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Biomedical subjects

K M Skeff

Publications and source records attributed to K M Skeff.

30 records · Page 2Linked to original sources
PubMed1984

Assessment by attending physicians of a seminar method to improve clinical teaching.

The authors in this article present assessments by attending physicians of a seminar method to improve clinical teaching. An experimental study was conducted to determine whether or not the seminar method (a) is perceived by attending physicians as beneficial, (b) modifies the physicians' attitudes toward teaching, (c) enables attending physicians to define needed teaching changes, (d) motivates them to improve their teaching performance, and (e) is perceived as having long-term benefits. Forty-six inpatient attending physicians from four California institutions participated in the study. The physicians were randomly assigned to an experimental group which attended a seminar on clinical teaching or to a control group which received no such intervention. Questionnaires completed by the physicians indicated that the teachers who experienced the seminar method perceived it as beneficial, improved their attitudes toward clinical teaching, determined needed teaching changes, attempted to implement new teaching approaches, and perceived long-term benefits.

California↗
PubMed1983

Evaluation of a method for improving the teaching performance of attending physicians.

The effects of an intensive feedback method on the teaching performance of ward attending physicians were evaluated. Sixty-four attending physicians were randomly assigned to one of four experimental groups: (1) intensive feedback, (2) videotape control, (3) questionnaire feedback, or (4) questionnaire control. The method was evaluated using the teachers' subjective assessments, ratings of videotapes of ward rounds, and trainee ratings. Seventy-five percent of the intensive feedback group rated their treatment definitely beneficial in contrast to less than 13 percent of teachers in other groups (p less than 0.001). The intensive feedback group received higher post-treatment videotape ratings than the videotape control group, both on ratings of specific categories of teacher behavior (p = 0.03) and on ratings of overall teaching performance (p = 0.08). More intensive feedback teachers (40 percent) than videotape control teachers (6 percent) improved their personally identified problem teaching behaviors (p less than 0.05). Trainee ratings showed no significant difference between study groups. It is concluded that attending physicians can improve their teaching performance. Intensive feedback is one possible method of achieving that goal.

Adult↗
PubMed1982

A study of the implicit criteria used in diagnosing chest pain.

Although previous studies have reported the prevalence of coronary artery disease among patients with typical and atypical angina, criteria for the definition of these chest pain syndromes have not been well described. We studied the implicit criteria used by physicians to classify patients with chest pain. Five internists reviewed the histories of 190 subjects admitted to the hospital for elective coronary arteriography and rated each history as indicating either high or low risk of coronary disease. We applied logistic discriminant analysis to these ratings to create a decision rule for the classification of patients with anginal syndromes. The prevalence of confirmed coronary artery disease in subjects classified by the rule as at high risk was 0.83; the prevalence was 0.57 in subjects classified as at low risk. These prevalences are similar to those found for typical and atypical angina in previous large studies. We conclude that this linear model represents the physicians' decisions and provides criteria for defining anginal pain syndromes in certain settings.

Angina Pectoris↗
PubMed1977

Tuberculous pneumonia with the syndrome of inappropriate secretion of antidiuretic hormone: cause of the adult respiratory distress syndrome.

Bilateral tuberculous pneumonia with the syndrome of inappropriate secretion of antidiuretic hormone was the cause of the adult respiratory distress syndrome in an elderly patient. Early recognition and prompt therapy enabled the patient to make a complete recovery without the necessity for mechanical ventilation. With the shift of care of tuberculous patients out of the sanitorium, the practicing physician should be aware of the varied manifestations of tuberculosis.

Aged↗
PubMedDate not supplied

Evaluation of the seminar method to improve clinical teaching.

The effects of a seminar method to improve the teaching of ward attending physicians were evaluated. Forty-six attending physicians from four institutions were randomly assigned to experimental and control groups. The method was evaluated to assess its effects on attending physicians' performances and attitudes, and impact on learners. Evaluation methods included ratings of videotapes of ward rounds, teachers' subjective assessments of both their teaching performances and their experiences in the study, and trainee ratings. Videotape ratings, the teachers' own assessments, and the trainees' assessments of the attending physicians' impact on learning were significantly different, favoring the experimental group (p less than 0.05). It is concluded that the seminar method can provide the basis for effective and feasible approaches for improving clinical teaching by attending physicians.

Adult↗