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OBJECTIVE To assess physician-patient communication patterns associated with use of an electronic medical record (EMR) system in an outpatient setting and provide an empirical foundation for larger studies. DESIGN An exploratory, observational study involving analysis of videotaped physician-patient encounters, questionnaires, and medical-record reviews.(More)
This paper examines cultural models for breast and cervical cancer among low-income African-American women over 40, in order to better understand how those models might affect cancer screening behavior. The study is part of The Community-Based Cancer Screening Project, which is sponsored by Emory University, Grady Memorial Hospital, and the American Cancer(More)
BACKGROUND The abuse of medical students on clinical rotations is a recognized problem, but the effects on students and their responses warrant further study. PURPOSE To determine the severity of student abuse and the effects of abuse on students during the internal medicine clerkship. METHODS Internal medicine clerks at 11 medical schools (N = 1,072)(More)
PURPOSE To investigate first-year residents' levels of caring (concern for others' well-being), medical knowledge, and clinical judgment in relation to their levels of laboratory utilization. METHOD Self-report questionnaires about caring, knowledge, and judgment were given in 1986-87 to 36 first-year residents in a three-year internal medicine residency(More)
Using survey items from Kern et al. (1985), 192 former residents rated their preparation in, and the importance of, three content areas of their residency training (“basic skill and knowledge areas,” “allied medical disciplines,” and “areas related to the practice of medicine”). Mean ratings replicated those reported by Kern et al. (r=0.70 to 0.97,(More)
This article looks toward the future of medical school courses in professional skills and perspectives by addressing the extent to which they are a valid model for educating physicians of the 21st century, highlighting what medical educators can learn from the experiences at a sample of four medical schools, and suggesting ways to strengthen this curricular(More)
Despite dramatic growth in the number of hospice programs over the past 15 years, palliative care skills and principles receive minimal attention in medical schools and residency training programs. Northwestern University Medical School and Northwestern Memorial Hospital have developed a program in palliative care education for internal medicine housestaff.(More)
PURPOSE To determine the nature and frequency of impairments and related underlying conditions of medical students with physical and sensory disabilities (PSDs), and to assess medical schools' use of relevant publications in setting admission criteria and developing appropriate accommodations. METHOD A 25-item survey addressed schools' experiences with(More)
OBJECTIVE This pilot study assessed the opinions of medical students, residents, and attending physicians regarding the technical standards for medical school admission and the competencies required of graduates in the context of physical disability issues. DESIGN Students, residents, and faculty from all specialties at a major academic medical center(More)
The Atlanta Project, one of six American Cancer Society demonstration projects, is a community-designed and -directed breast and cervical cancer screening program focused on empowering African-American women to accept responsibility for their health maintenance. This article reports the project's goals, objectives, intervention strategies, roles of key(More)