in ambulatory settings. With the changing nature of the hospital patient population, it is becoming increasingly difficult to find a non-seriously ill patient who is alert and cooperative for simple teaching programs such as basic history taking and physical diagnosis. One can recruit more practicing family physicians as part-time faculty. In some medical schools the Introduction to Clinical Medicine field experience is in the office of practicing physicians. One might consider assuming responsibility for a neighborhood health center, particularly if this is a designated U.S. Public Health Service Corps Site. There would be an advantage to having students experience firsthand this mechanism of financing the medical education of primary care physicians. One might consider developing a purely private teaching practice. One could take a university faculty salary and divide it among three or four people in a group practice. This would compensate for the extra time it takes to have students and/or residents seeing patients in private offices. 2. Graduates of family practice residency programs comprise the major primary care referral base for open staff hospitals. Energies devoted to recruiting residency graduates to use our teaching hospitals will be well spent. Imaginative joint ventures between the hospital and the departments and/or graduates would help these recruiting efforts. The gradual increase in this primary care referral base over several years would greatly strengthen the position of family medicine within the academic medical center.(ABSTRACT TRUNCATED AT 250 WORDS)

Academic Medical Centers↗