Videotapes recorded ward rounds at the pediatric teaching hospital affiliated with McGill University. The study revealed a variety of educational problems that provided the basis for a workshop on clinical teaching. The usefulness and practicality of the method as a tool for improving teacher effectiveness in a clinical setting was demonstrated.…

The development and preliminary reliability and validity studies are reported for the Multidisciplinary Hemodialysis Patient Satisfaction Scale, a 110-item Likert scale that assesses satisfaction with team health care services. The methods used to construct subscales may have implications for other psychometric studies of satisfaction and quality…

The construct validity of the Hooper Visual Organization Test (VOT) (H. Hooper, 1983) was studied by comparing it to conceptually similar and dissimilar cognitive abilities in a principal components analysis of results from 240 participants with cognitive impairment. Results suggest that the VOT is best considered a measure of visual-spatial…

The overlap between personality and neurocognitive measures was examined in a sample of 182 adolescent psychiatric inpatients, half of whom were substance abusers. Both cognitive tests and observer-rated measures sensitive to impulsivity were specifically related to abuse of multiple substances, and aspects of inattention and depression were…

A study involving 83 college students, 83 community residents, and 103 patients was conducted to establish cutoff scores on the Inventory of Interpersonal Problems (IPP) (L. Horowitz and others, 1988) for judging clinically significant improvement in interpersonal functioning. The IPP could distinguish among students, patients, and an asymptomatic…

Surveyed 297 matriculating medical students at 3 Chicago medical schools concerning their willingness to treat HIV-infected patients. Found that 92% of the students agreed that patients with HIV would be welcome in their medical practices. Fear of infection and homophobia were associated with decreased willingness to treat. (MDM)

States that the purpose of two studies was to develop an instrument to measure patients' perceived communication apprehension in patient/physician interactions. Describes how, in the first study, the five-item Patients' Report of Communication Apprehension with Physicians (PRCAP) was developed. Examines the validity of the new test instrument.…

This study, with 60 medical students and 15 pediatricians, found that a delay in seeking medical attention and an explanation for the presenting injuries that was discrepant from the physical findings impacted the identification and reporting of child abuse. Positive correlations were found between identification and reporting of abuse. (CR)

Painting may provide an outlet for self-expression for stroke patients experiencing physical, emotional, and social difficulties during rehabilitation. A case study of a stroke patient demonstrates the value of the artistic process as a vehicle for integration and communication. (LSR)

A cost-effectiveness evaluation of an Arthritis Self-Management Program assessed direct and indirect costs through self-reporting of health services use. Diminished productivity and effectiveness were measured through a visual analog scale and the health status dimensions of the Canadian Medical Outcomes Study short form. (JOW)

Illustrates the value of interdisciplinary approaches to patient care by exploring visual articulations of suffering as rendered by one artist. Makes general observations about the nature of humanities courses offered to medical students and depicts a visual portrayal of an illness story representing personal perspectives about patient suffering…

This paper describes the rationale for and the development of the Geriatric Oral Health Assessment Index (GOHAI). The GOHAI has demonstrated a high level of internal consistency and reliability. Poor GOHAI scores were significantly correlated to having fewer teeth, wearing a removable denture, and perceiving the need for dental treatment.…

Describes a study of full-time faculty members of colleges of nursing and medicine at a major midwestern medical center regarding barriers to patient education. The questionnaire suggested structural barriers, program usefulness, and the perception of patients as possible impediments. The report includes the opinions of nurses and physicians and…

Analysis of doctor-parent-child interactions in terms of facework and politeness theory revealed that discourse was a matter of continuous negotiation between participants. Doctors' provision of indirect and direct information to parents was best understood sequentially because they changed approaches according to parent understanding. (20…

Comparison of two medical school human sexuality training approaches, one in which students had no experience taking a sexual history and another in which students conducted or observed a sexual history interview, found the latter more effective in conveying knowledge of sexuality and appropriateness and skill in taking sexual histories.…