Search PubMed⌕ Search

Biomedical subjects

M B Mengel

Publications and source records attributed to M B Mengel.

21 records · Page 2Linked to original sources
PubMedDate not supplied

Disarming the family ghost: a family of origin experience.

A training method based on family of origin theory was designed to improve health care providers' interactions with difficult patients. The training is divided into five phases. First, leaders introduce participants to basic family of origin issues and the goals and format of the process. Second, participants discuss a difficult case, and, third, construct a family of origin genogram. Fourth, participants analyze the similarities between the two emotional systems. Leaders conclude with a discussion of the symptoms of fusion and develop strategies to avoid fusion during the therapeutic process. Within each phase, leaders present case examples and the participants in dyads proceed through the same process. By going through this process, participants will be better able to understand how family of origin dynamics affect the care they provide patients and why certain patients often prove to be difficult cases.

Family↗
PubMedDate not supplied

Required first-year generalist clinical experience courses and their relationship to career choice: the critical effect of family medicine involvement.

BACKGROUND: This study examines the relationships among the presence of a required first-year generalist clinical experience (RFGCE) course, family medicine involvement in such courses, and the percentage of 1993 medical school graduates who chose family practice as a career upon graduation. METHODS: A prospective cohort study measured predictor variables in 1989, the presence of a required third-year family medicine clerkship in 1991, and the outcome variable in 1993. RESULTS: Data were collected from 122 US 4-year medical schools. Eighty-seven (71.3%) of 122 medical schools had RFGCE courses. In schools with courses and family medicine administrative units, family physicians were involved to some extent in most of these courses (88%). After controlling for type of medical school, the requirement of a third-year family medicine clerkship, and the involvement of a family medicine administrative unit, the presence of an RFGCE course was associated with a 3.5% increase in the number of students who selected a family practice career. This is a 28% increase on average over the mean percentage of medical students choosing a family practice career in 1993. However, in a second analysis, when all predictor variables were entered into the equation, family medicine involvement in such courses replaced the presence of such courses as a statistically significant predictor of medical students selecting family practice as a career. CONCLUSIONS: Family physicians are involved to some extent in the great majority of RFGCE courses. Such involvement is associated with an increase in the number of medical students selecting a family practice career upon graduation from medical school.

Career Choice↗