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Biomedical subjects

S C Hamburger

Publications and source records attributed to S C Hamburger.

13 recordsLinked to original sources

Knowledge of tuberculosis in high-risk populations: survey of inner city minorities.

SETTING: Educational programs targeted toward individuals at risk for tuberculosis are needed. As an initial step in developing future programs, the present study was designed to determine the baseline knowledge about tuberculosis in at-risk individuals. METHODS: Face-to-face surveys were conducted with 505 minority subjects in the Kansas City Metropolitan area; health care providers were excluded. Thirty-six queries directed toward self-perceived and actual tuberculosis knowledge were asked. Data were tabulated and per cent correct response was determined. RESULTS: Completed surveys were available from 505 subjects: 342 females and 163 males. Most (97%) of the subjects were African Americans, with 57% between the ages of 21-40. Over two-thirds were high school graduates, and 77% reported an estimated total household annual income of <$20000. Self-perceived knowledge about tuberculosis was rated as 'little' or 'nothing' by 60% of respondents. The overall correct response score was 61%, with 55% correct response to queries related to etiology, 53% for identification of high-risk populations, 57% for possible routes of transmission, 89% for symptoms, and 49% for treatment. Males, those with annual incomes >$20000, and individuals 51-70 years old had the highest scores. CONCLUSIONS: In this high-risk inner-city population surveyed, knowledge deficits in the etiology, transmission, and treatment of tuberculosis were identified.

Adolescent↗

An assessment of the student partnership program at the University of Missouri-Kansas City School of Medicine.

The partnership program at the University of Missouri-Kansas City (UMKC) School of Medicine pairs less experienced students with more experienced students to work together during the last four years of a six-year curriculum. The present study has explored how the partnership program is supposed to work, whether in reality it does work, what function it actually serves, and under what circumstances it operates best. In 1986 and 1987, the authors analyzed information from formal school documents, created and used questionnaires for the students and faculty, conducted semistructured interviews with selected students, and used the results of an annual survey, begun in 1978, of supervisors of first-year students who graduated from UMKC. The students and docents were found to favor the partnership system and reported that most partnerships worked well. The system's chief outcome is seen to be teaching teamwork: learning from and working together with student partners. The characteristics of the students, docents, and setting that contributed to successful partnerships are identified. The authors conclude that the partnership system at UMKC does achieve its objectives, which are described.

Attitude↗

Docents' and students' perceptions of the ideal and actual role of the docent.

In the study reported here, the authors investigated the perceptions of medical students and faculty mentors, called docents, regarding the docents' role. A total of 197 students and 22 docents responded to a questionnaire asking them to rate 32 docent activities on a 4-point scale where 1 = seldom done and 4 = very often done. They were requested to rate these activities on the basis of how often they would be carried out by a docent ideally and on the basis of how often in their experience they were actually carried out. Mean ratings of ideal and actual practice were calculated for each activity as perceived by the docents and by the students. Rank-order correlations were computed to compare the docents' and students' perceptions. Although both the docents and the students consistently felt that more time should be devoted to each activity than actually was, the rank-order correlation between the docents' rating of the ideal and actual practice was .87, and between the students' ratings of ideal and actual it was .93. Both the docents and the students perceived the docents as actually carrying out their essential role-modeling, teaching, and patient-care functions.

Clinical Clerkship↗

Endocrine metabolic emergencies.

Endocrine metabolic emergencies are common clinical entities seen by most health care professionals in acute care medicine. Except for cardiopulmonary arrest, few situations require such rapid institution of immediate drug therapy to reverse life-threatening metabolic imbalances. To safely guide patients through these situations, the physician requires a basic knowledge and familiarity with the approaches, indications, and limitations of drug therapy as a component of care.

Adrenal Insufficiency↗

The impact of the docent clinical pharmacist on treatment of streptococcal pneumonia.

This two-phase retrospective study was designed to evaluate the impact of the clinical pharmacist on prescribing practice of physicians in an internal medicine service. Streptococcal (pneumococcal) pneumonia was chosen as the model disease state. The drug of choice was used more frequently and there was a statistically significant difference in raw cost of antibiotic, total cost for antibiotic administration, daily raw cost for antibiotics; total raw cost for antibiotic administration, and patient charges when physicians were exposed to the clinical pharmacists' influence.

Anti-Bacterial Agents↗