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Biomedical subjects

C L Elam

Publications and source records attributed to C L Elam.

32 records · Page 2Linked to original sources
PubMed1996

Geographic origin and its impact on practice location in Kentucky.

This study examined which medical students from the University of Kentucky College of Medicine are most likely to return to their geographic origins to practice medicine and the frequency with which this occurs. This study is based on statistical analysis of longitudinal data (1974-1985). The database includes 1243 matriculants for whom residency data were available. Follow-up data were available for 1093 physicians-in-practice. Results indicate that a significant percentage of matriculants return to their in-state district of origin to practice. Significant predictors of practice location included gender, undergraduate institution, and residence at admission. However, these factors explained only 8% of the variance in physician practice location. Expanding the model to include location of residency program and specialty choice contributed an additional 14% of the variance. Admissions officers seeking to improve the ratio of graduates practicing in rural areas should devise new measures to assess applicant's attraction to positive aspects of rural medical practice or small town life.

Adult↗
PubMed1995

Age and gender differences in students' preadmission qualifications and medical school performances.

PURPOSE: To investigate the age- and gender-related differences in matriculants' preadmission performances and in their subsequent medical school performances. METHOD: A longitudinal database was used to provide information on the 557 students in six entering classes (1984-1989) at the University of Kentucky College of Medicine. The preadmission variables were undergraduate science and cumulative grade-point averages (GPAs), Medical College Admission Test (MCAT) scores, and interview ratings. The medical school variables were GPAs for the four years of school and scores on the National Board of Medical Examiners Part I and Part II examinations. Age- and gender-related differences were analyzed by analyses of variance. To examine age differences, the students were grouped by age at matriculation: less than 23 years old, between 23 and 27, and 28 or older. RESULTS: The younger matriculants had significantly higher undergraduate GPAs than did their older peers; however, their performances on the MCAT were nearly identical. The men had higher MCAT scores than the women in all age groups, but the older women had higher undergraduate GPAs than the older men. The younger students tended to have slightly higher medical school GPAs than the older students. No age differences were found for the NBME I and II, and no gender difference was found for the NBME II; however, a modest gender difference was found for the NBME I, with the men performing better than the women. CONCLUSION: Dramatic age and gender differences were evident in the preadmission performances, while the differences in the medical school performances were much smaller.

Achievement↗
PubMed1995

Physicians for the 21st century: implications for medical practice, undergraduate preparation, and medical education.

Changes in medical education and the practice of medicine have resulted from the push for both education and health care reforms. Undergraduates planning application to medical school should broaden their preparation to include communications, computers, economics, and multicultural educational experiences. To prepare graduates for medical practice in the new millennium, the University of Kentucky College of Medicine has implemented a new curriculum focusing on integration of basic and clinical sciences, primary care in ambulatory sites, health promotion and disease prevention, and attention to the ethical, social, psychologic, and financial impact of disease upon the patient, family, and society.

Curriculum↗
PubMed1982

Family therapy in family practice: a solution to psychosocial problems?

The family physician can make advances toward helping parents and children with emotional or behavioral problems quickly and effectively in an office setting by gaining competence in family therapy. After learning to recognize several clinical presentations of families with behavioral and emotional problems, the physician can implement an abridged version of family therapy. This study suggest that a two-hour workshop on family therapy can increase physician awareness of the need to interact with dysfunctional families who present a child as the symptom bearer. The results also demonstrate that the actual clinical application of the therapeutic method may vary with physician's years in practice.

Attitude of Health Personnel↗