A study of changes in hospital care suggests that for medical students and residents to be exposed to the same case mix of clinical disorders seen in the hospital in 1980, they must have experience in the ambulatory setting. (Author/MSE)

A total of 200 patients were interviewed at 2 out-patient settings to quantify the patients' perspectives on their illness by measuring their requests for help. Results showed specific requests were made by most patients that focused either on the problem and/or the treatment. (GLR)

Compared the effectiveness of pelvic examination training given to medical students by a laywoman who served as both teacher and patient with training by an attending physician with a laywoman serving only as the patient. Found that the laywoman-trained students demonstrated better interpersonal skills than did physician-trained students. No…

How well internal medical residents understood the four modes of the interpersonal process recall system was investigated after the students had received training in this system. Students were tested before and after the course, that involved extensive use of videotapes of interviews. (Author/MLW)

Compared the interviewing skills of first-year medical students at the University of Oklahoma receiving feedback primarily from standardized patients (SPs) with those of students receiving feedback primarily from faculty. Skills ratings using the Arizona Clinical Interview Rating Scale were significantly higher for the "types of questions…

Results from multiple regression analyses revealed that (1) a lack of clinical experience with AIDS (Acquired Immune Deficiency Syndrome) patients and (2) antihomosexual attitudes were significantly associated with the students' (N=231) lack of HIV (Human Immunodeficiency Virus)-AIDS knowledge, even after controlling for the effects of exaggerated…

The tradition of medicine is that physicians do not abandon the sick, whoever they are and whatever they have done. Support must be provided to the individual physician, ensuring that everyone in the profession is informed about AIDS and makes necessary adjustments of behavior and commitment. (Author/MLW)

Medical students' (N=18) were interviewed as part of the evaluation of an innovative Longitudinal Introduction of Clinical Medicine program. Three themes emerged: the importance of experiences with patients; the differences in the effect of patient contact in the first versus the second year; and the educational structure that makes patient…

A study of medical college faculty perceptions of the value of two groups of patients admitted to a teaching hospital 15 years apart suggests that changes in patient populations resulting from economic changes may have diminished the educational value of medical inpatients in academic settings. (MSE)

A survey of 222 obstetrics patients assisted by medical clerkship students from the University of Vermont and 78 who refused student participation found privacy the primary motivation for refusal and a desire to contribute to students' education a primary reason for accepting student participation. Patients frequently erroneously anticipated the…

The Association of American Medical Colleges' conference on the use of standardized patients in the teaching and evaluation of clinical medical skills is summarized, including perspectives on issues such as curriculum design, administrative concerns, faculty indifference or resistance, and logistical and financial feasibility. (MSE)

The use of microcomputers with programmable database software and document scanners has given the medical education community the necessary technology to manage and operate a patient-encounter log system. A clinical encounter and reporting system at the University of Arizona is described. (MLW)

This paper argues that in the debate over medical ethics and its role in medical education, the divergence of law and reality reflects the law's flawed medical model, which poorly matches the dynamic of the physician-patient relationship and attempts ineffectually to reshape it, and also medicine's autonomous professional culture, which…

A program used role playing to help physicians and nurses to understand problems in gaining patient compliance with medical regimens. Practitioners found they gained insight into sources of patient noncompliance and were able to generalize the experience to later interactions with patients. (Author/MSE)

At the end of their clinical clerkship rotations, all students in one medical school's classes of 1988 (N=69), 1989 (N=63), 1990 (N=66) took the Post-Clerkship Examination. This study examined the nature of the patients' satisfaction ratings; reliability of patient satisfaction ratings and number of patients needed to derive reliable ratings; etc.…