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Biomedical subjects

I B Harris

Publications and source records attributed to I B Harris.

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

Residents' perceptions of the effects of a practice plan on their training.

Residents were surveyed about the characteristics and quality of their education before and twice after a new practice plan for faculty members was implemented at a county medical center. The residents assessed the impact of the practice plan on their training programs. Compared with the ratings before the plan began (1984), the responses one and two years (1985 and 1986) after institution of the plan were significantly more positive on three of nine characteristics: quality of staff, quality of supervision, and heterogeneity of patients. Contrary to concerns expressed by faculty members and residents prior to the plan, the 1985 and 1986 residents did not identify significant decline in the level of their patient care responsibility and opportunities for independent decision-making. One-third of the residents in 1985 and 1986, however, commented (usually negatively) about increased time required for attending rounds due to involvement of faculty members in ward care and documentation activities. These results suggest that changes in faculty organization to increase patient care reimbursement are not necessarily incompatible with maintaining and even improving graduate education.

Attitude of Health Personnel↗
PubMed1987

The diagnostic value of the medical history. Perceptions of internal medicine physicians.

We investigated the perceptions of 71 internal medicine faculty and residents regarding the diagnostic value of the medical history and other attitudes toward the medical interview. Physicians perceive the medical history as having much higher value in diagnosis than either the physical examination or laboratory/radiography information (mean scores, 5.76, 2.41, and 2.49, respectively). The perceptions of the importance of the physician-patient relationship were significantly correlated with the diagnostic value of the history. There was also a strong relationship between the perceived value of the history and preferences for more skilled interviewing responses, as measured by the Helping Relationship Inventory. Contrary to expectations, the perceptions of residents toward the diagnostic value of the patient's history increased significantly over the course of training (5.00 to 6.00). We conclude that despite the increasing emphasis on diagnostic technology, internal medicine residents and faculty continue to view the patient's history as the preeminent source of diagnostic information. Physician attitudes toward the physician-patient relationship and toward the medical interview may contribute to the diagnostic value of the history.

Attitude of Health Personnel↗
PubMed1986

A comparison of locus of control between men and women in an internal medicine residency.

In this comparison of men and women PGY-1 residents, a significant difference in perceived locus of control, a personality variable, was detected. At the beginning and the end of PGY-1, women residents perceived a more external locus of control than men residents. These findings may be important in understanding the different responses of men and women to the stresses of medical training.

Female↗
PubMed1985

A follow-up study of internal medicine residents' and faculty staff physicians' attitudes toward patients.

This study assesses the attitudes of internal medicine residents both before and one year after they began their residency, and of staff internists based at the hospitals where these residents rotate. Attitudes toward a broad range of patients' physical, psychological, social, and health-state characteristics were assessed. Results are compared with those obtained by Johnson and Hoffman in their study of medical students' attitudes toward these same characteristics. The results suggest that attitudes towards patient characteristics viewed as hindering communication in the doctor-patient relationship may become more positive as physicians obtain experience and enhance their clinical skills. The results also suggest that much of the research pertaining to medical students' and physicians' attitudes toward geriatric care and chronic illness may not generalize to the population of physicians who specialize in internal medicine.

Attitude of Health Personnel↗
PubMed1984

Evaluation of a medical interviewing course. Use of the helping relationship inventory.

Changes in beginning medical students' preferred interview responses appear attributable to a course that emphasizes communication techniques for developing patient rapport. For each of five successive classes, pre/postcourse preferences were obtained for alternative response modes (categorized as understanding, probing, interpretive, supportive, and evaluative. Analysis indicated significant increases in students' preferences for understanding responses and decreases in preferences for evaluative responses (p less than .001). Changes are in the desired direction with respect to course goals, since rapport is generally enhanced by conveying understanding and refraining from premature evaluation. Effects on response preferences of some instructor characteristics are analyzed. Implications for health professions education and research are discussed.

Analysis of Variance↗
PubMed1980

Effect of variations in sequencing of clinical tutorials.

The sequence in which different specialties are presented to medical students may influence their impact. However, the subjects has been rarely examined. In the present study a variety of educational outcomes were evaluated for a second-year medical school class. They followed a series of eight clinical tutorials but did so in four different sequences. The outcomes assessed were: (1) student achievement during their tutorial year and in several major clinical courses taken in the third medical school year; (2) student perceptions of the tutorial experiences and the impact of the tutorials on subsequent clinical training; and (3) student choices of clinical courses and programmes in their third and fourth years. The results indicated that the sequence of the eight tutorials had no adverse effect upon the educational outcomes examined.

Achievement↗
PubMed1978

Chemical dependency education within medical schools: supervised clinical experience.

Physicians can play a significant role in chemical dependency, including early identification and intervention, referral to treatment resources, patient and community education, and responsible prescribing practices. Some medical schools have begun to provide instruction in the psychology, pharmacology, and physical pathology of chemical dependency; yet surveys indicate that few offer supervised clinical experience with chemically dependent patients. At the University of Minnesota Medical School, chemical dependency treatment centers are used to provide supervised clinical tutorials for all second year students as part of a coordinated chemical dependency curriculum. The authors describe the development, goals, organization, instructional approaches, and assessment of these tutorials. It is argued that chemical dependency treatment centers are a valuable resource in the education of medical students, as well as other professionls, if used with a view to their assets and limitations.

Community Mental Health Centers↗
PubMed1976

Systematic instruction in interpretive aspects of laboratory medicine.

It is increasingly important for physicians to develop competence in ordering and interpreting laboratory tests. A review of the literature revealed no formal discussion of systematic instruction in the interpretive aspects of laboratory medicine. The goals, organization, instructional approaches, and assessment of a course offering such instruction are described here. Students are expected to develop an algorithmic approach to ordering and interpreting laboratory tests in the course of diagnosing and managing clinical problems in the major areas of medicine. Instructional approaches include lectures, case problem-solving sessions, and independent study. There has been an exponential growth in the number of students electing to take this course. Students respond enthusiastically to most aspects of the course. They are rated significantly higher on appropriate criterion measures in subsequent clinical electives than students who have not had such formal instruction in laboratory medicine during the senior years.

Clinical Laboratory Techniques↗