PubMed Health⌕ Search

Biomedical subjects

M A McGovern

Publications and source records attributed to M A McGovern.

6 recordsLinked to original sources

Clinical education: the supervisory process.

This investigation of the supervisory process was designed to extend the first author's (MMcG) previous work that had resulted in categories for analysis of clinical competence in student therapists. The supervisory interactions between five students and their clinicians were video-taped and analysed. Participants' perceptions of the dyad were rated using visual analogue scales. The findings indicated that clinicians' verbal comments could be assigned to the categories previously identified. A further analysis of three of these categories revealed that seven interview strategies were used by the clinicians in the process of supervision. Supervisors appeared to be more accurate in estimating the extent of students' participation in the conference whereas students tended to make a more realistic estimation of the level of positive feedback. Pointers for future research are suggested.

Communication↗

Photochemotherapy in human heart transplant recipients at high risk for fatal rejection.

Heart transplant recipients in whom high levels of lymphocytotoxic antibodies directed towards a spectrum of histocompatibility antigens develop frequently represent difficult management problems. Recipients of multiple transplants and multiparous females generally form higher levels of panel reactive antibodies, which have been associated with fatal rejection episodes and accelerated graft atherosclerosis. In this study, two multiple transplant patients with preexistent high levels of panel reactive antibodies and two multiparous women who were considered at risk of sensitization were treated with a new form of immunotherapy termed photochemotherapy in addition to conventional immunosuppression. High levels of panel reactive antibodies have been reduced, and patients have suffered few rejection episodes and no infectious complications. This preliminary experience shows that the addition of photochemotherapy to conventional regimens may improve the clinical course of hypersensitized transplant patients without additional immunosuppressive risk.

Adult↗