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Conflicts of interest between physicians' commitment to patient care and the desire of pharmaceutical companies and their representatives to sell their products pose challenges to the principles of medical professionalism. These conflicts occur when physicians have motives or are in situations for which reasonable observers could conclude that the moral(More)
OBJECTIVE To evaluate the mini-clinical evaluation exercise (mini-CEX), which assesses the clinical skills of residents. DESIGN Observational study and psychometric assessment of the mini-CEX. SETTING 21 internal medicine training programs. PARTICIPANTS Data from 1228 mini-CEX encounters involving 421 residents and 316 evaluators. INTERVENTION The(More)
BACKGROUND Physicians who are disciplined by state licensing boards are more likely to have demonstrated unprofessional behavior in medical school. Information is limited on whether similar performance measures taken during residency can predict performance as practicing physicians. OBJECTIVE To determine whether performance measures during residency(More)
OBJECTIVE To gather preliminary data on the mini-CEX (clinical evaluation exercise), a device for assessing the clinical skills of residents. DESIGN Evaluation of residents by faculty members using the mini-CEX. SETTING 5 internal medicine training programs in Pennsylvania. PARTICIPANTS 388 mini-CEX encounters involving 88 residents and 97 evaluators.(More)
33 To Our Readers I am pleased to announce that we have finally obtained a written permission from the Annals of Internal Medicine, the most prestigious professional journal in the field of internal medicine, to reproduce • gThe Medical Professionalism in the New Millennium: A Physician Charter • h in General Medicine. The Charter consists of a brief(More)
PURPOSE To address the feasibility of obtaining reliable evaluations of individual physicians from peer ratings undertaken at diverse hospitals. METHOD Eleven hospitals in diverse locations in the United States were recruited to participate. With the aid of the hospitals' medical directors, up to 40 board-certified internists with admitting privileges(More)
The practice of medicine in the modern era is beset with unprecedented challenges in virtually all cultures and societies. These challenges centre on increasing disparities between the legitimate needs of patients, the available resources to meet those needs, the increasing dependence on market forces to transform healthcare systems, and the temptation for(More)
PURPOSE To assess a scale that measures professional attitudes and behaviors associated with the medical education and the residency training environment. METHOD In 1995-96, the authors surveyed medical students and residents from five institutions in the northeast region of the United States. RESULTS Of 757 distributed questionnaires, 565 were returned(More)
PURPOSE To describe the measurement properties of instruments reported in the literature that faculty might use to measure professionalism in medical students and residents. METHOD The authors reviewed studies published between 1982 and 2002 that had been located using Medline and four other databases. A national panel of 12 experts in measurement and(More)