Osteitis deformans presenting at the Dublin Rheumatism Clinic.
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Adult↗
Biomedical subjects
K Dwyer
Publications and source records attributed to K Dwyer.
Continuing medical education on diabetes by primary care physicians.
The actual and preferred methods of continuing medical education (CME) on diabetes were determined from a telephone survey of a stratified random sample of over 600 primary care physicians in Pennsylvania. A response rate of 73% was obtained. Journal articles were identified as the leading source of information that affected practice behavior related to diabetes. However, no single journal was read by a majority of physicians, and information provided in diabetes journals reached fewer than 10% of primary care physicians. Local educational programs and programs offered by hospitals were the preferred choices for continuing medical education. When reported patterns of care for diabetic patients were compared with published standards of care, no statistical differences were found between physicians who had and physicians who had not attended a CME course. To be most effective, CME courses should be intensive and may need to be presented locally to reach the widest possible audience.
Attitude of Health Personnel↗
Nutrition support practice: a study of factors inherent in the delivery of nutrition support services.
The purpose of this study was to determine the degree of intercorrelation among dietitian, physician, and team nutrition support functions. Eight hundred and eighty dietitians and physicians were asked to respond to a questionnaire describing nutrition support functions as reported in the literature and validated by a panel of nutrition support physicians and dietitians. Two hundred and fifty-four completed questionnaires were included in the study, 84 from physicians and 170 from dietitians. Intercorrelations among function statements were subjected to factor analysis. The magnitude and consistency of factor loadings suggest that nutrition support is not perceived as independent components, but as a comprehensive pattern or structure. However, there was one important difference in perception. The sample tended to have an "enteral" orientation to the dietitian role and a "parenteral" orientation to the physician and team roles. The data support the contention that all members of nutrition support teams need a common core of knowledge and a set of highly developed process skills which can best be attained through an integrated, rather than segmented, approach to team training.
Dietetics↗