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Biomedical subjects

J Hobbs

Publications and source records attributed to J Hobbs.

62 records · Page 4Linked to original sources
PubMedDate not supplied

Acupuncture in the treatment of paralysis in chronic and acute stroke patients--improvement correlated with specific CT scan lesion sites.

A total of 20 stroke patients received acupuncture, including 10 chronic and 10 acute patients; 19 of the 20 patients (95%) could be correctly classified regarding beneficial response to acupuncture, versus poor response, based on CT scan lesion site data, alone. Patients with beneficial response had damage to less than half of the motor pathway areas on CT scan, especially in the periventricular white matter area (PVWM) at the level of the body of the lateral ventricle. Overall, 8 of the 20 patients receiving acupuncture had beneficial response with measurable objective improvement in motor function, including 3 of the 10 chronic patients treated at > 3 months poststroke, and 5 of the 10 acute patients treated at < 3 months poststroke. Among the 8 patients with beneficial response, significant improvements were observed in knee flexion, knee extension, and shoulder abduction. Neither age, nor months poststroke when acupuncture was begun, was significantly correlated with the total number of improved tests, post-acupuncture. Two chronic patients with beneficial response first began receiving acupuncture at 3 years and 6 years poststroke. Most improvements were sustained for at least 4 months after the last acupuncture treatment.

Acupuncture Therapy↗
PubMedDate not supplied

A decentralized clerkship: strategies for standardizing content and instruction.

Course decentralization in a required family medicine clerkship occurred because additional teaching and clinical resources were needed to meet the educational goals and objectives of an entire class of medical students. The decentralized teaching effort, which consisted of a variety of practice models, had the potential for an inconsistent exposure to the required educational content of the clerkship. Course monitoring and evaluation also was difficult because of the logistics of the various teaching sites. In order to minimize inconsistent content exposure, efforts to standardize course requirements occurred through criterion-based faculty and teaching site selection, initial faculty development, and provision of appropriate library resources. Continuous standardization consisted of required periodic faculty development, frequent evaluation of faculty and teaching sites, and comparative studies of student performance. Standardization of some of the students' patient care experience resulted from the use of predetermined list of required clinical encounters. A computer assisted evaluation of students' patient experience log defined the actual student patient care population at various teaching sites and compared this to course requirements. Deficits in patient care experiences were addressed by providing either the appropriate patient encounters or alternative experiences through print, audiovisual, or teaching sessions.

Clinical Clerkship↗
PubMedDate not supplied

A system for assessing clerkship experience using a logbook and microcomputers.

Family Medicine clerkships emphasizing ambulatory care often require multiple teaching sites. Continuous assessment of actual student clinical experiences may not occur because the task of collecting and analyzing the necessary data may be expensive and time-consuming. However, the decreasing price of microcomputers and available software has provided teaching programs with inexpensive and effective tools to perform this task. The Department of Family Medicine at the Medical College of Georgia recently developed and implemented a microcomputer based information management system for use in assessing program and student clinical experiences in a required family medicine clerkship. This system, which uses logbooks as an information source, is able to monitor and provide information which is used to insure that the student's actual clinical experiences are consistent with the goals and objectives of the clerkship.

Ambulatory Care↗
PubMedDate not supplied

An intradepartmental teaching effort at a medical university.

Over a period of four years, 693 third-year medical students were offered the opportunity to receive half of their required internal medicine clerkship clinical experience by rotating on a well-established family medicine inpatient service in a university hospital. This learning experience was designed and evaluated by the physician and behavioral science faculty of the department of family medicine. The family medicine inpatient experience provided the student with a greater number of individual patient encounters and a greater variety of clinical problems than an internal medicine experience. Scores on an internal medicine national board test showed no statistical difference between those students who completed a traditional internal medicine clerkship and those receiving a portion of their internal medicine experience by rotating on a family medicine inpatient service. The success of this student experience was a significant factor in the eventual acquisition of curriculum time for a third-year required family medicine clerkship.

Clinical Clerkship↗
PubMedDate not supplied

The invisible faculty.

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Clinical Clerkship↗