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Biomedical subjects

F Lefford

Publications and source records attributed to F Lefford.

8 recordsLinked to original sources

A survey of medical undergraduate community-based teaching: taking undergraduate teaching into the community.

This article summarizes the findings of a survey investigating the extent to which medical schools in the United Kingdom have developed community-based undergraduate teaching: the types of courses being run and their content; whether they are being evaluated; and how the students are assessed. Courses have been categorized under four main headings: (1) based in general practice, for teaching about general practice as a clinical specialty or using practice patients for teaching general medicine and basic clinical skills; (2) community-oriented, led by GP or community tutors; (3) specialist teaching led by hospital consultants; and (4) agency-based teaching. Twenty-eight schools responded to a written request for information and details of 83 courses were received.

Community Medicine↗

The need for part-time work: a survey of doctors 10 years after graduation.

In order to quantify the need for part-time posts a postal questionnaire was sent to 396 doctors 10 years after graduation from four UK medical schools. The response rate ranged from 41% for Sheffield to 74% for Edinburgh. The findings reinforce the case for more flexibility of the career structure, in particular the establishment of more part-time posts. These should be incorporated into training grades as the maximum need for part-time work was found to occur 4 to 8 years after graduation.

England↗

Women doctors: a quarter-century track record.

According to Department of Health and Social Security figures for England and Wales, the number of women in medicine has risen substantially during the past 25 years. However, there has been little improvement in their career prospects. There is an urgent need for the present training programme and career structure to be made more flexible.

Career Choice↗

Nailfold capillary microscopy in connective tissue disease: a quantitative morphological analysis.

Photomicrographs were taken of front line nailfold capillary loops in 18 healthy women (controls) and 42 women with established connective tissue disease (14 rheumatoid arthritis, 19 systemic lupus erythematosus, nine scleroderma). Measurements were made of apex width, maximum limb and loop widths, capillary length, interpeak distance, and frequency per linear millimetre. A numerical index for assessing capillary dilatation was derived, based on the mean of the apex plus maximum limb widths. Results show considerable overlap in subject means. Statistical analysis showed no difference between rheumatoid arthritis and control groups. Patients with systemic lupus erythematosus had slightly larger loops at a lower frequency (not statistically significant); three patients with an abnormal capillary index also had high titres of ribonucleoprotein antibody. Six scleroderma patients had abnormal indices, two of whom had high titre ribonucleoprotein antibody. No relation between capillary morphology and clinical features was found.

Adult↗