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Biomedical subjects

G Isaacs

Publications and source records attributed to G Isaacs.

At least 19 recordsLinked to original sources

Teaching consultation skills by videotaping interviews: a study of student opinion.

The need to teach undergraduate medical students the skills of conducting a consultation now seems well established. Several authors have also established the efficacy of using constructive feedback on videotapes of each student's interaction with a patient to enhance such skills. To date, however, students' perceptions of this process have not been reported. Here we present the results of such a study, together with a review of the relevant literature. In our study we found that students felt that their skill at analysing and evaluating consultations had been enhanced, but that they would have liked to have more than one of their consultations taped and reviewed. This last suggestion is discussed in the light of the literature reviewed, as are the advantages and disadvantages of using real or surrogate patients for this kind of training.

Attitude

Surgical knowledge base augmentation by medical rotations: does it happen?

A study of 4 groups of fifth year medical students taking Surgery during the 4 terms of 1989 at the University of Queensland was undertaken to determine whether there was assimilation of factual material relevant to the surgical knowledge base from the other specialty rotations done during the same year of the course. The records of multiple choice question (MCQ) examination results for the 210 students were retrieved and reviewed. The performance of the same students during their fourth-year rotation in Surgery was checked to make sure that the 4 groups did not already display unusual surgical aptitude or incompetence. The questions were categorized in order to ascertain that the content of all the examinations was similar. The results of students doing Surgery during the first of the 4 terms in 1989 were compared with subsequent groups. The difference between the groups was that those in the first term had not had the benefit of fifth year rotations through Internal Medicine, Psychiatry, General Practice and electives. Subsequent groups had increasing experience in the other specialties. The fourth and final group in the year had undertaken all four of the other rotations before doing Surgery. Significant improvement was found in the performance of each of the subsequent groups of students compared with the first-term group. This implies that there is an escalating accural of factual knowledge related to surgery from the fifth-year courses in Internal Medicine, Child Health and Psychiatry.

Curriculum

Competency for military arrest as a psychiatric problem.

Military law does not invest doctors with the authority to determine whether a soldier is competent to enter military arrest. This determination is legal in nature. Therefore, medical (or psychiatric) examination which is carried out before or within military arrest or detention, is aimed at preventing deterioration in the health of the soldier in prison. Hence, medical opinion serves only as 'credentials' of sorts. This is the formal language of the military law. In reality, the examining psychiatrist has to consider many factors, bearing in mind that his conclusions will probably become a prominent basis for the final decision on the military legal officer (whether to enforce military arrest). In order to illustrate the complicated considerations which are set forth before military psychiatrists, several case reports are presented of soldiers, who were examined in the Israel Defence Forces central psychiatric clinic for the determination of competency for military arrest.

Adult

Lecture note-taking, learning and recall.

Note-taking by students is generally seen as an integral and essential part of the process of learning from lectures. Here we review the literature on the efficiency of students' note-taking and the extent to which they actually learn as a direct or an indirect result of taking notes. Attention is also paid to the relevance of research in this area to modern lecturing practice and to the problems of researching in the area.

Attention

AIDS--its implications for South African homosexuals and the mediating role of the medical practitioner.

The concerns of people affected by the current 'AIDS scare' are discussed from a holistic point of view, incorporating medical, psychological and social factors. Parameters of homosexual experience are described fully. The medical practitioner is encouraged to obtain an extensive psychosexual history from concerned patients on the guidelines presented. AIDS is a community health issue in which the medical practitioner plays a pivotal role in diagnosis, counselling, referral and patient education.

Acquired Immunodeficiency Syndrome

Refined liposuction unit.

I present two innovations that may be helpful to anyone who is designing or purchasing a unit for suction lipectomy: dual use of the unit as an ordinary operating room sucker, and cannulas with hand control.

Adipose Tissue

Breast lumps after reduction mammaplasty.

This paper examines the diagnostic problems raised when breast lumps develop after a reduction mammaplasty. We postulate the etiology and describe how xerograms can help in the diagnosis. We also make a strong case for preoperative xerography.

Adult

Medical sociology in general practice. An evaluation of course content and course strategy.

The increasing role of general practitioners in the medical curriculum has been accompanied by a greater concern for those aspects of the medical course directed toward an understanding of human behaviour. Medical sociology is one of the new disciplines which provides an understanding of this behaviour. As with any other new discipline, two types of question stand out. Firstly, what are medical sociologists trying to teach? Secondly, how do students react to this content? Both these questions are addressed via an evaluation of two medical sociology courses at Queensland University. Students begin a medical sociology course with a somewhat negative stereotype of how relevant the subject is likely to be. Following the two courses, some of their previously held views are modified. The nature of the modification appears to depend upon the balance between practical or theoretical orientations in the course, and their reflection in specific components of the course content.

Australia

Teaching sociology to medical students.

A recent change in many medical curricula has been the introduction of courses in the behavioural sciences. These courses, while introduced with the intention of emphasizing interpersonal and behavioural skills, have not been shown to lead to any of the changes towards which they are directed. Rather, there is evidence that students find these courses 'waffly' and boring. If the sociology component of these courses is to lead to change, then there is the need for a continuing process of evaluation and modification. In this paper we report upon one medical sociology course, its evaluation, subsequent modification and re-evaluation. Our evidence would suggest that sociology courses can lead to changed attitudes and values, but that such changes are contingent upon the overt application of relevant sociological concepts to the health care field.

Australia