Arguing that physician/patient and librarian/user communications are similar, this article compares medical and reference interviews, focusing on physician or librarian attitudes and behaviors as it presents a series of verbal communication issues and outcomes. Offers suggestions to avoid communication problems at the reference desk, improving…

Five strategies for teaching medical students in the ambulatory care setting are described: wave scheduling; orienting learners to patients; having learners do case presentations in the examination room; using the "one-minute preceptor"; and reflecting on teaching to develop effective teaching scripts. The techniques are based on…

Provides conceptual approaches for cross-cultural medical education, and describes a framework for student evaluation that focuses on strategies to assess attitudes, knowledge, and skills, and the impact of curricular interventions on health outcomes. (EV)

In a preclinical course in pediatric dentistry, 76 students were taught child behavior management through role playing of 7-10 common management situations. Pre- and postcourse measures of student confidence found that, although older students were more confident, all gained significantly from the training. Other student characteristics were also…

Research has not yet identified the best combination of estrogen replacement, calcium, and exercise for fighting osteoporosis, but clinical experience indicates all are needed to prevent the rapid bone loss that occurs in postmenopausal women. Physicians must encourage women to reduce their risk using all available options. (SM)

A survey of 155 third- and fourth-year medical students at Wright State University (Ohio) found 71% of women and 29% of men had encountered some patient-initiated sexual behavior, frequently more than once. Because such behavior can be damaging to patient care, training in managing such behavior is recommended. (Author/MSE)

Injuries are predictable and preventable. Prevention may be applied at bedside or in the community. Greater emphasis on injury control would radically alter the health care provider's role, and shift the direction of communication from the physician to the community and to the individual patient. Success with prevention strategies requires new…

A survey of 250 accredited internal medicine training sites in the United States revealed that only 6% offered formal training in telephone medicine to their residents, usually consisting of single lectures or reading materials. A majority of respondents felt telephone management training was very important and should be part of every internal…

A survey of 57 dental school deans concerning current and ideal curricular emphases in 33 topic areas identified three that were rated highly as ideals: health promotion/disease prevention; primary care; and effective patient-provider relationships/communication. The most significant barrier to reform was an already crowded curriculum. Deans…

In the United States today Attention Deficit Disorder (ADD) is recognized by professionals as a distinct disorder, a neurobiological disability marked by inattentiveness, impulsivity, and hyperactivity. About 2-10% of school-age children suffer from ADD, making it an issue of rising concern to families and school leaders. It is necessary that…

This monograph describes the basic physical/neurological examination of children with special needs and how such an exam fits into the multidisciplinary evaluation and development of individualized programming for such children. The first section addresses the importance of the medical history. Next, the basic exam is described, followed by…

This book brings together 24 contributions (from 13 European countries) about the role of self-help in the overall pattern of health care, dealing with both the practical and the theoretical: (1) "A Reorientation of Health Care?" (Ilona Kickbusch and Stephen Hatch); (2) "Self-help Groups in Primary Health Care" (David…

The medical student's emotions during direct clinical contact with the human body were studied, with emphasis on strategies the student uses to manage feelings when they are "inappropriate" or uncomfortable. Observations and interviews were completed over a 2-year period (1984-1986). Observations were made in the gross anatomy laboratory, physical…

This "gray paper" addresses the concerns of older women regarding their control over death and dying. It is based on the observation that older women are devalued by society on account of both their age and gender, and hence are likely to be impoverished and vulnerable as they approach death. The paper begins by examining the legal,…

This monograph addresses the assumptions underlying a resolution calling for a termination of the use of aversive procedures to modify the behavior of persons with severe disabilities that was passed in 1981 by the Executive Board of The Association for Persons with Severe Handicaps. It provides both data and arguments to support the original…