Objective: To help students, residents, and general practitioners to improve the technique, skills, and reproducibility of their prostate examination. Methods: We developed a comprehensive guideline outlining prostate anatomy, indications, patient preparation, positioning, technique, findings, and limitations of this ancient art of urological…

The development of appropriate scenarios is critical in high-fidelity simulation training. They need to be developed to address specific learning objectives, while not preventing other learning points from emerging. Buying a patient simulator, finding a volunteer to act as the patient, or even obtaining ready-made scenarios from another simulation…

Historically, medical education has focused largely on medical students' intellectual development, mostly ignoring the broader psychological milieu of medical practice. This chasm can result in practitioners who are less likely to process their emotions and/or support their patient's needs, and more likely to experience burnout. Self-determination…

The hiring of educators in medical schools (faculty who study the educational process and prepare others to become educators) has been one of the most successful educational innovations ever. Starting in 1954, through a collaboration between the Schools of Medicine and Education at the University of Buffalo, the innovation has spread to over half…

In an attempt to focus student attention on interpersonal aspects of medical practice, 31 students were trained to present the history and symptoms of an actual patient and then visited 11 physicians to get help for their "problem." Follow-up discussions were held to evaluate the physician-patient relationship. (LBH)

Presents the development of concrete and explicit goals, models, and procedures for group psychotherapy by the staff of a 22-bed, adult, general psychiatric unit. (BH)

Integrating theory, research, and practical applications, this book provides a comprehensive examination of defense mechanisms and their role in both normal development and psychopathology. The author describes how children and adults mobilize specific kinds of defenses to maintain their psychological equilibrium and preserve self-esteem,…

The fact that many states have passed elder abuse reporting laws has left care providers with a dilemma. If suspected abuse is reported, the relationship between caregiver and patient may change and the family's difficulties may increase. Indicators of abuse are not easy to differentiate from health problems, especially in the frail elderly. An…

In a medical sociology course composed of health care students with little sociology background and sociology students with no health care background, a paired observation exercise was given. Health care and sociology students were paired, and each pair observed the same medical encounter and reviewed each other's papers. (Author/RM)

Provides theoretical and practical information on the use of Outward Bound activities in a mental health setting. First section traces the development of physical activity as an adjunctive psychiatric treatment and then describes a model treatment program for psychiatric patients in the second section. (ERB)

A variety of ethical issues confronting the nursing profession are examined in these proceedings. The following papers are presented: (1) "Ethics: Care & Conflict," by Leah Curtin; (2) "The Interface of Politics and Ethics in Nursing," by Mila Aroskar; (3) "Pluralistic Ethical Decision-Making," by Rita Payton; (4)…

Individualizing treatment to accommodate the diverse needs of patients has long been a priority among psychologists. In the inpatient realm, where heterogeneous client groupings are often common, individualizing treatment is an ongoing challenge for therapists compelled to rely increasingly on cost-effective group treatment modalities. This paper…

Focusing on innovative and cost-effective alternatives to traditional, custodial, and institutional health care systems, the papers in these proceedings identify the contributions of nursing and the benefits for patients of the new national emphasis on cost-effective health care. The proceedings contain: (1) "Trends in Health Promotion:…

Boston University (Massachusetts) developed and marketed a dental care plan to three colleges and universities in the Boston area. After 5 academic years of operation, the dental program has 16 institutional affiliates, increased its patient pool by almost 1,500, generated substantial revenue, and exposed dental students to an alternative dental…

The needs of physically and psychiatrically disabled people were identified, and seven content areas that relate to the knowledge, skills, and attitudes needed by physicians were elaborated in a "core curriculum" for medical students. (MLW)