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Report of a cooperative venture between the China Medical University library and the medical library of McGill University.

In March/April 1986, the medical library at McGill University in Montreal, Canada signed a cooperative agreement with the China Medical University (CMU) Library in Shenyang, China. This paper analyzes the operations of the CMU library within the context of the Chinese system of medical education, health care delivery, and medical librarianship. The CMU library is described in terms of collections, cataloging procedures, filing, public services (reference, bibliographic instruction, circulation, copy service), interlibrary loans, networking, conservation of materials, and personnel. Some interesting comparisons are made between the two libraries with respect to holdings, services provided, and training of staff. The plans for future cooperation are outlined.

Canada↗

A sixty-year evolution of biochemistry at McGill University.

The Department of Biochemistry at McGill University was inaugurated close to a century after the Medical School was founded. The roots of the Department, however, can be found at the very beginning of the Medical School in 1829. Because several of the founding faculty members of the Medical School were educated in Edinburgh, McGill's early medical program bore the imprint of the Edinburgh school--particularly in the importance placed on instruction in chemistry and on basic research. This survey of the development of a university department is structured on the succession of department chairs, and describes how the Department's scientific, pedagogical, and administrative activities were influenced by the particular abilities and dispositions of the individuals who were at the helm. It explains how the growth of external research institutes influenced the Department's evolution, and cites some of the noteworthy contributions of its members.

Biochemistry↗

History of otolaryngology in Canada, McGill University: Part 1.

The Department of Otolaryngology, Faculty of Medicine, McGill University, is currently a fully integrated university-based department whose clinical services, research, and teaching activities involve the four major McGill teaching hospitals: The Montreal General Hospital, The Royal Victoria Hospital, The Montreal Children's Hospital, and the Sir Mortimer B. Davis-Jewish General Hospital. How this evolved during the past 175 years is reviewed.

Education, Medical↗

Stress and depressed mood in medical students, law students, and graduate students at McGill University.

PURPOSE: To investigate stress in medical students, law students, and graduate students at McGill University using a well-validated measure, the Derogatis Stress Profile (DSP). METHOD: The DSP was administered to the medical students in November and December 1994. For comparison, the DSP was also administered to the undergraduate law students and the graduate students. In November 1995 the DSP was administered to the first- and second-year medical students. Results were analyzed with a number of statistical methods. RESULTS: The response rates for the medical students, the law students, and the graduate students in 1994-95 were 70%, 96%, and 43%, respectively. The response rate for the first- and second-year medical students in 1995-96 was 57%. The medical students had subjective feelings of stress that are marginally above population norms, but their total-stress scores (related to environmental factors, personality mediators, and emotional responses) were below those of the general population, the law students, and the graduate students. Elevated depression scores in a minority of the students did not seem to be related directly to the stresses associated with medical school. The transition from basic science training to clinical training was associated with an increase in stress and depressed mood. CONCLUSION: Medical students are not greatly stressed relative to other groups, hence other explanations must be sought for the elevated levels of depression in some students. One situation in which stress appears to be particularly important is in the transition from basic science training to clinical training. Targeted interventions may be an effective way of dealing with this problem.

Adult↗

Neurosurgery at the Montreal Neurological Institute and McGill University Hospitals.

For the past 60 years, the Montreal Neurological Institute and Hospital and three associated McGill University teaching hospitals have provided a broad course of instruction in neurosurgery and the related neurosciences. This integrated program offers a wealth of experience in adult and pediatric neurosurgery, based on a total of 140 beds, covering a full range of general and subspecialty neurosurgery. The institute, recognized for many years as a world center for epilepsy surgery, has traditional strengths in the treatment of brain tumors and cerebrovascular and spinal disorders; it has been at the cutting edge of brain imaging in all modalities applied to neurosurgical diagnosis and cerebral localization, including three-dimensional monitoring in the operating room. New approaches to stereotactic procedures have been developed in conjunction with imaging technology, including functional neurosurgery and the versatile McGill double rotation method for radiosurgery with a linear accelerator. Experience in managing trauma, pediatric cases, and general neurosurgical problems is gained at the Montreal General Hospital, the Montreal Children's Hospital, and the Jewish General Hospital. Well-established research units, including burgeoning groups in neurogenetics, molecular neurobiology, and neural regeneration, provide a wide variety of academic opportunities to provide trainees with a sound basis for coping with the rapidly advancing field of neurosurgery.

Academies and Institutes↗

Perinatal research and its support. Corporate contributions at McGill University.

Three technologic projects with potentially patentable end results are slowly evolving in the Department of Obstetrics and Gynecology, McGill University and Royal Victoria Hospital. A tax shelter infusion of a significant amount of venture capital developed opportunities for all three projects over two years. The three projects--fetal heart rate tracing analysis related to fetal outcome, a distributed and intelligent data acquisition system and selected ultrasonic three dimensional imaging--were advanced considerably, and their results are expressed in outline. The effects of such infusions of business support into an environment of sparse research grant support have been extremely encouraging to the investigators, but the department, with its obligations of ongoing research, teaching and patient care, must develop the next steps with care, although one of the projects has been extended by an interested corporation.

Capital Financing↗

Attitudes toward obstetrics training. Residents surveyed at McGill University and University of Montreal.

OBJECTIVE: To determine family medicine residents' attitudes toward family practice training in obstetrics and neonatology before and after implementation of a modified obstetrics curriculum at McGill University (MG). DESIGN: Two-group pretest and posttest. Fifty-seven respondents, 31 at MG, 26 at University of Montreal (UM), were case matched as first-year and second-year residents. SETTING: Departments of Family Medicine at MG and UM. PARTICIPANTS: Family medicine residents at MG and UM. INTERVENTION: A modified obstetrics curriculum was introduced at MG (study group); no modifications were introduced at UM (control group). First- and second-year residents' attitudes toward the adequacy of training were assessed through responses to a questionnaire administered in July 1992 and July 1994. MAIN OUTCOME MEASURES: Changes in response scores before and after implementation of the modified curriculum. RESULTS: Repeated multivariate analysis of variance (MANOVA) showed respondents believed family practice obstetrics training was adequate in general, but that family practitioners were inadequately trained in emergency obstetric skills. Scores for items assessing neonatology skills increased significantly in the MG group after the intervention. CONCLUSIONS: Residents' overall confidence in their obstetrics training did not appear to improve, but this might be due to a time lag between curriculum modification and attitudinal change. McGill residents' confidence in neonatology skills improved significantly after curriculum modification.

Adult↗

William Osler at Mcgill University: the Baby Professor and his early contributions to neurosurgery.

Between 1870 and 1884, as both a medical student and a member of the faculty, Sir William Osler performed approximately 1000 postmortem examinations at McGill University in Montreal. He conducted 786 of these examinations during his 7 years (1877--1884) of service as a pathologist at the Montreal General Hospital. The results of these were carefully recorded and catalogued either by him or by those who compiled the Pathological Report of the Hospital. Included in this material are many early descriptions of neurosurgical disease. Osler used this information for subsequent teaching in both Philadelphia and Baltimore. Osler's early and lifelong special interest in diseases of the nervous system not only led him to make seminal observations but also served to initiate his influence and relationships with the emerging leaders in neurology and neurosurgery.

Autopsy↗

Older medical students' performances at McGill University.

PURPOSE: To compare admission data and academic performances of medical students younger and older than 25, and to qualify older students' experiences and perceptions in medical school. METHOD: The authors reviewed 1988-1991 data for applications to the McGill University Faculty of Medicine. Data included GPAs and MCAT scores, as well as ratings for reference letters, autobiographical statements, and interviews. For those same years, the authors measured students' academic performances in the preclinical and clinical years. The authors compared the data by students' age: "younger" students, aged 17 to 24; and "older" students, aged 25 and above. All enrolled students took the Derogatis Stress Profile, and the older students participated in focus groups. RESULTS: The older applicants had lower GPAs and MCAT scores, but higher interview and reference letter ratings. For older accepted students, basic science course scores were lower than those of younger students, but clinical scores did not differ significantly between the groups. The two groups had similar stress levels, although older students tested lower in driven behavior, relaxation potential, attitude posture, and hostility. In focus groups, the older students spoke of learning style differences, loss of social support, and loss of professional identity. CONCLUSION: Different scores in admission criteria suggest that McGill uses different standards to select older medical students. Older students admitted under different criteria, however, do just as well as do younger students by their clinical years. A broad-based study of admission criteria and outcomes for the older student population is warranted.

Adolescent↗

The McGill University Health Centre Policy on sentinel events: using a standardized framework to manage sentinel events, facilitate learning and improve patient safety.

Promoting a culture of safety within organizations includes translating the lessons learned from sentinel events into concrete changes that will improve patient safety. In May 2005 the McGill University Health Centre Policy on Sentinel Events was implemented to provide a standardized framework to manage these events and promote that culture of safety. This framework helped implement a number of changes to improve patient safety. The O2 Ticket to Ride project ensures cross-disciplinary responsibility for the transportation of oxygen-dependent patients to diagnostic testing areas. The Code Stroke Algorithm was developed to expedite the sequence of events from the time the stroke symptoms are observed to the time the CT scan is carried out.

Academic Medical Centers↗

Exposing the "myth" of ABC, "anything but chrysotile": a critique of the Canadian asbestos mining industry and McGill University chrysotile studies.

BACKGROUND: Beginning in the 1930s, the Canadian asbestos industry created and advanced the idea that chrysotile asbestos is safer than asbestos of other fiber types. METHODS: We critically evaluate published and unpublished studies funded by the Quebec Asbestos Mining Association (QAMA) and performed by researchers at McGill University. RESULTS: QAMA-funded researchers put forth several myths purporting that Quebec-mined chrysotile was harmless, and contended that the contamination of chrysotile with oils, tremolite, or crocidolite was the source of occupational health risk. In addition, QAMA-funded researchers manipulated data and used unsound sampling and analysis techniques to back up their contention that chrysotile was "essentially innocuous." CONCLUSIONS: These studies were used to promote the marketing and sales of asbestos, and have had a substantial effect on policy and occupational health litigation. Asbestos manufacturing companies and the Canadian government continue to use them to promote the use of asbestos in Europe and in developing countries. Am. J. Ind. Med. 44:540-557, 2003.

Asbestos↗

The Steinberg-Bernstein Centre for Minimally Invasive Surgery at McGill University.

Surgical skills and simulation centers have been developed in recent years to meet the educational needs of practicing surgeons, residents, and students. The rapid pace of innovation in surgical procedures and technology, as well as the overarching desire to enhance patient safety, have driven the development of simulation technology and new paradigms for surgical education. McGill University has implemented an innovative approach to surgical education in the field of minimally invasive surgery. The goal is to measure surgical performance in the operating room using practical, reliable, and valid metrics, which allow the educational needs of the learner to be established and enable feedback and performance to be tracked over time. The GOALS system and the MISTELS program have been developed to measure operative performance and minimally invasive surgical technical skills in the inanimate skills lab, respectively. The MISTELS laparoscopic simulation-training program has been incorporated as the manual skills education and evaluation component of the Fundamentals of Laparoscopic Surgery program distributed by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the American College of Surgeons.

Academic Medical Centers↗

Transforming schools of social work into spaces of social action: a critical exploration of Project Interaction, The Gay, Lesbian, Bisexual and Two-Spirit Initiative of McGill University's School of Social Work.

This article examines the question of how universities can be encouraged to address the mental health concerns of GLBT-SQ people and communities from a perspective of solidarity. In so doing, the authors take a case study approach, using Project Interaction: The Gay, Lesbian, Bisexual and Two-Spirit Initiative of McGill University's School of Social Work, to critically reflect upon the challenges arising from the development of an alternative organization within academia. The purpose of this reflection is to highlight how normal operations at work on university campuses, and within health and allied health curriculum, can be disrupted with the goal of providing momentum for the creation of affirmative space, the advancement of educational initiatives, and the building of opportunities for social change.

Bisexuality↗

The nursing shortage crisis in Québec's McGill University affiliated teaching hospitals: strategies that can work.

A frequently recurring theme expressed in both the professional health literature and other multimedia sources is the current nursing shortage crisis. This shortage is an ever present reality that is of serious concern and that will continue to escalate unless innovative and creative strategies are implemented. This article will specifically address one hospital's approach to the nursing shortage crisis in Québec's McGill University affiliated teaching hospitals. The pivotal issues of retention, recruitment and attraction of nursing as a profession are examined. Recommendations for dealing with these issues include: 1) restructuring nursing salaries, 2) redefining the types of nursing personnel resources, 3) flexibility in work schedule, 4) recognition, 5) providing an accurate public image of nursing, and 6) recruitment of males and mature persons. This article provides nursing administrators in the hospital, community, and educational settings with potential strategies that they can explore and apply in their own settings.

Female↗

Stress and residents' lifestyle. Survey of family medicine residents at McGill University.

To study the effects of training on quality of life and work satisfaction, we distributed questionnaires to all McGill family medicine residents. Residents lacked leisure time and were concerned that the heavy workload would affect subsequent quality of care. However, they adapted well to the stress of training. A spouse or partner was an important source of support.

Adaptation, Psychological↗