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Biomedical subjects

D H Cordes

Publications and source records attributed to D H Cordes.

32 records · Page 2Linked to original sources

A microcomputer-assisted exercise prescription for use by family physicians.

Family physicians frequently advise their patients on choosing and implementing regular programs of exercise. This report describes techniques of submaximal aerobic fitness assessment and microcomputer-assisted exercise prescription suitable for use in office-based practice. A submaximal bench step test is used for the estimation of aerobic fitness. A BASIC program operating on a Macintosh provides calculations of fitness levels and produces an individualized exercise prescription. While obviously not suitable for every patient, this approach is practical for young to middle-aged low-risk individuals interested in beginning regular training programs.

Adult↗

Comprehensive care of travelers.

Travel, especially if it is international, often means major changes for the family. Family physicians should assess the epidemiologic risk and psychosocial significance of travel or relocation in light of the family's life-cycle stage and antecedent health. Using core references, which are kept current in partnership with public health agencies, family physicians are able to provide comprehensive immunization, medications, and patient education for all travel risks. Families are given medical record summaries and recommended sources of care at their destination. Eight weeks after their return patients are reassessed for newly acquired illness and helped to integrate the perspectives gained during the travel into the family's future dynamics. Taking advantage of growing travel medicine opportunities, family medicine educators should base the care of travelers and teaching of residents on defined competence priorities. Travelers' health provides a mutually rewarding model of shared care with public health consultants in the community medicine curriculum.

Bibliographies as Topic↗

Teaching occupational health to medical students.

Occupational and environmental disease and injury are both widespread and preventable, yet their study has been traditionally neglected in undergraduate medical education. Because family physicians will encounter many working patients who are subject to varying degrees of risk as a result of their job, home, or community environment, family practice faculty must play an important role in teaching occupational and environmental health to medical students. Goals for the longitudinal integration of occupational and environmental health over the four-year curriculum include sensitizing students to the relationship between work and health, introducing and reinforcing the importance of the occupational and environmental history in patient care, integrating occupational and environmental health principles and examples with existing course work, and providing appropriate clinical, research, and didactic activities for interested students. Goal achievement will vary with the availability of curricular time and teaching faculty. Strategies for implementing occupational and environmental health curriculum in the face of these two variables are discussed.

Curriculum↗

Farming: a hazardous occupation.

Physicians with patients who work in rural areas need to be aware of the potential for illness and injury and be well-versed in preventive measures necessary to help keep these patients well. Physicians also need to be aware that the family's principal worker is not the only one exposed to the work hazards. The family joins in the duties of the farm and shares the risks. Physicians can play an important role in reinforcing the need for safe agricultural work practices.

Accidents, Occupational↗

Career choices of general preventive medicine residency graduates: 1981-1986.

To identify career choices made by recent graduates of general preventive medicine residency programs, all funded residency programs in general preventive medicine (excluding federal and military programs) were surveyed. Eighty-two percent of programs responded and reported on the career choices of 241 graduates who graduated from 1981 to 1986. In order of preference, the categories of career choice were: program activities (36.5%), teaching (19.1%), clinical services (17.0%), and research (6.2%). About one-fifth (21.2%) chose other activities. The number of graduates more than doubled between the periods 1981-1983 and 1984-1986. There was a threefold increase in the percentage of graduates involved primarily in research; however, there was a 33% decrease in the percentage of graduates who became professional academicians.

Career Choice↗

Meanwhile back at the ranch: training residents in clinical preventive medicine.

In view of the current growing interest in prevention as an integral part of health care, it is timely to consider clinical preventive medicine (CPM) training approaches that best prepare physicians to deliver appropriate and effective preventive services. During CPM training, skills residents most need to acquire include methods of counseling on health promotion and techniques for advising patients on reducing health risks by changing disease-promoting behavior. University of Arizona residents in the General Preventive Medicine program receive this training focus at Canyon Ranch, a Tucson health resort and university training site. This training is an important component of the CPM area of emphasis in the residency program. Training emphasizes risk reduction and health promotion with a large volume of patients whose aim is to effect lifestyle changes. Emphasis is placed on acquiring skills in clinical prevention. Counseling and patient education are the primary foci. Evaluation data indicate that residents' perception of the rotation's benefit to their education is high, and interest in considering practice in a similar setting is reinforced as a result of the experience. Medical educators in preventive medicine and primary care need to turn their attention to finding appropriate training sites with suitable role models to teach counseling and patient education skills.

Arizona↗

A survey of residency management training: general preventive medicine graduates.

General preventive medicine residents at the University of Arizona are introduced to management skills and issues during graduate medical training to prepare them for future administrative positions. Our objectives were to learn whether administration training was effective and if acquired skills are useful in present job duties of graduates. We mailed a questionnaire to former general preventive medicine residents who had graduated between 1983 and 1992. Twenty-one (81.8%) of the 26 graduates returned a completed questionnaire rating the extent to which certain training activities improved administration skills and assessing the extent to which residency training overall prepare them for administrative work. Ratings reflected adequate preparation and usefulness of skills on the job. The survey indicates that administrative training should begin during residency years and that a variety of short-term and long-term activities, organized throughout both academic and practicum years can produce reasonable success in graduates. Medical Subject Headings (MeSH): preventive medicine, training.

Arizona↗