PubMed Health⌕ Search

Biomedical subjects

R L McCurdy

Publications and source records attributed to R L McCurdy.

9 recordsLinked to original sources

Teaching medical students social responsibility: the right thing to do.

As academic medicine has become more focused on the economic pressures of the marketplace, some educators have expressed concern about whether appropriate attention is being given to the character development and moral education of medical students. The authors conclude that medical schools do indeed have a duty to teach their medical students to be socially responsible. They define a socially responsible individual as a person who takes part in activities that contribute to the happiness, health, and prosperity of a community and its members. They suggest that medical students should participate in carefully designed, socially responsible activities in order to (1) practice and have reinforced such qualities as reliability, trustworthiness, dependability, altruism, and compassion; (2) partially reimburse society for the cost of their medical education; (3) increase their exposure to a population-based approach to health care; and (4) help medical schools fulfill their social contract with the public. The authors outline the process for developing a curriculum to teach social responsibility to medical students and list some of the key questions faculty and administrators must address in the processes of development and implementation. They conclude that while faculty responsible for implementing a curriculum in social responsibility must be highly committed and prepared to address numerous difficult questions concerning the curriculum's philosophy, structure, and function, the potential benefits of such a curriculum are well worth the effort.

Curriculum↗

The medical workforce in South Carolina: its current status and a look to the future.

Available data suggest that South Carolina does not have the same degree of problems with its medical workforce as is present in many other areas of the country. While there may be too many specialists and not enough primary care physicians and while maldistribution is also a problem in some areas of the state; it appears that the total number of physicians and the size and focus of the medical education system in South Carolina are about what they should be. Furthermore, the graduate medical education system in South Carolina is currently changing on its own to emphasize more primary care and less specialist training. With careful monitoring, coordination of effort, and specific initiatives to address specialty, maldistribution and curricular issues, the state's medical education programs can take action to build on their current strengths and assure a medical workforce of sufficient size, type, and skill to meet the future needs of the citizens of South Carolina.

Education, Medical↗

Aging, alcoholism, anxiety, and sensation seeking: an exploratory investigation.

Aging alcoholic (n = 36) and aging nonalcoholic (n = 35) male veterans were compared on biographic/demographic variables and psychological characteristics. Results indicated that aging alcoholics and nonalcoholics were married at approximately the same ages, married roughly the same number of times, and produced similar numbers of offspring, but aging alcoholics were better educated and had fewer persons economically dependent on them. They had higher scores than aging nonalcoholics on objective measures of state anxiety, trait anxiety, overall fears, tissue damage fears, social-interpersonal fears, miscellaneous fears, and failure/loss of self-esteem fears. Aging alcoholics also had higher scores on the sensation-seeking variable of boredom susceptibility and disinhibition, suggesting the existence of a relationship between need for sensory stimulation and maladaptive drinking among aging alcoholics.

Aging↗

The effects of adrenaline injections on human platelet monoamine oxidase and related measures.

A double-blind, placebo-controlled, cross-over study in ten normal volunteers assessed the effects of the subcutaneous administration of adrenaline on platelet MAO activity, in an attempt to replicate previous findings of increased MAO activity following adrenaline. Platelet counts, cortisol plasma concentrations, and uptake of metaraminol by the platelets were also determined to elucidate possible mechanisms of action. Blood pressure and heart rate were used as indices of the concentration of adrenaline effectively in circulation. MAO activity towards benzylamine was significantly increased by adrenaline. Non-significant increases were noted in the deamination of tyramine and tryptamine, in platelet counts, cortisol concentrations and metaraminol uptake. Increases in MAO activity were also noted early in the experimental sessions suggesting that other experimental variables such as venepuncture may affect platelet MAO activity. Possible mechanisms for this adrenaline effect are discussed and it is suggested that variables such as "arousal" and "stress" must be taken into account when interpreting clinical data on platelet MAO.

Adult↗