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PubMed1990

The application of basic science concepts to clinical problem-solving.

This study looks at the relationship between anatomical concepts held by medical students and their clinical application, and develops a testable model of how students use basic science concepts for clinical problem-solving. According to the model, the essential prerequisites to solve a clinical problem using basic science information include the appropriate basic science knowledge, the ability to collect and interpret clinical information, with the key concept being the link that must then be made between clinical data and basic science. A detailed analysis of the individual components of the model should help to clarify and resolve some of the debate about the nature and balance of basic science and clinical education. A neurological diagnostic problem was used to test the assumptions of the model in a group of medical students who had minimal clinical experiences. There was no demonstrable relationship between anatomical knowledge as assessed by conventional tests and the diagnosis. There was a powerful relationship between measures of organization of knowledge and diagnosis, suggesting that the organization and development of concepts is the key to correct diagnosis. The findings have significant implications for assessment purposes and suggest that standard methods as generally practised may not measure the appropriate conceptual development and are not congruent with curricular objectives. Through the examination of its different learning outcome measures, the model may also be used to provide a profile of individual students or classes, which should help teachers and students deal with difficulties that may be experienced in learning to link clinical and basic science concepts.

Clinical Competence↗

PubMed2006

Science communication in transition: genomics hype, public engagement, education and commercialization pressures.

This essay reports on the final session of a 2-day workshop entitled 'Genetic Diversity and Science Communication', hosted by the CIHR Institute of Genetics in Toronto, April 2006. The first speaker, Timothy Caulfield, introduced the intersecting communities that promulgate a 'cycle of hype' of the timelines and expected outcomes of the Human Genome Project (HGP): scientists, the media and the public. Other actors also contribute to the overall hype, the social science and humanities communities, industry and politicians. There currently appears to be an abatement of the overblown rhetoric of the HGP. As pointed out by the second speaker, Sharon Kardia, there is broad recognition that most phenotypic traits, including disease susceptibility are multi-factorial. That said, George Davey-Smith reminded us that some direct genotype-phenotype associations may be useful for public health issues. The Mendelian randomization approach hopes to revitalize the discipline of epidemiology by strengthening causal influences about environmentally modifiable risk factors. A more realistic informational environment paves the way for greater public engagement in science policy. Two such initiatives were presented by Kardia and Jason Robert, and Peter Finegold emphasized that science education and professional development for science teachers are important components of later public engagement in science issues. However, pressures on public research institutions to commercialize and seek industry funding may have negative impacts in both encouraging scientists to inappropriately hype research and on diminishing public trust in the scientific enterprise. The latter may have a significant effect on public engagement processes, such as those proposed by Robert and Kardia.

Commerce↗

PubMed2004

The promise of occupational science: a developmental assessment of an emerging academic discipline.

BACKGROUND: In the late 1980's, occupational science was introduced as a basic discipline that would provide a foundation for occupational therapy. As occupational science grows and develops, some question its relationship to occupational therapy and criticize the direction and extent of its growth and development. PURPOSE: This study was designed to describe and critically analyze the growth and development of occupational science and characterize how this has shaped its current status and relationship to occupational therapy. METHOD: Using a mixed methods design, 54 occupational science documents published in the years 1990 and 2000 were critically analyzed to describe changes in the discipline between two points in time. Data describing a range of variables related to authorship, publication source, stated goals for occupational science and type of research were collected. RESULTS: Descriptive statistics, themes and future directions are presented and discussed. PRACTICE IMPLICATIONS: Through the support of a discipline that is dedicated to the pursuit of a full understanding of occupation, occupational therapy will help to create a new and complex body of knowledge concerning occupation. However, occupational therapy must continue to make decisions about how knowledge produced within occupational science and other disciplines can be best used in practice.

Authorship↗

PubMed2004

Retention of basic science knowledge: a comparison between body system-based and clinical presentation curricula.

BACKGROUND: When the University of Calgary implemented the clinical presentation (CP) curriculum in 1994, it was prospectively decided to administer the National Board of Medical Examiner's Comprehensive Basic Science Exam (CBSE) as a measure of students' basic science knowledge retention. PURPOSE: The exam performance from 2 classes (1995, 1996) of the previous system-based (SB) curriculum was compared to exam performance of 2 classes (2000, 2002) of the CP curriculum. METHODS: Data analyses employed 2 statistical models (covariate multiple linear regression and hierarchical mixed effects), and effect sizes were computed. RESULTS: Differences between CBSE mean scores produced by students from the SB and CP curricula showed a curricular effect on students' retention of basic science knowledge. However, preexisting differences between groups were found to be in the small-to-medium range. CONCLUSION: Evidence supporting the potential of schemes within a CP curriculum and their relation to basic science knowledge retention was observed. Effect size for the CP curriculum on students' retention of basic science knowledge was substantial; however, a notable part of that difference can be accounted for by extraneous and confounding factors. Further research utilizing more rigorous designs to investigate the relation between schemes and basic science retention is warranted.

Alberta↗

PubMed2005

Digital reference service: trends in academic health science libraries.

Two years after the initial 2002 study, a greater number of academic health science libraries are offering digital reference chat services, and this number appears poised to grow in the coming years. This 2004 follow-up study found that 36 (27%) of the academic health science libraries examined provide digital chat reference services; this was an approximately 6% increase over the 25 libraries (21%) located in 2002. Trends in digital reference services in academic health science libraries were derived from the exploration of academic health science library Web sites and from digital correspondence with academic health science library personnel using e-mail and chat. This article presents an overview of the current state of digital reference service in academic health science libraries.

Academic Medical Centers↗

PubMed2004

Social science and health research: growth at the National Institutes of Health.

Programs within the National Institutes of Health (NIH) have recently taken steps to enhance social science contributions to health research. A June 2000 conference convened by the NIH Office of Behavioral and Social Sciences Research highlighted the role of the social sciences in health research and developed an agenda for advancing such research. The conference and agenda underscored the importance of research on basic social scientific concepts and constructs, basic social science research on the etiology of health and illness, and the application of basic social science constructs in health services, treatment, and prevention research. Recent activities at NIH suggest a growing commitment to social science research and its integration into interdisciplinary multilevel studies of health.

Culture↗

PubMed1990

Influence of alumni careers and students' educational pathways on animal science undergraduate teaching programs.

In an attempt to aid the planning of courses and curricula in animal science, a survey instrument concerning careers, opinions and suggestions regarding education received was sent to 1,398 alumni who had graduated during the years 1956 to 1987. Longitudinal studies of 1972-82 entering animal science students, and a telephone survey of students who entered as freshmen in 1985-86, provided information concerning student profiles and educational interests. Fifty-two percent of alumni were women, 61% had obtained advanced degrees, about 50% were veterinarians, laboratory or medical scientists, business owners or managers, only 8% were ranch owners or managers, and the rest were engaged in a multiplicity of careers. Undergraduate experiences judged most important by alumni were obtaining academic skills, followed by advanced biology courses, animal science courses, work experience and developing the ability to continue learning. Alumni suggestions for change gave priority to offering more practical subject matter and business and economics in the animal science program, followed by more general education, research, science and theory, or no change. Approximately 30% of entering freshmen students graduated in the animal science major. Fifteen percent expressed interest in livestock, 23% in horses, 29% in companion animals, and the rest in a wide variety of animals.

Animal Husbandry↗

PubMed1994

Construction of science for animal agriculture.

Current animal science research is dominated by disciplinary studies that are experimentally controlled and statistically analyzed. Research in animal science is also placed predominantly within a hierarchy of biological sciences ranging through molecular mechanisms, cells, organ systems, organisms, life systems, ecosystems, and human systems. In the main, disciplinary and applied animal investigations differ from each other only in that they are conducted within different biological work boundaries. Both are largely reductionist and often fragmentary. Animal science, however, has two sets of constituents, the scientific community and external interests, and both are legitimate. External interests will judge the research according to how well it contributes to a hierarchy of functional and practical knowledge instead of the biological. The functional hierarchy of inquiry ranges through validation of ideas; actions; tactics of management; strategies and systems of production; agrospheres including land and water resources, landscapes, human capital, and community; and the anthrosphere including consumers, food product chains, and global markets. More interconnection of the biological and biophysical research with functional knowledge is needed but may be limited by insufficient theoretical development of the new contributing disciplines such as molecular biology, system science, and those represented by the functional hierarchy, and recruitment of specialized scientists who often lack practical experience in agriculture and the food system. Multiple opportunities for intervention of animal agriculture exist, and multiple disciplines including the new biological and functional disciplines will be needed to provide what will be perceived to be the full scope of animal science research.(ABSTRACT TRUNCATED AT 250 WORDS)

Animal Husbandry↗

PubMedDate not supplied

Career choices and professional attitudes of graduating clinical laboratory science students: a nationwide survey.

OBJECTIVE: To conduct a nationwide survey of graduating clinical laboratory science students in order to gather descriptive data and to determine how graduates felt about their profession and what their career goals were for the next 5 years. DESIGN: Survey PARTICIPANTS: A total of 866 clinical laboratory science seniors from hospital-based and university-based clinical laboratory science programs in the United States. OUTCOME MEASURES: Results of questions designed to gather descriptive data and professional goals as well as scales measuring professional attitudes about various aspects of the clinical laboratory science profession. RESULTS: Respondents indicated a high level of satisfaction with their chosen profession as indicated by the positive ratings of their clinical laboratory science program and immediate and long-term employment goals. CONCLUSION: Graduating clinical laboratory science students displayed satisfaction with their profession as evidenced by their career choices immediately following graduation, their professional goals 5 years after graduation, and their responses assessing professional attitudes.

Attitude of Health Personnel↗

PubMed1999

The comparative importance of books: clinical psychology in the health sciences library.

Clinical psychology has received little attention as a subject in health sciences library collections. This study seeks to demonstrate the relative importance of the monographic literature to clinical psychology through the examination of citations in graduate student theses and dissertations at the Fordham Health Sciences Library, Wright State University. Dissertations and theses were sampled randomly; citations were classified by format, counted, and subjected to statistical analysis. Books and book chapters together account for 35% of the citations in clinical psychology dissertations, 25% in nursing theses, and 8% in biomedical sciences theses and dissertations. Analysis of variance indicates that the citations in dissertations and theses in the three areas differ significantly (F = 162.2 with 2 and 253 degrees of freedom, P = 0.0001). Dissertations and theses in biomedical sciences and nursing theses both cite significantly more journals per book than the dissertations in clinical psychology. These results support the hypothesis that users of clinical psychology literature rely more heavily on books than many other users of a health sciences library. Problems with using citation analyses in a single subject to determine a serials to monographs ratio for a health sciences library are pointed out.

Academic Dissertations as Topic↗

PubMed1999

The involvement of genome researchers in high school science education.

The rapid accumulation of genetic information generated by the Human Genome Project and related research has heightened public awareness of genetics issues. Education in genome science is needed at all levels in our society by specific audiences and the general public so that individuals can make well-informed decisions related to public policy and issues such as genetic testing. Many scientists have found that an effective vehicle for reaching a broad sector of society is through high school biology courses. From an educational perspective, genome science offers many ways to meet emerging science learning goals, which are influencing science teaching nationally. To effectively meet the goals of the science and education communities, genome education needs to include several major components-accurate and current information about genomics, hands-on experience with DNA techniques, education in ethical decision-making, and career counseling and preparation. To be most successful, we have found that genome education programs require the collaborative efforts of science teachers, genome researchers, ethicists, genetic counselors, and business partners. This report is intended as a guide for genome researchers with an interest in participating in pre-college education, providing rationale for their involvement and recommendations for ways they can contribute, and highlighting a few exemplary programs. World Wide Web addresses for all of the programs discussed in this report are given in Table 1. We are developing a database of outreach programs offering genetics education () and request that readers submit an entry describing their programs. We invite researchers to contact us for more information about activities in their local area.

Adolescent↗

PubMed2000

The cultural adaptability of health sciences faculty.

PURPOSE: Health care educators have a major responsibility to prepare future health care practitioners to provide services for culturally diverse clients. As a starting point, prior to making any curricular changes, the cultural adaptability of the faculty needs to be measured; therefore, this study was conducted to determine the cultural adaptability of the faculty within a College of Health Sciences of an urban regional university in Southeastern Virginia. METHODS: The sample consisted of 40 health sciences faculty representing dental hygiene, medical laboratory sciences, nursing and physical therapy. The principal investigator personally administered the Cross-Cultural Adaptability Inventory (CCAI), a 50-item instrument that contains questions to measure the construct cultural adaptability and its four dimensions: emotional resilience, flexibility/openness, perceptual acuity, and personal autonomy. The CCAI is not targeted to one particular culture, but rather is designed to be culture general. RESULTS: Overall, all four faculty groups exhibited higher average CCAI scores than the CCAI norm group which consisted of individuals with cross-cultural experience and training. Analysis of variance revealed no statistically significant difference, at the 0.05 level, in the overall CCAI scores among the health sciences faculty. Analysis of CCAI scores among the health sciences faculty, using analysis of variance revealed no statistically significant difference, at the 0.05 level, in emotional resilience, perceptual acuity, and personal autonomy. In the dimension flexibility/openness, a significant difference was exhibited between the physical therapy and medical laboratory sciences faculty. CONCLUSIONS: These qualities should provide a strong foundation for the development of additional competence in cross-cultural health care and for preparing practitioners who can provide culturally sensitive health care. Further exploration to determine whether a cross culturally adaptable faculty can impart this attribute to students might be to administer the CCAI to entering and exiting students.

Analysis of Variance↗

PubMed2006

A review of electronic journal acquisition, management, and use in health sciences libraries.

PURPOSE: The paper describes patterns of electronic journal usage in health sciences libraries during the past decade. METHOD: The paper presents a case study, documenting the pattern of acquisition, management, and usage at the Louis Calder Memorial Library of the University of Miami Miller School of Medicine. RESULTS: Health sciences journals were early to offer electronic alternatives to print. As a result, health sciences libraries, their patrons, and the public at large were early to embrace the new versions and continue to embrace the significant changes in scholarly communication they enable. Although the patterns of electronic journals among health sciences libraries and other special and academic libraries have similarities, they also have differences. Broad studies of electronic journals in non-health sciences libraries have been published, but a retrospective review of electronic journals in health sciences libraries has not.

Access to Information↗

PubMedDate not supplied

Comparison of publication rates for basic sciences versus practice from pharmacy-based grant programs.

The future of a profession in an era of scarce resources depends on maintaining a focus on science. The times demand that pharmacy practice examine its commitment to science. To address this concern, pharmacy practice-based research awards from the American College of Clinical Pharmacy Research Institute Award Program, American Society of Health-System Pharmacists Research and Education Foundation Grant Program, and American Association of Colleges of Pharmacy New Investigator Program were compared with basic sciences awards from the American Association Colleges of Pharmacy New Investigator Program from their inception to 1991 to determine the percentage of awarded grants successfully published (publication rate). Pharmacy practice published awarded grants at 46% (70/154) versus 62% (26/42) for basic sciences (p = 0.09). A significant decline of 37% in pharmacy practice publication rate was observed over the study period. Economically, an average of $11,393 was spent to publish one manuscript in pharmacy practice versus $8077 in basic sciences. The results suggest that pharmacy practice should redefine a paradigm of commitment to scholarship to provide firm evidence for supporting science and sustaining professional growth.

Financing, Organized↗

PubMed2004

Weaving basic and social sciences into a case-based, clinically oriented medical curriculum: one school's approach.

Southern Illinois University School of Medicine recently completed its fourth year of a resource-session-enhanced, case-based, tutor-group-oriented curriculum. As an example of a curricular unit, the authors describe the implementation of the basic and clinical sciences in one of the four units in year one, and detail that unit's organization, logistics, content, rationale, and other characteristics. The Sensorimotor Systems and Behavior (SSB) unit is preceded by a cardio-respiratory-renal unit and is followed by an endocrine-reproductive-gastrointestinal unit. A Doctoring unit temporally spans each of these three units. The SSB unit is allotted an 11.5-week period that includes an aggregate of 2.5 weeks of available clinical time, 1.5 weeks for examinations and exam study time, and approximately 8.5 weeks for tutor-group sessions, mandatory laboratory sessions, and self-directed learning. Optional resource sessions are offered during a two- to four-hour block on a single morning each week. Clinical training in the SSB unit augments self-directed, laboratory, and tutor-group learning of neuroscience, gross anatomy, cell biology, physiology, biochemistry, behavioral and social science, embryology, limited pharmacology and genetics, and basic clinical neurology for first-year students. Although it is fast-paced and places heavy responsibility for independent learning on the students, the SSB unit culminates in significant achievement in the basic and clinical sciences. The unit provides substantial clinical training and practical experience in physical and neurological examinations that directly integrate with basic science knowledge. The unit reduces lecture-based instruction, demands self-determination, and promotes experience in team effort, professionalism, peer interaction, empathy in clinical medicine, and practical use of basic science knowledge.

Curriculum↗

PubMed1995

Integrated case studies and medical decision making: a novel, computer-assisted bridge from the basic sciences to the clinics.

This article describes a novel course that was designed to bridge the gap between the basic science years and clinical experiences in medical school by using information science and computer technology as major components of problem-based learning (PBL) sessions. The course, Integrated Case Studies and Medical Decision Making, was first given to second-year students at the University of Pittsburgh School of Medicine in the spring of 1994. It consists of 13 PBL exercises, each of which explores a clinical case. The cases, including images and gated access to information, are housed on a computer. Using one of 16 networked terminals in specially designed small-group rooms, groups of nine students progress through the cases with a faculty facilitator. The responses of students and faculty to the initial year of the course were favorable. In comparison with traditional PBL sessions, enhanced quality of and access to images and accountability for accessing case information in sequential fashion were cited as major strengths of the course. Juxtaposition of basic science and clinical material and utility in reviewing for the United States Medical Licensing Examination were also cited as strengths. The diversity of the basic science material involved in completing the cases drew overwhelming enthusiasm from students and facilitators alike. In conclusion, the course successfully employs computer and information science technology, which will be of increasing importance to future physicians. The course also serves as an effective bridge to the clinical years of medical school and as a study adjunct for the USMLE.

Clinical Competence↗

PubMed1996

Interdisciplinary multiinstitutional alliances in support of educational programs for health sciences librarians.

This project responds to the need to identify the knowledge, skills, and expertise required by health sciences librarians in the future and to devise mechanisms for providing this requisite training. The approach involves interdisciplinary multiinstitutional alliances with collaborators drawn from two graduate schools of library and information science (University of Illinois at Urbana-Champaign and Indiana University) and two medical schools (University of Illinois at Chicago and Washington University). The project encompasses six specific aims: (1) investigate the evolving role of the health sciences librarian; (2) analyze existing programs of study in library and information science at all levels at Illinois and Indiana; (3) develop opportunities for practicums, internships, and residencies; (4) explore the possibilities of computing and communication technologies to enhance instruction; (5) identify mechanisms to encourage faculty and graduate students to participate in medical informatics research projects; and (6) create recruitment strategies to achieve better representation of currently underrepresented groups. The project can serve as a model for other institutions interested in regional collaboration to enhance graduate education for health sciences librarianship.

Cooperative Behavior↗

PubMed1998

Citation analysis in journal rankings: medical informatics in the library and information science literature.

Medical informatics is an interdisciplinary field. Medical informatics articles will be found in the literature of various disciplines including library and information science publications. The purpose of this study was to provide an objectively ranked list of journals that publish medical informatics articles relevant to library and information science. Library Literature, Library and Information Science Abstracts, and Social Science Citation Index were used to identify articles published on the topic of medical informatics and to identify a ranked list of journals. This study also used citation analysis to identify the most frequently cited journals relevant to library and information science.

Bibliometrics↗