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Biomedical subjects

G A Melchiode

Publications and source records attributed to G A Melchiode.

7 recordsLinked to original sources
PubMed1991

The cognitive context of examinations in psychiatry using Bloom's taxonomy.

Psychiatric practice involves complex thinking patterns. In addition to commanding a huge number of facts, the student must learn to manipulate factual knowledge to solve diagnostic problems, develop treatment plans, and critically evaluate those plans. This study demonstrates an empirical method for evaluating the level of cognitive processes tested in multiple choice examinations. Use of Bloom's taxonomy in evaluating test items demonstrated the majority of test items on a psychiatry clerkship examination and a resident in-training examination fell into the most basic cognitive level, that of simple recall. The utility of Bloom's taxonomy is discussed along with implications for medical education.

Cognition↗
PubMed1991

On teaching today's residents psychoanalytic concepts.

This article presents a method for teaching a psychoanalytic perspective to residents that is built on the biomedical model and progresses in steps of increasing complexity. These steps include (1) elaborating the history, (2) observing affect, (3) developing empathy, (4) recognizing unconscious processes, (5) using the therapist's fantasies, and (6) understanding theory. Each stage is associated with tasks for the resident and supervisor and can be related to levels of residency training.

Adult↗
PubMed1988

The psychodynamic formulation. How and why.

Medical students and psychiatric residents are often required to write psychodynamic formulations. Guidelines are given to accomplish this task, which include consideration of the precipitating event and the needs that are stimulated by it. Next, the regulating and mediating functions of the mind are discussed along with predisposing factors. Two clinical cases are presented and sample formulations are given. Finally, the author relates the psychodynamic understanding to the overall treatment of the patient.

Adult↗
PubMed1983

The emergency room as a clerkship site.

The psychiatric emergency room of a county hospital is one of five clinical placement sites for the authors' medical school junior clerkship. The students assigned to the emergency room share the same core didactic work as students who are placed at more traditional sites, but the emergency room students have additional seminars in crisis intervention, aspects of emergency psychiatry, and orientation to social agencies. Analysis of data measuring the achievement of behavioral objectives common to all five clinical sites shows that emergency room students, in comparison with their peers at other sites, averaged more patient contact, more direct observation, and more supervisory experiences.

Attitude↗
PubMed1979

Psychoanalytic teaching in medical education.

The author sent a questionnaire to directors of medical student education in psychiatry to determine the role of psychoanalytic concepts in medical education. Practically all of the 66 respondents indicated that psychodynamic theory had been incorporated into major required courses. More than half considered the concepts of defense mechanism countertransference, transference, and dynamic unconscious necessary to general education. The author concludes that psychoanalytic principles will continue to provide a unique view into illness behavior and the doctor-patient relationship.

Attitude of Health Personnel↗