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Biomedical subjects

J D Ten Haken

Publications and source records attributed to J D Ten Haken.

8 recordsLinked to original sources

M NET: a statewide referring physician computer network.

M NET, the Referring Physician Computer Network, is a joint project between the University of Michigan Medical Center (UMMC) and IBM. A graphical user interface was developed to allow referring physicians easy access to a variety of patient, clinical, and institutional data. File transfer mechanisms were created and current clinical database files and programs were enhanced and restructured to facilitate remote data transmission. M NET is currently installed in referring physician office sites across the state, with additional physician sites identified and program enhancements under development.

Computer Communication Networks↗

Medical student attitudes toward radiology. A multi-institutional survey.

A questionnaire was administered to 238 students at four institutions before and after a radiology clerkship to evaluate student attitudes regarding radiology as a career, radiologist expertise, and clerkship expectations. There was no statistically significant difference among the clerkships, although they varied in types of experience, geographic location, and size. After the clerkship, the students agreed more strongly that the radiologist should be involved in patient workup, screening of requests, interpretation of emergency room films, and consultations. A significant change in attitude could be identified after the four-week experience, indicating a desire for the radiologist to have a more active role as imaging consultant.

Attitude of Health Personnel↗

Problem-solving model in radiology for medical students.

Current undergraduate medical education is criticized for not preparing physicians to be independent thinkers. The rapid development of new imaging techniques and the problem of escalating medical costs call for efficient patient management. The development of algorithms in imaging work-up of patient problems is an excellent example of problem solving or medical decision making. The senior elective in radiology at our institution incorporates this type of problem-solving session. Small groups (15-25 students) with faculty guidance discuss 5-6 common patient problems to develop an investigative plan in imaging. Algorithms are thus developed by the group, but not presented for memorization. Small changes are then made in the case history so that the students are forced to make new hypotheses and generate a modified algorithm. Correlative costs are included. Flexibility and initiative in development of patient management algorithms are stressed.

Clinical Clerkship↗

The integration of computer conferencing into the medical school curriculum.

A computer conference was developed for use with students, faculty, and staff at a large state-funded medical school. The conference was intended to increase communication among these groups which study, work, and train at a variety of locations across the state. To date, 583 participants (91% are students, 6% are faculty, and 2% are staff) have discussed a variety of academic, ethical, social, and administrative issues. Conference use is required during the obstetrics-gynecology third year clerkship, and has also been used to evaluate courses and critique course examinations. The procedures for creating a computer conference, implementing its use in the curriculum, and evaluating its effectiveness are discussed.

Communication↗

The surgical clerkship experience: self, departmental, and institutional assessment.

The purpose of this study was to investigate to what extent students' assessments of their clerkship experiences varied in relation to perceptions of self-improvement, the time of year in which the clerkship experience took place, and the origin of the assessment device (departmental versus institutional). All students enrolled in each of six surgery clerkship rotations over the course of 1 academic year (224 students) were administered two questionnaires on completion of the clerkship. One questionnaire was institutionally developed and supported, whereas the other was departmentally sponsored. Results of multiple regression analyses indicated that (1) when students felt their medical skills had improved as a result of clerkship participation, the clerkship was considered of high quality; (2) students' perceived improvement in communication skills decreased as the academic year progressed; and (3) students did not alter their responses to the questionnaires based on whether the instrument was institutionally or departmentally sponsored.

Clinical Clerkship↗

Journal publications in radiology education. A review of the literature, 1966-1986.

Published scholarly activity pertaining to radiology education is relatively uncommon compared with an extensive clinical literature. To guide future radiology educational efforts in a time of changing priorities and practice patterns, the authors undertook an in-depth review and analysis of the existing radiology education literature covering the 20-year period from 1966 to 1986. A total of 194 articles was identified via a computerized literature search and manual cross-checking of cited references. Articles pertinent to medical student radiology education (36.6%) or radiology resident education (29.9%) predominated. The majority of published radiology education articles were editorials (35.5%) or expository in nature (49.5%). Surveys (5.1%) and experimental research (8.7%) comprised the balance. Although editorial opinions and personal reflections are important and valuable resources for radiology educators, a substantial lack of empirical research in radiology education exists. Additional knowledge in underdeveloped research areas is essential for future curriculum planning and development in radiology education.

Bibliographies as Topic↗