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Biomedical subjects

J E Verby

Publications and source records attributed to J E Verby.

17 recordsLinked to original sources
PubMed1992

A new model for CME.

Explore the source record for details and available documents.

Education, Medical, Continuing↗
PubMed1991

Changing the medical school curriculum to improve patient access to primary care.

The problems of access to health care by the underinsured demand a systematic response. One of the critical components of that response is medical curriculum reform, with the intent to graduate adequate numbers of physicians to do primary care, to work with the underinsured and the uninsured, and to practice in rural areas. One state, Minnesota, has developed a unique response to these needs, demonstrating problem solving very much in keeping with many of the recommendations in the literature. Highlighted in this article is the University of Minnesota's Rural Physician Associate Program, a predoctoral curriculum innovation functioning for 20 years to help resolve the issue of physician maldistribution in the state. The Rural Physician Associate Program provides students with many of the skills needed to provide primary care, it is cost-effective, and it has brought a number of benefits to the participating communities.

Cost-Benefit Analysis↗
PubMed1988

The Minnesota Rural Physician Associate Program for medical students.

The Rural Physician Associate Program (RPAP) at the University of Minnesota Medical School is a clinical education experience for third-year students that lasts nine to 12 months. In 1970 the Minnesota legislature required the medical school faculty to find an educational method to redistribute physicians into the medically underserved rural areas of Minnesota or lose state funds for the medical school. After 16 years of the program, all 87 counties in Minnesota have an acceptable ratio of general physicians for the first time in the state's history. RPAP students work directly with and are supervised by general physicians practicing in rural areas; these preceptors have an average age of 40 years, are board-certified, and have 12 years of clinical experience. They give their teaching services and a $2,500 stipend to the student; the state provides $7,000 to the student with no obligation that the student practice in rural Minnesota after training. The preceptors, RPAP staff members, and visiting university faculty members provide 50, 30, and 20 percent, respectively, of a student's grades for the program; the student receives six months of credit for the program. As of 1986, 57 percent of the former RPAP students in practice were practicing in rural communities, with a majority in Minnesota and a majority in towns with populations less than 10,000.

Adult↗
PubMed1985

Physician redistribution: a worldwide medical problem.

The Rural Physician Associate Program may be the only undergraduate medical education programme in the world that has been able to successfully redistribute family physicians into geographically isolated areas where there are serious shortages of doctors. A number of factors are essential to this success of the scheme: absolute moral and economic support from the people and their elected leaders; a willingness of medical school faculty to give academic and clinical support to an ongoing, long-term effort with undergraduate medical students and practising family physicians; the free volunteering by rural practising physicians to make the commitment to teach the medical students for over nine months and to pay these students up to +5000; the emphasis of the programme to be placed on the importance of using a biopsychosocial-sexual model in creative problem solving; audiovisual taping, behavioural medicine seminars and family therapy sessions are additional curriculum tools in helping students and physicians care for people with somatic complaints; the student's spouse and children to be included in the professional conditioning experience; there is no legal commitment for the student and family to return to rural Minnesota after the programme.

Education, Medical, Undergraduate↗
PubMed1979

Peer review of consultations in primary care: the use of audiovisual recordings.

A rating scale was designed to measure performance in interviewing techniques in primary care. Peer review of audiovisual recordings of their consultations showed that a group of experienced general practitioners achieved significantly higher scores on the rating scale compared with a group of similarly experienced general practitioners who did not observe their recordings. The higher scores were obtained at the expense of longer consultations. The traditional five-minute appointment system in general practice needs to be reconsidered if an improved interviewing technique results in a more favourable outcome.

Family Practice↗
PubMed1977

The Minnesota Rural Physician Redistribution Plan, 1971 to 1976.

The Rural Physician Associate Program was developed by the University of Minnesota Medical School faculty in an attempt to meet the demands of the citizens of Minnesota to improve the distribution of primary physicians to rural areas. The program is offered to students who have completed 2 2/3 academic years of medical school. There were no regulations requiring the students' return to rural areas after completion of training. Thus far, 163 students have completed the program. Forty-three have continued in medical school and another 27 are in residency-training programs. Primary care residencies have been chosen by 68; another 31 have completed their medical education and are in rural practice. Of the 22 practicing in Minnesota, 21 have returned to rural communities.

Counseling↗
PubMed1977

Comparisons of medical student experiences in rural and university settings.

This paper is a report of the results of the Patient Encounter Project, which was designed to document all clinical experiences of medical students (N = 36) for seven months in the Rural Physician Associate Program (RPAP) and to compare these experiences with those of a control group of third-year students (N = 26) enrolled in the regular curriculum during the same time period at the University of Minnesota Medical School, Minneapolis. The purpose of RPAP is to provide education and clinical experience in rural health care for a limited number of third-year medical students for nine to 12 months and to encourage the eventual practice of medicine in a rural setting. Subjects completed one standardized form for every clinical encounter with a patient throughout the seven months' data collection period. Statistical differences between the two groups were found on all variables but one, including the numbers and kinds of clinical problems encountered, the skills reported, levels of responsibility, continuity of patient care, and types of patients.

Clinical Competence↗
PubMed1976

The audiovisual interview. A new tool in medical education.

The audiovisual interview with a patient in the office of the student physician or physician is an essential undergraduate, graduate, and postgraduate educational management tool. Immediate feedback and insight are obtained as to how the patient and educator perceive the performance and service of the student or professional. Therapeutic failures may be recognized, and misconceptions and misreading of verbal and nonverbal communications can be corrected immediately. There is access to integrating psychosocial and biologic variables, with a better chance to extract more valid information for creative problem-solving and less of a chance for therapeutic failures. The student recognizes and appreciates the therapy and healing in the dialogue.

Audiovisual Aids↗