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Biomedical subjects

M Prywes

Publications and source records attributed to M Prywes.

At least 19 recordsLinked to original sources
PubMed1989

Variability in doctors' problem-solving as measured by open-ended written patient simulations.

The uncertain validity of written simulations could be due to the difficulty in setting criteria for optimal performance. Usually criteria are set by definition of a limited number of 'correct answers' by a panel of experts reached through an open discussion. This is an artificial situation which entails mutual influence and forces the participants to respond to the necessity to reach a consensus. In the present report we describe an attempt to set 'correct answers' by the independent performance of 15 board-certified internists on four written simulations. There was a marked variability in responses due to legitimate differences in approach, to obvious errors in interpretation of the provided data and to possible differences between the expert behaviour in a real life and in a simulated setting. We believe that the criteria for acceptable performance on written clinical simulations should be determined by independent experts, rather than by a group consensus. Students who receive after the examination a compiled list of options selected by experts in response to the same questions may obtain a more realistic insight into the complexity of clinical problem-solving.

Clinical Competence↗
PubMed1985

Is integration of health services and manpower development possible? The Beer Sheva case study.

This paper presents a study of the organizational and management arrangements made to enhance integration between health services and health manpower development (HSMD) in the Negev region of Israel. The University Centre for Health Scinces (UCHS) in Beer Sheva provides a unique model for studying the deployment of academic resources in the development of an integrated health care system. This paper begins with a rationale for the establishment of the Centre. Then the organization is described and the factors which enhance and impede collaboration are analysed. Finally, the achievements of the UCHS to date are discussed.

Academic Medical Centers↗
PubMed1983

The Beer Sheva experience: integration of medical care and medical education.

The Beer Sheva experience refers to an innovative system that merges comprehensive medical care for a total region with the education of varied health manpower. The academic institution participates in the planning and implementation of all levels of health services. The curriculum for all medical students includes training in basic sciences, clinical medicine and public health throughout the six years of study. Emphasis is placed on the primary care aspect of practice and on basic skills in community medicine.

Community Medicine↗
PubMed1980

Community medicine: the "first-born" of a marriage between medical education and medical care.

In Southern Israel, rapid development and industrialization have generated strains affecting both the population (ca. 0.5 million immigrants and ca. 50,000 Bedouin) and the medical care agencies (of the General Labour Federation and other Sick funds, the Health and other Ministries, etc.). In Beer-Sheva, the Center of Health Sciences (CHS) of the Ben-Gurion University of the Negev (BGUN) is the scene of a concerted effort to change the orientation of health care. The direction of change is away from the impersonal (the hospital and the disease) and towards that demanded by the public (the community and the person). It is being accomplished by fundamentally changing the education of health personnel. Change is being implemented and mediated by a coordinating consortium of in-region and BGUN care and/or welfare agencies, that plans and evaluates the process and progress of change for which each agency is responsible. Infrastructural innovation, somewhat hampered by the inertias of tradition, consists of making the university hospital effectively serve the regional network of hospital-affiliated, community-oriented primary care clinics. Curricular innovation, enthusiastically accepted and flourishing, uses the concept of "the natural history of disease" in basic-science and clinical teaching. Teaching takes place not only in the wards, but also in outpatient and primary care clinics, and in the facilities for occupational health, rehabilitation and public health.

Allied Health Personnel↗
PubMed1975

Comparative study of Hebrew University-Hadassah Medical School participation in education council ofr foreign medical graduates (ECFMG) examination.

The achievements of the 874 (55%) medical graduates of Hebrew University-Hadassah School who took the ECFMG examination from 1962, when it was introduced in Israel, to 1972, were compared with those of candidates from other schools during the same period. The achievement level of candidates was high: usually above the 90th percentile rank position; 80 to 85% of its candidates passed the examination (compared to about 40% from all other schools); and the frequency distribution of ECFMG examination scores of HUHMS candidates in 1965 revelas a similarity to the achievements in American medical schools. The difference between the percentage of candidates passing the ECFMG examination from year to year supports the contention that the level of difficulty of the examinations varies. Candidates taking the examination after several years of clinical experience do not perform better. Since only 19% of all HUHMS graduates have gone abroad for postgraduate training, and only 11% have remained abroad for 4 or more consecutive years, participation in ECFMG has not been reflected in an increase in 'brain drain'.

Curriculum↗