Continuing dermatologic education. Andragogy or pedagogy?
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Biomedical subjects
Publications and source records attributed to R M Caplan.
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Registrants of a four-day family practice refresher course responded to a survey assessing their reaction to a brief presentation recommending the use of penile anesthesia in newborn circumcision. Of the 110 respondents who had attended that session, 56 percent reacted favorably to the recommendation, 27 percent rejected it, and 17 percent had mixed reactions. Twenty-three percent of the respondents who were performing circumcisions at the time of the survey said they began using the recommended procedure following the conference, most with good results. Those who did not adopt the recommendation said using penile anesthesia for newborn circumcision was unnecessary, potentially dangerous, or both. The results suggest that evaluation of behavior change resulting from continuing medical education efforts should consider attitudinal variables on the part of those attending conferences in addition to variables related to the overall quality of the conference.
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The author provides arguments to explain why four of Arthur Conan Doyle's sixty stories about Sherlock Holmes were not narrated by Dr. Watson. The arguments relate to logical demands of the plot in the cases of the two stories told by an unidentified narrator. The two told by Holmes seem to demand Watson's absence because the final elucidation requires skill in cutaneous diagnosis; the presence of a medical man would have, or should have, relieved the dramatic tension of the mystery too soon. The Sherlock Holmes stories can provide delightful diversion as well as serve constantly to enhance our appreciation for highly alert and careful physical examination.
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