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Biomedical subjects

J Veloski

Publications and source records attributed to J Veloski.

18 recordsLinked to original sources
PubMed1996

Medical student education in managed care settings: beyond HMOs.

OBJECTIVE: To describe the educational experiences of students in managed care settings and to compare these with recommendations for preparing physicians to practice in managed care. DESIGN: We searched MEDLINE using the keywords "medical education," "managed care," "health maintenance organization," and others; we manually checked the reference lists of identified articles and reports from 1969 to 1996. Survey information was obtained from all US medical schools in 1995 and 1996. Site visits were made to 6 managed care organizations selected according to size, geographic region, and involvement in education. MAIN OUTCOME MEASURES: The extent to which schools use managed care settings for clinical education, the types of settings used, and the kinds of educational programs experienced. RESULTS: In 1995 and 1996, an average of 16% of schools required all students to have clerkships or other clinical experiences in a group/staff model HMO, and some students from another 46% of schools spent time in an HMO for clerkships or physical diagnosis/introduction to clinical medicine courses. About 85% of schools potentially exposed students to other types of managed care during 1 or more required clinical experiences in ambulatory, community-based settings. The learning objectives of these experiences did not explicitly address features unique to managed care such as cost containment and disease prevention. CONCLUSION: The selection of managed care settings for undergraduate education is based on general clinical objectives rather than explicit goals tied to managed care. Whether these experiences in managed care settings help students to develop competencies for future practice in a managed care environment has not been demonstrated. While the feasibility of medical education in nonprofit group/staff model HMOs is well documented, it is not certain whether these models can be adapted to for-profit managed care settings.

Education, Medical↗
PubMed1983

Baccalaureate preparation for medical school: does type of degree make a difference?

Four groups of medical school matriculants (43 with a B.A. degree in social sciences, 68 with a B.A. degree in the humanities, 49 with a B.A. degree in science, and 40 with a B.S. degree in science) were studied. No significant difference was found among the four groups on yearly grade-point averages in medical school or on parts I, II, and III of the examinations of the National Board of Medical Examiners. Those with an undergraduate degree in the humanities considered leaving medical school more frequently than the others. A substantial proportion of medical students with an undergraduate major in the sciences and social sciences reported they would choose the humanities if they were once again high school seniors. Those with a science background were disproportionately more likely than the others to choose residencies in internal medicine and surgery, and those with undergraduate degrees in the humanities and social sciences were more likely to choose psychiatry residencies.

Achievement↗
PubMed1982

Changing specialties: do anesthesiologists differ from other physicians?

Career choices of physicians frequently change after senior year in medical school. Although previous studies have documented the magnitude of these changes, they contain no information concerning anesthesiologists. Changes in specialties of 1151 physicians, graduates from the same medical school, between the years 1968 and 1976 were studied. Of these physicians, 35 (3%) are presently engaged in the practice of anesthesiology. Of 31 physicians who planned careers in anesthesiology as seniors, 26 (84%) remained in anesthesiology. Nine physicians changed from other specialties to anesthesiology. The ability of anesthesiology to retain physicians who originally planned to specialize in it, or to gain physicians from other fields, was not different from that found in other specialties studied.

Anesthesiology↗
PubMed1979

Relationships between performance in medical school and first postgraduate year.

Data from a longitudinal study of Jefferson Medical College graduates were analyzed to determine levels of clinical competence in the first postgraduate year and relationships between postgraduate ratings and performance during medical school. Ratings were obtained on knowledge, data-gathering skills, clinical judgement, and professional attitudes from the hospitals in which the graduates received their training. Significant relationships were found among three levels of performance in medical school and postgraduate ratings and in all four competence areas. Relationships were strongest at the highest and lowest performance levels. It is concluded that in a substantial number of cases good and poor performance in the first postgraduate year can be predicted on the basis of information already available to the medical school faculty.

Attitude of Health Personnel↗
PubMed1977

Family medicine and primary care: trends and student characteristics.

Using data from a longitudinal study of medical students at Jefferson Medical College, the authors analyzed trends in senior student interest in primary care specialties between 1971 and 1975 and selected background characteristics and performance levels of students choosing family medicine compared with those in other specialties. The proportion of students interested in family medicine residencies increased from 6 to 17 percent in the study period. The academic performance of students selecting family medicine was equal to or better than that of those in all other specialties except internal medicine. Smaller proportions were interested in teaching and research than those in other specialties, and larger proportions intended to work in communities of 100,000 population or less.

Achievement↗