Clinical impressions.
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Biomedical subjects
Publications and source records attributed to N Whitman.
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A needs assessment was used to plan a national workshop on management skills for chief residents. Of replies from 1,256 residency programs, 50 percent of the respondents reported a high likelihood of attending such a workshop. The three skills that the respondents considered should be given high priority in such a workshop were giving feedback, delegating duties, and building teamwork. Based on these responses, the author designed and conducted a two-day workshop in June 1987 that was attended by 180 chief residents from 138 programs in 21 specialties from 36 states. Each skill was taught by presenting a lecture and a small-group exercise to apply the skill; these small groups were led by trained faculty members. The participants rated the workshop as 4.21 (on a 5-point scale in which 5 = very helpful). The workshop will be offered annually.
In a variation of the Dr Fox study, an educational specialist delivered a lecture in the first-year course on physiology. A highly expressive teaching style was used for content which was determined by physiology teachers. The aim was to determine whether students would note a difference. According to student evaluations, this was the highest rated lecture in the 1984 course. The lecture was repeated in the 1985 and 1986 courses with positive, but less high ratings. No students detected that the lecturer was not a physiologist.
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The Self-Care Rehabilitation in Pediatric Asthma (SCRPA) project was designed to ascertain the level to which children with asthma are able to acquire the asthma knowledge and skills presented in a self-management training program conducted by the American Lung Association of Utah and the effect of such training on the asthma experience. The preschool SCRPA Curriculum (ages 2-5) consisted of six 1-hour classes scheduled twice a week for 3 weeks. The first and last classes were for one or both parents only, and the middle four sessions were for the child and parent(s). The school-age SCRPA curriculum (ages 6-14) consisted of eight 90-minute classes for both child and parent(s) scheduled twice a week for 4 weeks. Private physicians referred 21 preschool children and 38 school-age children into the program. The school-age children were randomly assigned to a study or control group, and the preschool children served as their own controls. A comparison of asthma episodes during the 3 months before and after training showed a statistically significant decrease in the number of episodes but no change in severity in the preschool, school study, and school control groups. The decrease in episodes for the control groups suggest that the family record keeping required of all subjects may have a beneficial effect, a phenomenon worth further investigation. Also, the school-age group, in pre- and posttesting, demonstrated that the SCRPA curriculum increased knowledge and skills in the study group, changes not found in the control group.
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Although there is little evidence that evaluation actually helps improve teaching, some conditions increase the likelihood of evaluation leading to improvement, including a combination of student ratings with educational consultation, comparison of student ratings to self-ratings, feedback early enough to provide time for improvement, and linkage of faculty development to the promotion-retention-tenure process. These conditions were built into a family practice faculty development program. The faculty development program was carried out in steps analogous to a medical model with which faculty already were familiar. An educational consultant took an instructor's teaching "history" and conducted a "physical examination" of his teaching. The evaluator collected "laboratory" data regarding the instructor's teaching and made a "diagnosis." He provided "treatment" in terms of educational consultation and "assessed" the changes in the instructor's teaching. A repetition of the data collection and consultative process demonstrated improvement in clinical teaching, particularly with regard to the skill of leading a collaborative group discussion during resident teaching rounds.
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Explore the source record for details and available documents.
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Although it is important to medical school faculty that they publish articles, little has been done to study the process of submitting manuscripts to journals. Specifically, the authors of this study surveyed authors in nine journals read by family medicine teachers to see if their published articles previously had been rejected by other journals. Based on 517 responses from 541 authors (96% response rate), the authors learned that the New England Journal of Medicine had the highest "not previously rejected" rate of 98% and the Journal of the American Medical Association had the lowest rate of 68%. Overall, 11% of the articles published in the eight other journals in the study previously had been rejected by NEJM. It might be interesting for an author whose manuscript is rejected to know the rates of rejection and publication of various journals.