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Biomedical subjects

T E Norris

Publications and source records attributed to T E Norris.

31 records · Page 2Linked to original sources
PubMed1988

The effect of a rural preceptorship during residency on practice site selection and interest in rural practice.

Rural areas of the United States face serious shortages in health care personnel. This report evaluates the effect of a rural preceptorship during the second or third year of a family practice residency on interest in rural practice and on practice site selection. A majority of participants (n = 123) felt that this experience influenced their choice of a practice site. Furthermore, a large majority felt that it increased their interest in rural practice opportunities. Rural preceptorships during residency are a timely solution to increase the number of family physicians interested in rural practice.

Attitude of Health Personnel↗
PubMedDate not supplied

Immunological characterization of the region of tau protein that is bound to Alzheimer paired helical filaments.

Tau protein is known to be present in the paired helical filaments (PHFs) of Alzheimer brains. This study investigated the fragments of tau protein that remain bound to pronase-treated PHFs and conditions that lead to the release of these tau fragments from the core structure of the PHF. Antibody 423 reacted with PHFs and with fetal rat tau but not with adult rat tau, pig tau, or recombinant human tau. Three other antibodies that react with the tubulin binding region of tau only reacted with PHFs after they were disrupted with formic acid or guanidine. Other antibodies that recognize tau sequences C terminal to the tubulin binding region also recognized pronase-treated PHFs. Antibodies SMI34 and T3P that recognize phosphorylated epitopes were reactive with pronase-treated PHFs. Tau fragments from the PHF were solubilized by acid or guanidine treatment. These findings suggest that the fragments of tau that are bound to PHFs and protected from pronase digestion include sequences from the tubulin binding region to the C terminus of tau. In addition, some of these sequences appear to be conformationally or post-translationally modified.

Alzheimer Disease↗
PubMedDate not supplied

Use of MEDLINE by rural physicians in Washington state.

Studies have suggested that rural physicians do not use MEDLINE to aid their clinical decision making, and yet rural physicians appear to be a group that would benefit greatly from the use of MEDLINE because of their isolation from libraries and colleagues. This study was undertaken to understand why a population so likely to benefit from the use of MEDLINE is not using it. The study confirmed that rural physicians regard colleagues, reference texts, and journal articles as the most important information sources. However, a surprising number of rural generalist physicians in Washington, 40 percent of respondents, use MEDLINE, and most possess the requisite awareness, resources, and ability to use MEDLINE. Of those who use MEDLINE, 70 percent consider it a valuable clinical tool.

Attitude to Computers↗
PubMedDate not supplied

The position of chief resident in family practice residencies.

A large majority of family practice residencies have a chief resident position, but little has been written about the role and functions of the chief resident. The results of a 1988 survey of family practice residency directors provide an overall description of the chief resident position.

Adult↗
PubMedDate not supplied

The Montana Family Practice Residency Satellite Program: a unique solution to multiple problems.

States that do not have a family practice residency program face problems in attracting residency trained family physicians. This article describes the development of a unique program in Montana utilizing a series of satellite programs under the direction of family physicians and a statewide coordinating office. These offer the resident a one- or two-month rotation during off-campus elective time in the second or third year of a family practice residency. The program offers the practicing physician a chance to participate in the training of residents and offers the resident an educational opportunity in rural medicine. It also exposes the resident to a Montana community and to practice in Montana. Survey evidence indicates that this type of program has a definite influence on a resident's choice of a practice location.

Family Practice↗
PubMedDate not supplied

The geographic and temporal patterns of residency-trained family physicians: University of Washington Family Practice Residency Network.

BACKGROUND: There is a clear national mandate to increase the proportion of generalist physicians within the medical community and to increase their numbers within rural and underserved urban locations. Little is known, however, about the geographic and temporal career patterns of family physicians or about how these patterns differ by sex and graduation cohort. METHODS: Using information from a follow-up survey of the University of Washington Family Practice Residency Network, we analyzed the characteristics of 358 graduate physicians and their 493 practices, including data on geographic practice locations. RESULTS: Two thirds of graduates began their practices in urban locations, and one third initially settled in rural communities. Female graduates were much less likely than their male peers to choose rural practice locations. Few physicians left practices after they had practiced in them for 5 or 6 years. The majority of graduates were still in the practice where they started as long as 18 years earlier. CONCLUSIONS: The most important career decision made by the graduate of a family medicine residency involves practice location. Because women are less likely to practice in rural areas, the increasing proportion of women graduating from family practice residencies might presage shortages of rural physicians in the future.

Career Choice↗
PubMedDate not supplied

An educational needs assessment of rural family physicians.

BACKGROUND: A shortage of family physicians persists in rural and medically underserved areas of the United States. We explore the hypothesis that a definable set of educational needs should be addressed for rural family physicians, both during their formal education and as part of continuing education while in practice. METHODS: An educational needs assessment questionnaire was sent to 1096 family physicians who had finished residency and entered rural practice within the last 3 years. Six hundred twenty-seven (57.2 percent) of the questionnaires were returned. The demographic characteristics of the respondent physicians and their assessment of the appropriateness and adequacy of their educational process in preparing them for rural practice were analyzed by looking at individual items and groups of items or subject areas. RESULTS: We were able to define successfully a group of items that were important components of rural practice but were not adequately addressed in training programs. Theses groups included counseling, pediatrics, obstetrics and gynecology, geriatrics, surgery and trauma, medical specialties, surgical specialties, community medicine and management, and a mixed factor that included rehabilitation, behavioral sciences, learning disabilities (in children), chronic childhood problems, and human growth. CONCLUSIONS: It is possible to define a group of educational areas not covered adequately by standard family practice curriculum that should be included in preparation for rural practice. If these areas were included in the education of rurally oriented family practice medical students and residents, these physicians would be more adequately prepared to meet the demands of rural practice. If preparation for rural practice is improved, rural communities might be more successful in recruiting and retaining well-trained family physicians.

Curriculum↗