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J Gravdal

Publications and source records attributed to J Gravdal.

4 recordsLinked to original sources

Graduates' assessments of undergraduate training in ambulatory primary care education.

A random sample of graduates of an undergraduate medical education program was surveyed to determine the graduates' assessments of their community health center (CHC) training relative to how their time was spent in the training, goals of the experience, strengths and weaknesses of the program, and how the program prepared them for residency training. The graduates favorably evaluated patient contact time provided by the program but felt too much time was spent waiting for faculty members and more time should be spent interacting with other health professionals. Nearly two-thirds of the graduates indicated no change should be made in proportion of time spent in the CHC. The experience was viewed as providing early primary care exposure, the opportunity to follow patients over time, and the opportunity to learn the doctor-patient relationship. However, some of the graduates felt there was too much emphasis on primary care in their fourth year. Finally, over 91 percent of the graduates thought the training prepared them as well as or better than other residents were prepared by other programs.

Ambulatory Care↗

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Gender and the educational experience in a primary care training setting.

As the number of women entering medical school increases, patient contacts with female physicians will similarly increase. As a result, educators have begun to consider the relationship between gender and both performance and career preference. The current study explores the relationship between a student's gender and the educational experience of the student. In the setting of established primary care teaching physicians' offices at the University of Illinois College of Medicine at Rockford, gender and diagnosis data were collected on all patient encounters over the course of one year for the 129 students enrolled in the program. Women medical students were 29% less likely than chance to see male patients, and male students were 5% less likely than chance to see female patients in this setting. This finding was especially marked for encounters with younger adult patients and for sexually sensitive examinations, but was noted with all groups of adult patients. The qualitative effect of this on both educational experiences and health care delivery needs to be addressed.

Adolescent↗

The integration of the student into ambulatory primary care: a decade of experience.

This paper presents a functioning model for interfacing health care delivery and medical education. The Community Health Center (CHC) of the University of Illinois College of Medicine-Rockford (UICOM-R) program is an instructive solution to many of the present and anticipated needs identified in undergraduate medical education. In this discussion the CHC program is summarized relative to its personnel, economic standing, and curricular objectives and policies. The views and experiences of students, faculty, and patients relative to the program are presented. At a time when the future of medical education is so closely tied to the cost of health care delivery, and there is a call for "retooling" academic programs, the Rockford program may provide a model for the education of physicians for the twenty-first century.

Ambulatory Care↗