关键词： 症状   健康   医学博士   内科学   医学院   舒尔曼   人体  

关键词： internship and residency   workload   education   personnel staffing   scheduling  

摘要： BACKGROUND: Work hour regulations for house staff were intended in part to improve resident clinical and educational performance. OBJECTIVE: To characterize the effect of work hour regulation on internal medicine resident inpatient clinical experience and didactic education. DESIGN: Cross-sectional mail survey. PARTICIPANTS: Chief residents at all accredited U.S. internal medicine residency programs outside . MEASUREMENTS AND MAIN RESULTS: The response rate was 62% (202/324). Most programs (72%) reported no change in average patient load per intern after work hour regulation. Many programs (48%) redistributed house staff admissions through the call cycle. The number of admissions per intern on long call (the day interns have the most admitting responsibility) decreased in 31% of programs, and the number of admissions on other days increased in 21% of programs. Residents on outpatient rotations were given new ward responsibilities in 36% of programs. Third-year resident ward and float time increased in 34% of programs. while third-year elective time decreased in 22% of programs. The mean weekly hours allotted to educational activities did not change significantly (12.7 vs 12.4, P=. 12), but 56% of programs reported a decrease in intern attendance at educational activities. CONCLUSIONS: In response to work hour regulation, many internal medicine programs redistributed rather than reduced residents' inpatient clinical experience. Hours allotted to educational activities did not change: however. most programs saw a decrease in intern attendance at conferences. and many reduced third-year elective time.

关键词： 兽医学：内科学   高等学校   教材  

ISBN: (纸本)781117071X

摘要： 面向21世纪课程教材配套实验教程:本书分为上中下三篇，内容为：基础训练、常见内科疾病诊疗、病例复制与诊疗。重点培养学生的临床动手能力，掌握兽医临床基本操作技能、常见疾病的诊断和治疗以及病例书写能力。

关键词： Altruism   Attitude of Health Personnel   Internship and Residency   Needs Assessment   Adult   Afghanistan   Data Collection   Female   Humans   Internal Medicine   Iraq   Male   Military Medicine   Military Personnel   Relief Work   Self-Evaluation Programs   Time Factors   United States  

摘要： The U.S. military provides humanitarian assistance in many areas around the globe. With recent changes in the force structure of the U.S. Army, internal medicine physicians are now at the forefront of providing this care, but the extent of their involvement is not known. This study measured the frequency with which recently trained Army internists provided humanitarian assistance, and it assessed their perceived preparedness for such missions. All graduates from Army internal medicine programs for 4 consecutive years were invited by e-mail to participate in an Internet-based survey. Eighty-nine personnel (49% of those contacted) completed the survey. Of those in a deployable position for >6 months, 72% provided medical humanitarian assistance. Most thought that additional training was needed, especially in tropical disease management, sanitation, and the practices of civilian humanitarian workers. This study demonstrates that military-trained internists are frequently involved in humanitarian assistance medicine, and it suggests that they might benefit from additional training.

关键词： residency training   evaluation   float rotation  

摘要： Objectives: We surveyed the nation's internal medicine residency training program directors to determine the range and frequency of existing methods by which float experiences are evaluated. Methods: We sent questionnaires to the program directors of all 396 internal medicine residency training program sites in the country. Information requested included program characteristics, months devoted to float experiences in each year of training, and the location and purpose of the rotation. Program directors were also asked to choose among descriptors characterizing the evaluative process. Results: There were 139 responding programs (39%), 134 with data that could be aggregated. Responding programs were similar to all programs nationally in the distributions of size and university sponsorship. Overall, 76% of programs employed a night float for any period of time, and 71% currently had one, on average for 6.7 years. Mean months of float experience during residency was 2.4 months, significantly longer in programs that were not university based. Float experiences were evaluated in 89% of those programs who employed them, with ten different methods reported. University-based programs were significantly less likely to use chart review as a method of evaluation, but no other differences in methodology were significant. Conclusions: Float rotations are common among internal medicine residency training programs. Evaluative methods vary, but one or more are applied in the vast majority of programs.

摘要： Unique forces, including population distribution and intellectual capital, are propelling a number of complex technology-based industries to develop a global perspective, presence, and identity. Ravdin et al propose that the academic internal medicine community adopt a comprehensive, international approach to the traditional missions of education, research, and patient care.

关键词： college health clinic   college students   adolescent medicine   primary care medicine   internal medicine residents   training internal medicine residents  

摘要： Purpose: To assess internal medicine residency graduates' perception of the value of a college health clinic in providing adolescent medicine and general primary care training to internal medicine residents. Methods: An 11-item questionnaire was sent in mid-2004 to all physicians who had received training at a college health clinic during their internal medicine residency program. Variables examined included time in the clinic and current practice characteristics. In addition, the physicians were asked to compare their residency college clinic with their continuity clinic in the following educational areas: care of the adolescent patient, diagnosis and management of primary care conditions, coding, practice modeling, and overall learning experience. Results: There was a response rate of 71% (30/42). Respondents reported that 31% of their current patients had conditions seen at the college health clinic. The college clinic was felt to be better than the continuity clinic in preparation for the office practice of general internal medicine;the care of the adolescent patient;the diagnosis and management of illnesses such as upper respiratory infections, urinary tract infections, and eating disorders;modeling an effective and efficient office practice;and as an overall learning experience. Ninety percent of respondents recommended continuing the use of a college clinic as part of the educational experience for internal medicine residents. Conclusion: Internal medicine residency training programs should consider using college health clinics to provide adolescent medicine training and training for the practice of primary care medicine. (c) 2006 Society for Adolescent Medicine. All rights reserved.

关键词： 血管疾病   诊疗  

ISBN: (纸本)7536460643

摘要： 《实用血管病内科学》汇集国内外近年来对血管病研究的精华，结合多年来临床实践的经验，系统介绍了血管病的临床现状、无创和介入检查、诊断与临床评估、血管病的治疗、介入手术并发症及其处理、以及护理与康复共7章。以新的视角、新的理论重新认识常见的心血管和相关疾病，介绍了最新有效的诊疗方法，内容新颖、实用，可读性强。

ISBN: (纸本)7509105161

关键词： 实际病例   学习兴趣   临床思维   高校   交流技能   《内科学》   本科   医学教学   教学方法   实际动手操作能力  

摘要： 在本科医学教学中普遍存在教师灌输式教学,学生死记硬背课本知识,实际动手操作能力较差,不能融会贯通和灵活应用所学知识解决实际问题。为了改善教学中这些弊病,我们尝试在内科学教学中引入实际病例教学。这种教学方法有利于减轻学习负担,培养学生的学习兴趣,提高临床思维能力,对培养学生的职业态度和交流技能都有帮助。