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Gurjeet S Shokar

Publications and source records attributed to Gurjeet S Shokar.

8 recordsLinked to original sources

Physician and patient influences on the rate of colorectal cancer screening in a primary care clinic.

BACKGROUND: Colorectal cancer (CRC) screening rates remain low, despite widespread recommendations. The study purpose was to ascertain whether lack of CRC screening is attributable to physicians' failure to address CRC screening or to patients' failure to comply with physician recommendation. This relationship was also examined over time. METHODS: Retrospective chart review of 400 preventive health visits. RESULTS: Physicians appropriately addressed screening 16.5% of the time during 1998-1999 and 51% of the time during 2002-2003 (P <or= .001). The rate of test completion by patients was 53% in 1998-1999 and 31% in 2002-2003, resulting in completed CRC screening rates of 5% and 16.5%, respectively (P <or= .001). CONCLUSIONS: Further education is needed, especially to target patient barriers to CRC screening test completion.

Aged↗

Student perspectives on the integration of interactive Web-based cases into a family medicine clerkship.

BACKGROUND: Web-based methods are increasingly used to educate medical students; several clerkships now use Web-based cases to supplement students' clinical experiences. However, few studies have reported on students' responses to specific features of interactive Web-based cases. DESCRIPTION: We developed an online template to author Web cases and created eight cases. We evaluated the usefulness of case-based learning for students at the end of each clerkship period, using a 9-item questionnaire with a 6-point scale, written student comments on the Web cases, and student focus groups. EVALUATION: We report a 95% response rate, with 85% of students completing all 3 Web cases. Students were most enthusiastic about feedback from faculty after completing each module. They also liked the user-friendly Web design and linear format of the Web cases. CONCLUSION: Students were enthusiastic about the interactive Web-based cases and thought that the cases reinforced knowledge on common medical problems seen in the clinical setting.

Clinical Clerkship↗

Relating student performance on a family medicine clerkship with completion of Web cases.

BACKGROUND AND OBJECTIVES: This study's goal was to determine if completing Web cases improved students' performance on clerkship assessments. METHODS: We compared scores on preceptor evaluations, National Board of Medical Examiners (NBME) Subject Exam, and a standardized patient (SP)-based exam using ANCOVA for students choosing to complete assigned cases versus students not completing the assignment. We controlled for prior academic performance and clerkship timing using US Medical Licensing Exam (USMLE) Step 1 scores and rotation order. RESULTS: Students completing the case assignment scored higher on the NBME subject exam and the SP-based exam. CONCLUSION: Web-based learning was associated with improved student performance on clerkship assessments.

Clinical Clerkship↗

The effects of an educational intervention for "at-risk" residents to improve their scores on the In-training Exam.

BACKGROUND AND OBJECTIVES: The American Board of Family Practice (ABFP) In-training Exam (ITE) is one of the tools used to evaluate both a resident's progress through residency and the program itself. Investigators have examined the ITE's validity and reliability and predictors of resident performance, but no published studies have reported the effects of initiatives to improve residents' performance on the ITE. This study examines the impact of an educational intervention on low-scoring residents' ITE composite scores. METHODS: Second-year residents at a university-based program were divided into two groups. The intervention group, who took the educational intervention, all had PGY-1 scores < 400 on their composite score. The control group was comprised of residents scoring > 400 on their composite score as PGY-1s. The educational intervention involved intensive group and independent study. RESULTS: In the first year of the study, there was an increase in the average composite score of 75 points in the intervention group compared to the control group. In the second year, there was an increase of 72.5 points, but these differences were not significant. CONCLUSIONS: These composite score changes are not significant, and although this educational intervention may have improved confidence among low-scoring residents, it did not clearly improve their scores on the ITE.

Adult↗

Roseomonas gilardii infection: case report and review.

Roseomonas gilardii is a bacterium that has been indicated as a rare cause of human infections. The case of a patient presenting with cellulitis and bacteremia secondary to R. gilardii is described together with the clinical characteristics of infection with this organism obtained from a review of cases previously reported.

Adult↗

Self-directed learning: looking at outcomes with medical students.

BACKGROUND AND OBJECTIVES: Self-directed learning (SDL) skills are thought to be associated with lifelong learning. This study assessed the degree of readiness for SDL in third-year medical students who participated in a problem-based learning (PBL) curriculum during thefirst 2 years of medical school. METHODS: A total of 182 third-year medical students at the University of Texas Medical Branch at Galveston were given the Self-directed Learning Readiness Scale (SDLRS). RESULTS: The observed mean (235.81 [range 183-284]) for the combined group was significantly higher than the mean reported for general adult learners (214), though slightly lower than scores reported in studies of other medical students and professionals. Ratings of students by clinical preceptors correlated with SDLRS scores. CONCLUSIONS: Students in our integrated medical curriculum had scores on the SDLRS that correlated with clinical performance and probably represented a readiness for SDL.

Adult↗

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Female↗