Douglas M. Brock

Learn More
To determine if the actual rate of coronary artery bypass grafting (CABG) has been decreasing in Washington state, CABG and percutaneous coronary intervention (PCI) procedure rates from 1987 to 2001 were age- and gender-adjusted and standardized to the year 2000 to normalize case rates for changes in population demographics. CABG rates remained stable(More)
BACKGROUND Computing and biomedical informatics technologies are providing almost instantaneous access to vast amounts of possibly relevant information. Although students are entering medical school with increasingly sophisticated basic technological skills, medical educators must determine what curricular enhancements are needed to prepare learners for the(More)
BACKGROUND Nurse practitioners (NP) and physician assistants (PA) serve as independent or semiautonomous providers and as fundamental members of healthcare teams. PURPOSE Differentiating roles of health professionals is needed for optimal employment utilization. Clinically practicing PAs and NPs were characterized. METHODOLOGY Data included wage and(More)
Important changes are occurring in how the medical profession approaches assessing and maintaining competence. Physician support for such changes will be essential for their success. To describe physician attitudes towards assessing and maintaining competence. Cross-sectional internet survey. Random sample of 1,000 American College of Physicians members who(More)
This paper describes a 1988-1989 collaborative mail survey of faculty opinion about clinical behaviors and skills that students should be expected to demonstrate prior to graduation from undergraduate medical school (hereafter called "exit objectives"). Selected faculty from 12 American and Canadian medical schools indicated whether each of 77 objectives(More)
Pager-based activity sampling (PAS) is described as a cost-effective and unobtrusive method for sampling residents' activities in clinical settings. A sample program evaluation is presented using residents in an urban children's hospital resident-training program. The purposes of the program evaluation were: (a) to establish a behavioral baseline that would(More)
Trends in malpractice awards and adverse actions (e.g., revocation of provider license) following an act or omission constituting medical error or negligence were examined. The National Practitioner Data Bank was used to compare rates of malpractice reports and adverse actions for physicians, physician assistants (PAs), and nurse practitioners (NPs). During(More)
This paper describes a collaborative survey of Chinese medical school teacher opinion concerning clinical behaviours and skills that Chinese students should be expected to demonstrate prior to graduation from medical school. Selected teachers from four Chinese medical schools indicated whether each of 77 objectives was: essential for every student to know(More)