PubMed HealthSearch

Biomedical subjects

D R Houge

Publications and source records attributed to D R Houge.

6 recordsLinked to original sources

Sex problems in family practice.

This study surveyed a group of 76 practicing family practice physicians and a group of 139 residents. They were asked the importance of sex counseling, the value of different kinds of education, who and when they asked about sexual problems, and their ability to deal with 24 problems or issues. Dealing with patient sexual problems was seen as important to both groups and they estimated 20% of their patients to have a problem or concern. A major concern of both groups was sexual abuse. Since the majority indicated they only ask about sexuality if there appears to be a "psycho-sexual sign," it is critical that they receive training in recognizing the signs of sexual problems. Continuing medical education courses were seen to be the most valuable form of training by the practicing family physician in learning about dealing with patient sexual issues and problems.

Adult

An internal review of a residency training program.

Six residency units at the University of Minnesota Affiliated Hospitals Residency Training Program in Family Practice and Community Health participated in an internal evaluation which resulted in changes both in the program and in the program's standards. The evaluation model used, a modified Provus approach, is suggested for other programs along with a discussion of the difficulties and positive affects found in the Minnesota study.

Community Medicine

Developing an objective based curriculum for a family practice residency.

Although there is a preponderance of articles on behavioral objectives in education, few address the process by which objectives are developed and agreed upon in a residency training program. The process by which objectives are developed is critical to their eventual implementation. The development and implementation of objectives are particular concerns in family practice residencies which, because of their broad based content, are uniquely dependent on other departments for portions of the residency training program. This paper describes an approach for developing curriculum objectives in a Family Practice Residency Program which emphasized the personal involvement of individuals who would be instrumental in implementing the curriculum, such as program directors, coordinators of "other" specialty rotations,and resident representatives. This approach, although time-consuming, resulted in well-formulated objectives that could be implemented. Further, this approach allowed for intensive interaction among various faculty members representing many fields, resulting in increased mutual understanding and appreciation.

Clinical Competence

The family practice resident as sexual counselor.

Little research has been done on family practice residents and their sexual counseling attitudes, knowledge, and abilities. This study sought answers to five broad questions about family practice residents' perceptions of sexual counseling. Subjects were 132 residents and 21 faculty members from eight family practice training units in Minnesota, which were affiliated with the University of Minnesota. Residents regard sexual counseling as important and say they desire more training to deal with sexual problems encountered in family practice. They tend to raise the subject of sex with patients not routinely but only if there appears to be a psychosocial problem. Respondents indicate a lack of ability as well as discomfort with several areas of sexuality, notably frigidity and homosexuality. Family practice residents need to develop their skills in specific areas of sexual counseling. While these findings are most applicable to the eight units involved, the diversity in respondents' backgrounds and differences between units suggest that the results may be relevant to other residency programs.

Attitude of Health Personnel