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Biomedical subjects

J R Rudisill

Publications and source records attributed to J R Rudisill.

10 recordsLinked to original sources
PubMed1993

Medical student abuse: perceptions and experience.

A questionnaire containing 18 vignettes of common clinical educational situations with potentially abusive treatment of medical students and a 10-item attitude assessment about abusive behaviour were administered to the first- and fourth-year medical students at a mid-west US university medical school. The first- and fourth-year groups did not differ significantly on perceived abusiveness of most of the vignettes, although several of the individual vignettes were perceived significantly differently by the two groups. As hypothesized, the fourth-year students had experienced such situations more frequently. Attitudes towards abusive behaviour did not differ between the two groups. The authors contrast teaching interactions perceived as educationally useful and not abusive with those seen as abusive and not useful and offer explanations for the differences observed. Finally, the possible implications of the results for medical education are discussed.

Attitude↗
PubMed1989

Attributes conducive to learning in psychotherapy supervision.

Characteristics of future physicians and psychiatrists that are conductive to superior professional competency are possibly comparable to attributes that facilitate the learning of psychotherapy skills. For supervisors and supervisees, this article considers the usefulness of a list of ideal supervisee characteristics developed from a sampling of supervisor responses. Characteristics important in negotiating professional development stages are also discussed.

Curriculum↗
PubMed1989

Family physicians and referral for psychotherapy.

This study examines the factors influencing family physicians' patient referrals for psychotherapy. A questionnaire designed from a pilot study of the full-time family practice faculty at Wright State University was mailed to all members (154) of the voluntary family practice faculty at Wright State University with a 63 percent return rate. Results indicated the most important factors in determining whether a patient is referred for psychotherapy include the severity of the problem, the threat of suicide, and the need for specialized treatment. The most important therapist characteristics looked for by a family physician are ability, availability, appreciation of the person as a whole, interaction skills, and experience. The article also discusses the ways in which family physicians find a psychotherapist, the feedback desired by the family physician from a psychotherapist, and type of psychotherapist discipline preferred by the family physician for handling various patient situations.

Family Practice↗
PubMed1988

Correlates of burnout among family practice residents.

Burnout among 67 residents in four family practice training programs was explored. The residents' scores on the emotional exhaustion, depersonalization, and lack of accomplishment subscales of the Maslach Burnout Inventory were used to assess burnout. These scores were examined in relation to situational and background measures, two personality instruments (the Millon Clinical Multiaxial Inventory and the Myers-Briggs Type Indicator), and to regrets about career decisions. Few significant relationships were found between the background and situational factors and the burnout scores, but numerous relationships were found among personality measures, burnout scores, and measures of regret. The pattern of these relationships indicates the importance of interpersonal comfort and skills in mitigating burnout. Although personality factors were more predictive than demographic and situational variables of the variability in burnout among residents in the sample, the variables shared across the sample--long hours, little time for leisure activities and social contact, and compulsive personality characteristics--may contribute to the moderate level of burnout shared by these residents.

Adult↗
PubMed1986

Validity of the Maslach Burnout Inventory for family practice physicians.

This study assesses the utility of Maslach's concept of burnout for family practice physicians. Maslach Burnout Inventory (MBI) subscale correlations for the 67 residents in this sample are compared with Maslach's normative sample. The residents scored in the moderate to high range on the MBI subscales. MBI interscale correlations were similar to the pattern reported by Maslach. Significant correlations between job satisfaction and five of the six MBI subscales suggest that the construct of burnout has considerable psychological import for these physicians. The validity of the emotional exhaustion subscale is demonstrated by significant correlations with self-assessed burnout, job satisfaction, and faculty assessments of resident burnout. Independent observers were most sensitive to residents' emotional exhaustion and less likely to assess accurately the less visible aspects of burnout related to depersonalization and lack of achievement, which suggests the usefulness of multiple measures for assessing the burnout phenomenon.

Adult↗
PubMed1986

Recurrent Legionnaires' disease: a case report.

In 1979, an isolated case of legionnaires' disease in a 46 year old Caucasian male Ohio physician was reported. Diagnosis was later confirmed by a fourfold increase in indirect immunofluorescent antibody titer level. Recovery began rapidly after the administration of erythromycin therapy and appeared to be complete. The following year the same patient suffered an apparent reinfection, once again realizing prompt and total recovery upon receiving erythromycin therapy. Although not commonly reported, the possibility of reinfection with the Legionella bacterium is a reality. The source of human innoculation need not necessarily be a common water supply or large cooling system reservoir (as was previously thought). Erythromycin continues to be widely regarded as the treatment of choice for infections with the Legionella bacterium even though this case demonstrates that it does not prevent reinfection.

Air Conditioning↗
PubMed1983

Teaching medical students about substance abuse in a weekend intervention program.

The authors of this article describe a new approach, called the Weekend Intervention Program, used to teach about alcoholism and substance abuse. The new program makes it possible for medical students to see the process of treatment and intervention unfold. The program places medical students under professional supervision in close, intense contact with drug and alcohol abusers. The program strongly reinforces the instruction presented in both basic science and clinical courses. More than 100 students have participated in the program, and they report it to be an intensely rewarding, valuable experience. The program requires no new resources and is cost-effective.

Alcoholism↗
PubMed1982

Physician life-style management: a selective for first-year medical students.

A two-week selective is offered to medical students at the end of their first medical school year on physician life-style management. The primary objective of the selective is to enhance the quality of physician life-planning and to prevent physician disability. The course focuses on various aspects of physicians' life-styles, including practice management, health maintenance, marriage and the family, and physician disability and exposes students to actual physician practices and nonprofessional aspects of physician life-styles, for example, home life, hobbies, and civic involvement. The selective received high ratings from the students participating in the course and is believed to be helpful in the socialization of medical students into satisfying physician life roles.

Curriculum↗
PubMedDate not supplied

Resident physicians in family practice: who's burned out and who knows?

Sixty-seven family practice residents and 18 faculty members completed the Maslach Burnout Inventory and listed three factors they believed most responsible for resident burnout. In addition, faculty rated residents and residents rated themselves on overall burnout. Mean resident scores on the Maslach ranged from moderate to high, while global self-ratings indicated moderate burnout. Patterns did not vary across programs surveyed, postgraduate year, or gender. Faculty did not appear to be modeling burnout, since they scored in the low to moderate ranges on all Maslach subscales. Residents and faculty overwhelmingly cited time demands as the factor most responsible for resident burnout. Residency directors were more accurate than psychologist faculty in identifying which residents saw themselves as most burned out. Directors significantly underestimated the absolute level of burnout, but psychologists did not. Combined assessments of both faculty groups resulted in significantly better identification than either alone. The prevalence and patterns of burnout and difficulties in identifying affected residents are discussed in terms of the demands of residency training programs and the investment of residents and faculty in current models of medical education.

Adult↗