Search PubMed⌕ Search

Biomedical subjects

T J Ruane

Publications and source records attributed to T J Ruane.

10 recordsLinked to original sources
PubMed1989

Continuity, family involvement, and clinical content in a year-long ambulatory care clerkship.

Entries in student logbooks for the Ambulatory Care Clerkship at the Michigan State University College of Human Medicine were tabulated by microcomputer for 38,430 patient encounters in five community campuses in 1985 and 1986, and by hand for 32,182 patient encounters in Grand Rapids from 1983 to 1987. The repeat visit rate recorded toward the end of the clerkship by students in family practice settings was approximately 60% of the rate recorded by students taking the clerkship with internists or pediatricians. Students in family practice and in pediatrics had the same degree of exposure to patient families; however, family exposure in internal medicine and in pediatrics was limited to other family members of the same generation as the patient. Distributions of the kinds of patient problems seen were distinctive by specialty and were stable across 5 years.

Ambulatory Care↗
PubMed1988

A year-long clerkship in ambulatory care.

Decreased availability of hospitalized patients for medical student education, a changing clinical environment in both hospital and outpatient settings, and the need for teaching the specific skills of primary ambulatory care mandate the development of outpatient-based clinical clerkships. A required third-year clerkship at Michigan State University College of Human Medicine combines a long-term structure and a defined curriculum with a wealth of clinical encounters. New approaches to the basic clinical education of medical students are needed to connect clinical resources, specialty expertise, and the special knowledge and skills needed for primary care. The clerkship described in the present paper represents a model for such clinical education.

Ambulatory Care↗
PubMed1987

Understanding and teaching continuity of care.

Although continuity of care occupies a central position in the definition of primary care and is invoked as having evident importance in practice, research on the value of continuity has produced confusing and conflicting results. These results may be due to a lack of clarity in the definition of continuity of care. In this paper, the authors suggest that continuity includes three elements--cognitive, management, and relationship. Exploration of each of the elements expands the understanding of continuity in medical practice. Continuity of care can be evaluated in both undergraduate and residency programs by the application of criteria offered in this paper.

Adult↗
PubMed1981

Referrals.

Explore the source record for details and available documents.

Consultants↗
PubMed1979

Consultation and referral in a Vermont family practice: a study of utilization, specialty distribution, and outcome.

Referral patterns and outcome were studied in an ambulatory family practice facility. One hundred eight referrals were initiated and studied during a period when 7,220 patients were seen--a 1.5 percent referral rate. Satisfactory outcomes occurred in 67 of the cases. Changing patterns of health care delivery may require new definitions of the consulation-referral process.

Family Practice↗