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Biomedical subjects

Bron Skinner

Publications and source records attributed to Bron Skinner.

3 recordsLinked to original sources

Mini-immersion in medical Spanish for family practice residents.

BACKGROUND: Residency programs vary widely in types of training to increase cultural competency and sensitivity. Moreover, few empirical studies exist regarding effectiveness of these experiences. The purpose of our study was to offer and evaluate a linguistic mini-immersion, !Español Rápido!, required of 8 new family practice interns during their orientation month at the University of North Carolina. DESCRIPTION: The curriculum was based on accelerative learning, a pedagogy that considers all parts of the brain, the paraconscious, and the role of the emotions. EVALUATION: Pretests and posttests and a postimmersion and 6-month follow-up evaluation indicated that the mini-immersion was successful. A simple t test for paired samples showed a significant improvement in interns' comprehension after the 6-day immersion, t(7)=11.399, p<.000. CONCLUSION: This brief experience should be viewed only as a first step in a long-term plan for a comprehensive curriculum to prepare family practice residents as culturally competent practitioners.

Family Practice↗

A maternal and child health curriculum for family practice residents: results of an intervention at the University of North Carolina.

BACKGROUND AND OBJECTIVES: There has been a significant reduction in the number of family physicians who provide pregnancy care. This study examines the effects of an educational intervention at a university-based family practice residency. The intervention was designed to increase the number of graduates who include prenatal care or deliveries in their practices. METHODS: The curriculum in pregnancy care was expanded to include a teaching service, better role modeling by family medicine faculty, more deliveries, stronger didactics, breast-feeding and child health services, and greater collaboration with other health care settings and professionals. RESULTS: The intervention increased the average percentage of residents who included prenatal care or deliveries in their practices after graduation from 27.5% to 52%. CONCLUSIONS: This educational intervention increased the number of family practice residency graduates who plan to include prenatal care or deliveries in their practices.

Academic Medical Centers↗

A pilot study using the group environment scale to evaluate first-year resident support groups.

BACKGROUND AND OBJECTIVES: Resident support groups are not universally accepted nor without controversy. Existing descriptive studies suggest the need for better evaluation methods. This study tests a quantitative method for assessing resident support groups using a standardized questionnaire to evaluate changes occurring during support group participation. METHODS: The Group Environment Scale (GES) was used to quantitatively assess premeasures and postmeasures of group functioning for two combined support groups. RESULTS: After analyzing the combined group's premeasures and postmeasures on 10 GES subscales, paired t tests revealed "expressiveness," "self discovery," and "anger and aggression " significantly increased, while "order and organization " decreased. The GES profile suggests that these intern support groups significantly promoted expression of feelings, self disclosure, and self-reflection about personal and professional problems and tolerance of anger in an environment that becomes significantly less formal and structured with strong leader support but low leader control. CONCLUSIONS: The GES is a useful tool for assessing intern support groups. This pilot study provides a quantitative baseline assessment of intern support groups for future comparisons.

Adult↗