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Biomedical subjects

M G Botticelli

Publications and source records attributed to M G Botticelli.

9 recordsLinked to original sources
PubMed1998

UH med schools plan.

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Delivery of Health Care↗
PubMed1996

Choosing to die.

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Freedom↗
PubMed1995

Ethics, standards, and TQM.

The most important ethical issue for our profession is the responsibility to assure the care delivered by our colleagues and ourselves meets a self-imposed standard of excellence. There is anecdotal and experimental evidence that we have not fulfilled this obligation. Peer review has proven, for a number of reasons, to be ineffective; however, improvements in the epidemiologic sciences should provide better standards and total quality management (TQM) might prove to be of value in monitoring, comparing and improving the decisions made by physicians. Its promise lies in its emphasis on statistical analysis, its focus on systematic rather than human error, and its use of outcomes as standards. These methods, however, should not diminish our other professional responsibilities: Altruism, peer review, and in Hippocrates' words "to prescribe regimens for the good of our patients-and never do harm to anyone."

Ethics, Medical↗
PubMed1981

Evaluating M.D.-level competence in internal medicine.

The faculty of the Department of Medicine at the University of Hawaii John A. Burns School of Medicine defines M.D.-level competence as the capability of undertaking the first day of a primary care internship. The implementation of a clinical clerkship in internal medicine that was flexible in time required that a new evaluation program be developed to assess the progress of students toward defined end points of competence. The four measures used are an objective test of basic medical knowledge, simulations to assess intellectual skills in problem-solving, a clinical skills examination with written standards to help the evaluator make discriminations between levels of performance, and a criterion-referenced rating scale to assess professional habits and attitudes. The progress of the classes of 1979 and 1980 toward achievement of predetermined levels of mastery is presented.

Clinical Competence↗
PubMed1981

MD-level competence in internal medicine. Objectives and the flexible clerkship.

The faculty of the Department of Medicine at the John A. Burns School of Medicine, University of Hawaii, Honolulu, defined MD-level competence as the capability of undertaking the first day of a primary-care internship. To meet this goal, a curriculum was developed that used a written statement of expected competencies and objective measurements of student performance. The duration of the clinical clerkship was made flexible to acknowledge the normal variation in the rate at which students learn. Six weeks of ambulatory patient care were included in the basic third-year clerkship to fulfill objectives otherwise unmet.

Clinical Competence↗