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Biomedical subjects

M E Stuart

Publications and source records attributed to M E Stuart.

26 records · Page 2Linked to original sources

The art of medicine: seminars for practicing physicians.

Using a needs assessment based on a consumer opinion study, a series of seminars on "The Art of Medicine" was set up for medical staff in a large health maintenance organization. Taught by fifteen staff physicians who underwent a facilitator training program, the seminars focused on physician-patient relationships, with participants encouraged to reflect on successful interactions, particularly focusing on their own behavior. A syllabus included eleven observations for successful medical encounters, literature abstracts, and sample case studies. Qualitative evaluation indicated a positive response to the seminars, and further offerings on similar topics are planned.

Education, Medical, Continuing↗

End-plate morphology in amyotrophic lateral sclerosis.

Intercostal muscle end-plates were measured in patients with amyotrophic lateral sclerosis (ALS) and more benign motor neuron disease (MND). The length of the intact end-plates in ALS and MND was not different from the controls. Segmented end-plates were increased in both ALS and benign MND, and the end-plate length was greatest in ALS. In individual ALS cases, no correlation was found between the end-plate abnormalities and relevant clinical variables.

Adult↗

Successful implementation of a guideline program for the rational use of lipid-lowering drugs.

Following the National Cholesterol Educational Program's (NCEP) 1988 screening and treatment recommendations, an educational and behavior-change program at Group Health Cooperative of Puget Sound (GHC) was developed to guide the use of lipid-lowering drugs within the larger context of cardiac risk reduction. The program has been successful in advancing a rational program to enhance care and manage costs of the use of lipid-lowering agents at GHC. Cost savings have been significant over the past two years. The educational design of the program includes training and ongoing education of a core group of "lipid gurus," who educate colleagues in area medical centers in a rational approach to hyperlipidemia. Patient education and patient participation in decision-making was emphasized. Program evaluation has demonstrated that physicians and patients are satisfied with the program, and inappropriate drug expenditures have been prevented. Key elements of the program include a critical review of outcome studies in the medical literature, use of information systems, algorithms and written materials organized into a well-designed, ongoing educational program, and development of a core group of physicians and pharmacists to administer the program at the clinic level.

Algorithms↗