Guide to community resources.
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Biomedical subjects
Publications and source records attributed to L J Guy.
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The development of behavioral science in a family practice residency has first to be structured around a statement of purpose and adequate goals. These goals can only be implemented when the purely custodial function of the medical profession is rejected and the ethical responsiblity of the physician to society is allowed to direct the role innovations that must be incorporated. It is the person of the physician as a diagnostic and therapeutic tool that must be cultivated. The curriculum presented has included behavioral science conferences, a one-month behavioral science rotation, a two-month orientation program, behavioral science clinical attendings, and a personal counseling program for each resident throughout the three years of training. To be complete, such a program requires the further refinement of behavioral objectives that allow reliable evaluation and redefinition by residents and faculty.
The functions of the traditional home visit in practice and teaching are controversial. A different kind of planned home visit was developed and implemented as part of orientation of first-year family practice residents. The objectives were to get acquainted and establish communications; to facilitate observational skills and awareness of the community; and to improve research parameters of the family record. This kind of home visit is feasible: all residents participated; 92.2 percent of families participated of whom 90.8 percent responded to a follow-up questionaire. Communication patterns between doctor and patient/family were analyzed for skills at listening and speaking clearly. Poor communication was infrequent, occuring in only 8 to 12 percent of the encounters. Ethnic differences between family and resident were important in such visits.
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