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Biomedical subjects

P Jolly

Publications and source records attributed to P Jolly.

32 records · Page 2Linked to original sources

The stability of early specialty preferences among US medical school graduates in 1983.

Medical graduates in 1983 were in preclinical training when the Graduate Medical Education National Advisory Committee forecast a surplus of 70,000 physicians by 1990. Among the problems identified was the nuclear role of medical schools in affecting specialty choices. To understand this role further, the current study determined the stability and evolution of specialty preferences between the time of the Medical College Admission Test and the senior year of medical school. The study included 10,321 US medical school graduates in 1983. Eighty percent changed their specialty preference during this interval, demonstrating the substantial effects that medical schools have on specialty selection. The stability of early preferences ranged from 41% to 1%. Interest in primary care specialties declined among both men and women; interest in specialty care and supporting services increased during this five-year longitudinal study. These findings parallel shifts away from primary care among US medical school graduates in 1978 and 1983.

Career Choice↗

United States citizens studying medicine abroad. Their backgrounds and test performance.

To acquire information about the characteristics of U.S. citizens who had recently studied medicine abroad, the Educational Commission for Foreign Medical Graduates (ECFMG) and the Association of American Medical Colleges merged independently collected data on a study group of 10,460 U.S. citizens who attended 359 medical schools in 75 foreign countries and who took their first ECFMG examination between 1978 and 1982. The study group was markedly heterogeneous: 21 percent were not U.S. citizens at birth, 32 percent did not have English as a native language, and 12 percent had two or more years of undergraduate college education in Puerto Rico. Sixty-seven percent resided in New York, New Jersey, California, Florida, or Puerto Rico, and 74 percent studied medicine in Mexico or the Caribbean. Forty-six percent passed the ECFMG examination on their first attempt, and 22 percent passed a subsequent examination. Only 45 percent had applied to a U.S. medical school, and 65 percent had taken the Medical College Admission Test. The means of the college grade-point averages, known for 39 percent of the study group, and of the scores on the admission test, known for 65 percent, were lower than those of both accepted and unaccepted applicants to U.S. medical schools in the 1976 and 1978 entering classes. The finding that 55 percent of the study group did not apply to a U.S. medical school does not support the widely held belief that most, if not all, U.S. citizens who attend foreign medical schools do so only after several unsuccessful attempts to gain admission to a U.S. school.

Adult↗

Fatal nonatherosclerotic myocardial infarction in a young man with allergic bronchial asthma.

A 34-year-old man with allergic asthma died an (instantaneous) sudden cardiac death as a result of multiple myocardial infarcts. These occurred in the absence of coronary atherosclerosis. The major mechanism by which the infarcts occurred was recurrent coronary artery spasm. The latter can occur spontaneously, asthma patients being particularly prone to it. However, various medications prescribed by different physicians may also have played a role.

Adult↗

Research activities of faculty in academic departments of medicine.

To assess the involvement of current medical faculty in research, a research activities questionnaire and a faculty roster form were sent to all full-time, salaried faculty of departments of medicine in medical schools in the United States. Valid responses from 7483 faculty members were received from 119 medical schools. About 88% of respondents are men; 83% have M.D. degrees; 8% have a Ph.D. degree; and 7% have both degrees. Twenty-four percent of the faculty who have done research had little preparation for a research career. However, 45% of faculty with M.D. degrees had 2 or more years of research training. Seventy-seven percent of faculty with only an M.D. degree reported research activity from 1982 to 1983; the median effort of all faculty with an M.D. is 25%. Faculty with both degrees are more involved in research and the median effort for those with a Ph.D. is 95%.

Education, Medical, Graduate↗