In this autobiography, Lori Arviso Alvord describes her journey to become the first Navajo woman surgeon and her realization of the benefits of Navajo philosophy to the healing process. Raised on the Navajo reservation by a White mother and a Navajo father and grandmother, Alvord learned to walk in two worlds. Encouraged to get an education, she…

This booklet, which was developed for adult literacy educators in Australia, summarizes selected research on health practices, communication, and literacy and outlines some issues that adult literacy teachers might consider in their work. The booklet begins with three anecdotes previewing the practical everyday challenges that literacy poses for…

Progress on a research project at the University of New South Wales that has attempted to develop a test of the interpersonal communication skills of medical students is summarized. The test, which used films of doctor-patient interactions, was designed to measure the ability to respond appropriately to the emotional content of the interactions.…

Directors of patient evaluation courses at U.S. and Canadian medical schools were surveyed to identify problems that might underlie decreasing competence in clinical skills. The problems identified include inadequate numbers of patients for student examinations, lack of administrative and financial support, and lack of recognition for faculty.…

Personal computer technology has arrived in health care. Specific technological advances are optical disc storage, smart cards, voice recognition, and robotics. This paper discusses computers in medicine, in nursing, in conglomerates, and with patients. Future health care will be delivered in primary care centers, medical supermarkets, specialized…

Describes the results of projects exploring the potential of information technology for delivering health care. Describes a proposed project coupling the telephone with computerized audiotext responses, which would provide elderly patients with information, contact, and reassurance. (SR)

An exploratory study involving 31 families found that chronically ill children and their parents express needs and concerns to their pediatricians in veiled ways. Physicians sometimes provide reassurance too soon rather than attending to the family's underlying pathology. Vignettes describe the families' styles of communication with their…

Considers the expanding educational role of health sciences librarians in both academic centers and in hospitals resulting from influences of new educational models and new technology. Topics addressed include undergraduate health sciences education; continuing education; new technology and medical informatics; library educational programs;…

A University of Georgia physical assessment course for entry-level doctoral pharmacy students is described. The course focuses on provision of patient care and communication skill development, not strictly physical diagnosis. It includes classroom instruction in interviewing and physical assessment techniques, case studies, and a three-hour…

Issues that arose in attempting to survey people with Acquired Immune Deficiency Syndrome (AIDS) are described. Questions of confidentiality, nonimplementation, and slow accrual of information are considered for an initial sample of 2,731 cases. Comparison with a database concerning 1,313 clinic clients indicates overrepresentation of compliant…

Twenty-five articles on medical school curricula and physicians' knowledge, attitudes, and practices related to nutritional care, especially concerning heart disease and cholesterol control, were reviewed. It is concluded that nutrition education should occur in undergraduate clinical training and residency periods and that realistic nutrition…

A self-report measure for the Type A subcomponent of time urgency and perpetual activation (TUPA) was developed using 10 coronary heart disease (CHD) patients and validated with another 48 CHD patients. The internal consistency and test-retest reliabilities indicate that the instrument has clinical and research applications. (SLD)

Three methods of designating everyday-dysfunction cases in the Colorado Social Health Survey are compared for a sample of 4,745 adults. The clinical judgment approach was chosen as the primary method of identification, with the statistical deviation criterion a backup. The patient criterion group approach was less useful. (SLD)

Describes the role of tribally controlled colleges in increasing the number of American Indian physicians working as a part of the Indian Health Service. Discusses health problems in the Indian community. Reviews the benefits and difficulties of Indian doctors working in their own communities. (MAB)

In this correlated study, researchers tested the hypothesis that adolescents who occasionally used drugs would exhibit psychologically healthier characteristics than adolescents who had been frequent users or complete abstainers. Results indicated a linear relationship between substance use and psychological health--increased drug use accompanied…