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Biomedical subjects

C D Brock

Publications and source records attributed to C D Brock.

7 recordsLinked to original sources

Papanicolaou smear adequacy: effect of different techniques in specific fertility states.

Six hundred fifty-four Papanicolaou smears were studied prospectively to determine the yield of endocervical cells within specific fertility states by technique used. Smears from postmenopausal women had the lowest yield of endocervical cells (32 percent, P less than 0.01). Smears from postpartum women had a higher yield of endocervical cells than those from pregnant women (69 percent vs 59 percent, P greater than .05). Swabbing excess mucus from the cervix prior to scraping uniformly improved the yield of endocervical cells (70 percent vs 62 percent, P less than .02). In swabbed postmenopausal women, use of a Milex spatula had a significantly higher yield than the use of a wooden spatula and a cotton-tipped applicator (43 percent vs 27 percent, P less than .03).

Female

A survey of Balint group activities in U.S. family practice residency programs.

The investigators conducted a survey of Balint group activities among family practice residencies in the United States. The survey was designed to discover how many programs have Balint groups as well as the groups' characteristics, leadership, and structure. Of the 381 family practice residencies surveyed, 93% responded. Of those, 66 offered Balint seminars to 115 different groups. Most groups met at weekly intervals for two to three years. Most groups were led by family physicians (32%), psychologists (25%), or social workers (19%). Most leaders followed the format of a spontaneous case presentation from memory. Support for residents and resolution of professional role conflict were rated as the two major objectives of training. The leaders rated an understanding of feelings generated when with patients and an enhanced sense of professional self-worth as the most attainable attitudinal changes.

Curriculum

Gearing balint group leadership to resident professional development.

This paper discusses the sequential phases of typical Balint training groups. The cases presented reflect the presenters' professional developmental time line and serve the participants' developmental needs: exploring professional boundaries and intragroup intimacy. The activities and issues arising in the meetings stem from these developmental needs and help the group members acquire specific skills. Knowing where the group members are in their professional development should help group leaders give a seminar its focus, decide on group membership, and recognize when a group is not developing appropriately.

Family Practice

Balint group leadership by a family physician in a residency program.

The historical background of Balint groups is summarized. Specific details about initial recruitment of residents and establishment of guidelines for group function are discussed. The central importance of quality control to the leader is emphasized. Qualifications for a nonanalyst family physician group leader are suggested. Results of resident evaluations indicates the educational merit of such training. Balint training provides pragmatic, clinically-oriented research, which is fundamental for all family medicine residencies.

Family Practice