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Biomedical subjects

K C Calman

Publications and source records attributed to K C Calman.

At least 19 recordsLinked to original sources
PubMed1995

Measles campaign.

Explore the source record for details and available documents.

Costs and Cost Analysis↗
PubMed1995

Certification in postgraduate medical education.

This paper sets out some of the issues relating to certification of specialists. It first defines the purpose of certification as assuring the public of the level of competence of specialist practice. It then describes some of the issues involved, which include the assessment of competence, the need for public involvement, the issue of re-certification, and the problem of dealing with poor doctors. It concludes with a challenge to doctors to seize the opportunities and to enhance the quality of teaching and research in medical education.

Education, Medical↗
PubMed1994

The ethics of allocation of scarce health care resources: a view from the centre.

Resource allocation is a central part of the decision-making process in any health care system. Resources have always been finite, thus the ethical issues raised are not new. The debate is now more open, and there is greater public awareness of the issues. It is increasingly recognised that it is the technology which determines resources. The ethical issues involved are often conflicting and relate to issues of individual rights and community benefits. One central feature of resource allocation is the basing of decisions on the outcomes of health care and on their subsequent economic evaluation. The knowledge base is therefore of great importance as is the audit of results of clinical treatment. Public involvement is seen as an integral part of this process. For all parts of the process, better methodologies are required.

Biomedical Research↗
PubMed1991

The pre-registration house officer year: a critical incident study.

To define the major problems faced by pre-registration house officers, 328 critical incidents from 200 house officers and related staff were collected. Each incident was analysed and key words representing the main features were abstracted. These were then aggregated into eight broad categories; personal aspects, clinical skills, communication and relationships, problem-related, organization skills, education, dying patients, and administration. Further analysis of the incidents suggested a series of conclusions which include the need for effective supervision of the house officer with feedback on performance. An induction/orientation period is necessary; there is evidence that a proportion of house officers need additional experience of practical procedures; house officers often have difficulty in setting priorities and they have little experience, prior to qualification, of organizational skills; during the year they are very busy with little time off. Facilities and accommodation may be less than adequate. They perceive a lack of support from senior staff to help with personal problems and career guidance; they are conscious that communication skills are of great importance and would like additional help with this; there is little time for formal education during the year. The range of clinical material presented is enormous, however, and the challenge for medical education is to ensure that the opportunities for learning are not missed.

Clinical Competence↗
PubMed1991

The Peter Lowe Lecture--medicine in the 1990s.

This paper set out to examine the role of medicine and medical practice. It has done so by posing a series of questions related to the role of the doctor, health and health care, and the patient-doctor relationship. One of the objectives was to re-examine some of the principles of medical practice, another to consider a vision of medicine for the future. The result of this examination has not turned up anything particularly new or original. What it has done, I believe has been to endorse the principles of medicine which have been established for thousands of years. Yet perhaps in some ways they need to be re-asserted and discussed afresh. Because of the enormous changes in society, in health care and the external and internal pressures on doctors, such values can be forgotten or lost. Change is inevitable and doctors must adapt to meet the changes. They must do so in a positive way and wherever possible take the lead in shaping the health and health care of the future. The values of the future are those of the past, though the setting and context may be quite different. These values include, the importance of caring, the central role of communication, the need to be involved in health as well as illness, the implications of making a diagnosis and the fundamental nature of education and training. There is a need to retain common sense and perspective in making decisions. My vision of the future of medicine is therefore clear.(ABSTRACT TRUNCATED AT 250 WORDS)

Clinical Medicine↗
PubMed1989

Information technology in postgraduate medical education.

Information technology in postgraduate medical education has developed rapidly over the last 5 years. This report describes the experience of setting up a computer-based information system in postgraduate centres in the West of Scotland. It includes a viewdata service, library facilities, computer-assisted learning, word processing, and statistics. An electronic mail system provides rapid communication between users. The costing and some of the problems in setting up such systems are discussed.

Education, Medical, Graduate↗
PubMed1989

A computerised medical manpower database--an assessment of its value in medical education.

The development of a computerised medical and dental manpower database for medical education in the West of Scotland is described. The purpose of the database is to provide the West of Scotland Committee for Postgraduate Medical Education with information on the career patterns of doctors and dentists, and to assist in the planning of training. Data collection is from a wide variety of sources and confidentiality and security are paramount. A standing committee, representing all professional interests, has been central to the development of the database. It has acted as policy-maker and adviser, and has been concerned with the way in which the data is used. At each stage in the development, this committee has been fully consulted. The data collected is both of a personal and professional nature and is validated annually by sending a copy of the data to each doctor or dentist for checking. This has highlighted some deficiencies in the data, which now contains information on over 6,000 doctors and dentists. Requests for information from the database are carefully scrutinised by the standing committee before the data is released.

Career Mobility↗