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Results for “INTERNSHIP AND RESIDENCY”

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At least 793 records · Page 44Linked to original sources
PubMed1994

Why students choose a primary care or nonprimary care career. The Specialty Choice Study Group.

PURPOSE: To analyze the factors influencing students to choose residency training in primary care (internal medicine, family medicine, and pediatrics) or nonprimary care specialties and study the combined effect of reported responses on their choice. MATERIALS AND METHODS: A 12-item questionnaire using a 7-point Likert scale was mailed to the 1,164 graduating seniors from 9 medical schools in 1991. Responses ranged from 1, very negative influence, to 7, very positive influence. Four indicated no influence. The overall response rate was 69%. Univariate analysis of factors associated with specialty choice was done with the Mantel-Haenzsel chi-square test. Odds ratios were calculated for each significant variable without controlling for other variables. Factors found to have univariate significance were then tested for combined significance with logistic regression analysis. The regression was performed on a randomly chosen training sample, and validated on a test sample. RESULTS: Forty-five percent of respondents chose an internship and planned residency training in a primary care specialty. Factors that remained positively associated with choosing a primary care specialty when controlling for other factors were desire to provide comprehensive care, to keep options open, and to undertake ambulatory care. Desire for monetary reward was negatively associated with choice of a primary care specialty. CONCLUSIONS: Positive educational experiences in the ambulatory setting should be enhanced, and disparity in remuneration among disciplines reduced.

Adult↗
PubMed1980

The internship: some disquieting findings.

A natural experiment in psychiatric education took place nationally between 1970 and 1976, when one group of residents entered psychiatry with an internship, and the other without one. In this study 22 psychiatry residents with an internship and 25 without one were compared during their first two years of training. Initial faculty evaluations of the two groups' responsibility, insight, teachability, and knowledge were virtually identical, as were those of their overall performance in inpatient, consultation, and emergency psychiatry. However, ratings of outpatient psychotherapy showed several significant and differences favoring the noninternship group. The authors find these results disquieting. They suggest that interferences with empathy may be an untoward side effect of the internship.

Adult↗
PubMed1984

Identifying common errors in the use of DSM-III through diagnostic supervision.

The authors describe the use of diagnostic supervision to identify common errors made by trainees in the application of DSM-III to multiaxial evaluations in an outpatient clinic. Errors on all five axes were due primarily to misapplications of diagnostic criteria and conventions. Errors on axes I, IV, and V were most frequent. Axis I errors were commonly due to confusion about the relationship of dysthymic disorder to major depression, neglect of substance use disorder diagnoses, and misuse of the adjustment disorder and V-code categories. On axis IV, the severity of psychosocial stressors was frequently overrated, based on several misconceptions. Axis V ratings were often erroneously overestimated because they were individualized rather than made on a uniform scale. No differences were found in the error rates of psychiatric residents compared with psychology interns except on axis I, where interns made more errors. The authors discuss the implications of these errors for training residents and psychology interns in the use of DSM-III.

Adult↗
PubMedDate not supplied

Evaluation of resident-in-training examination in cytopathology.

A cytopathology examination for residents was developed to determine its usefulness and ability to measure learning in cytopathology. Seventy-five resident-training programs participated in this study, which involved 143 beginning, 158 intermediate and 71 advanced residents as well as 63 pathologists and 118 cytotechnologists who considered themselves experienced practitioners. Scores increased significantly with training and practice (mean = 51%, 61%, 65%, 72% and 72%, respectively), although there was much overlap among groups. Of the 100 multiple-choice questions, the 50 involving interpretation of photographs produced the highest scores and greatest differences between advanced residents and experienced practitioners. Visual recognition and grading of cancer cells and visual recognition of normal cellular elements were the areas of greatest resident weakness. Resident recognition of verbal criteria was worse than visual recognition. Different strengths were identified for pathologists and cytotechnologists.

Allied Health Personnel↗