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Biomedical subjects

P G Bashook

Publications and source records attributed to P G Bashook.

At least 19 recordsLinked to original sources

Residency education.

Residency education has an interesting history in the US that speaks clearly about some of the cherished beliefs still perpetuated in today's residency training programs. The history also provides a foundation for considering how the current knowledge of adult education theory and practice can be incorporated into residency education programs. The author presents a brief overview of the history of residency education in the US followed by a recommendation for applying a conception of adult learning to residency education.

Education, Medical, Graduate

Forty year trends in selecting a psychiatric career.

Since 1950, between three and ten percent of American medical school graduates selected psychiatric careers. Until 1989, the direction of the ratio of medical school applicants to acceptance was the best predictor for medical school graduates entering psychiatry; a declining ratio predicts more students become psychiatrists. The decrease in number of graduates selecting psychiatry for 1989, 1990 and 1991 suggest new factors may be influencing career decisions. Women continue to select psychiatry in a greater proportion than men. In an attempt to understand the historical context of these trends and suggest implications and actions for the next decade, this paper presents data on the psychiatric career choice of U.S. medical school graduates beginning with the medical school graduates of 1950.

Career Choice

A view of the prospective child psychiatrist.

A questionnaire distributed to the 1,033 medical students who matched into postgraduate year 1 psychiatric positions in 1982 and 1983 obtained data on personal characteristics, career plans before entering medical school, future career plans, attitudes toward personal psychotherapy, and plans for psychotherapy or psychoanalysis during residency. The results for the 579 residents (56%) who responded are reported. The authors explore differences and similarities between respondents who planned to go into general or child psychiatry as they began general psychiatric residency training. They found two clusters of prospective child psychiatrists: one psychoanalytically oriented and the other eclectically oriented. The authors discuss the implications of this clustering.

Attitude of Health Personnel

Effect of a medical care evaluation program on physician knowledge and performance.

A model program designed to increase the educational value of medical care evaluation committee meetings was studied to determine its effect on the knowledge and clinical performance of participating physicians. The members of hospital committees in which the program was successfully implemented showed a statistically significant gain in knowledge of the topics discussed by their committees. In addition, several members made substantial changes in their patient care practices. These changes resulted not so much from the acquisition of new medical information as from a rethinking of patient management strategies, stimulated by peer discussion during committee meetings. A structure that encourages such discussions can be incorporated in other types of patient-care-oriented committee activities as well.

Clinical Competence

The 1982 first-year resident in psychiatry.

A 197-item questionnaire was distributed to the 541 medical students who matched into first-year postgraduate positions in psychiatry in 1982. The questionnaire obtained basic personal data, career plans before entering medical school, experiences in medical school, factors relating to selection of residency program, future plans, and attitude toward personal psychotherapy. The authors report the results for the 274 residents who completed the questionnaire (51% of the students). They explore the finding that first-year psychiatric residents do not plan careers in areas that the National Institute of Mental Health has defined as having priority--children and the aged.

Attitude

Increasing the educational value of medical care evaluation: a model program.

A model medical care evaluation (MCE) program, designed to increase the educational value of MCE activities, was implemented in three clinical departments at the Michael Reese Hospital and Medical Center. The program was evaluated by means of quantitative and qualitative observational techniques, questionnaires, and interviews and by comparing committees for which the implementation was highly successful with those for which it was less successful. The results confirmed the educational value of the following features of the model program: (a) a focus on the process of care rather than standards of care, (b) prior review of records and their presentation as case problems, (c) educational emphasis by the committee chairperson, and (d) attendance by at least four physicians. Implications for other types of hospital quality assurance or educational activities are discussed.

Delivery of Health Care

Senior medical students' perceptions of the psychiatric clerkship.

The psychiatric clerkship serves the unique role of being the basic psychiatric experience for all physicians. The authors surveyed 680 senior medical students (representing a mean of 32.4% of the students at 15 American medical schools) to obtain information on their experiences and perceptions of this clerkship. These students' perceptions raise potentially serious questions as to the effectiveness of the clerkship in meeting educational needs. The medical students perceived the clerkship as essential for their future careers but considered it easy compared with other clerkships. This perception of easiness has implications both for recruiting psychiatrists and for how practicing nonpsychiatric physicians view psychiatry.

Attitude