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Biomedical subjects

R P Ferguson

Publications and source records attributed to R P Ferguson.

29 records · Page 2Linked to original sources

Declining appeal of foreign medical education for U.S. students.

Concerns over the poor educational standards of some foreign medical schools and the cost of postgraduate education at a time of a projected physician surplus in the United States have led to efforts to pass federal legislation that would limit or remove access of U.S. graduates of foreign medical schools to residency programs in the United States. However, the need for such legislation has been diminished since the appeal of foreign medical education for U.S. students is on the decline. In this paper, the author reviews the economic and educational environment that in the mid-1970s led to the growth in the numbers of U.S. students who sought foreign medical education and contrasts it with the environment in the mid-1980s. Recent data are cited that support a reversal of that earlier trend.

Attitude↗

Preoperative medical consultations in a community hospital.

To evaluate the practice of consultations in the community hospital, chart reviews and consultant/surgeon interviews were conducted for 85 consecutive medical preoperative consultations for patients discharged from the Surgical Service. In 78 cases (92%) the authors agreed with the need or reason for the preoperative consultation; the majority were required for the management of chronic medical problems. Continuity of care was considered important by surgeons and consultants. Verbal communication was common, particularly from surgeon to consultant. Brief response time, specific recommendations, focused evaluations, and physician satisfaction with the existing system were the rule. However, 23 preoperative consultations (27%) were judged to be deficient. Compliance with recommendations was high (95%) but other measures of consultation effect were low.

Connecticut↗

Sexual practices of older adults in a high HIV prevalence environment.

Based on recent epidemiologic evidence, AIDS in older persons (ages 55-79) in Maryland appears to be increasingly contracted heterosexually, particularly in women. Little is known about sexual practices or beliefs about HIV in older persons living in high HIV prevalence urban populations. The purpose of this study was to assess sexual practices, particularly high risk behavior, modifications of behavior including condom use, and perceptions of risk. A behavioral survey, containing 41 potential responses, was developed through modification of The National AIDS Behavioral Survey, focusing on heterosexual activity. The survey was administered to a convenience sample of 55 to 79 year olds attending the Union Memorial Hospital medical clinic. Sexual activity is common within the older population, especially among men. Multiple partners is not unusual in older men. Condoms are commonly used. Older individuals typically are aware of HIV heterosexual transmission risk and a proportion have modified sexual behavior because of perceived risks.

Age Factors↗