PubMed Health⌕ Search

Biomedical subjects

R R Albrecht

Publications and source records attributed to R R Albrecht.

7 recordsLinked to original sources
PubMed1996

Resident research in internal medicine training programs.

OBJECTIVE: To determine how well medical residency programs are prepared to meet the new Accreditation Council of Graduate Medical Education (ACGME) accreditation guidelines for resident scholarly activity. DESIGN: Cross-sectional study using a mailed survey. PARTICIPANTS: Program directors of all ACGME-accredited internal medicine residency programs. MEASUREMENTS: Program directors were asked to list the scholarly activities and products of their residents and their programs' minimal expectations for resident research; available academic, faculty, technical, and personnel support for resident research; perceived barriers to resident research; and the desired educational and skill outcomes of resident research. The responses of university-based training programs were compared with those of non-university-based programs. RESULTS: 271 program directors returned the survey, yielding a response rate of 65%. Ninety-seven percent of all programs have established scholarly guidelines consistent with accreditation requirements. Although only 37% of programs reported having an organized, comprehensive research curriculum, 70% taught skills important to research. Technical support and resources were generally available for resident research; the most frequently cited barrier to resident research was lack of resident time. University-based and non-university-based training programs differed in important ways. Generally, non-university-based programs had more research activity and structure, and they exceeded university-based programs in the number of oral and poster presentations given at local, state, and national professional meetings. CONCLUSIONS: Most programs have in place the basic elements conducive to resident research. Program directors have identified and teach educational outcomes and skills that are likely to have lifelong benefits for most of their graduates.

Accreditation↗
PubMed1996

Can continuity-of-care requirements for surgery residents be demonstrated in the current teaching environment?

In 1994, the Residency Review Committee in Surgery began evaluating the ability of programs to provide adequate continuity-of-care experiences to residents, based on 6 criteria requiring resident participation in each phase of a surgical patient's care. The Residency Review Committee document further described resident and patient experiences as being synonymous. No previous studies were found that examined the 6 criteria or compared them with the patient's experience with continuity. Study objectives were 2-fold: (1) to assess the 6 required continuity-of-care experiences provided to general surgery residents and (2) to compare resident experiences to the patient's experience with continuity. Surgery residents from 2 academic years, representing each postgraduate year, were studied. Patients had (1) undergone an operation involving a resident and (2) remained hospitalized for longer than 24 hours but less than 10 days. Data were collected from a retrospective randomized review of each patient's medical records. Of the 114 cases, 23.7% showed that the same resident participated in all phases of care. In the remaining cases, residents provided preoperative care in 70.2%, directed the postoperative hospitalized care in 86.8%, and provided postdischarge care in 37.7%. Patients saw an average +/- SD of 4.6 +/- 1.5 surgical providers during the entire course of their surgical care. In conclusion, continuity experiences were provided to surgery residents in varying quantities and combinations, with one quarter of the residents experiencing "perfect continuity." Resident continuity experiences and patient continuity were not synonymous. Although improved medical record documentation may have enhanced these results, continuity-of-care remains difficult to demonstrate in view of the current surgery teaching environment.

Continuity of Patient Care↗
PubMed1992

NCAA institutionally based drug testing: do our athletes know the rules of this game?

One aspect of the current drug-testing controversy that has gone relatively unexamined concerns the extent to which student-athletes are fully informed of the testing procedures employed by their institution. College athletes (N = 2,282) participating at 11 NCAA-affiliated institutions nationwide were surveyed as to their awareness of their school's drug-testing program. Results indicate athletes have numerous misconceptions regarding the drug testing to which they may be subjected. Over one-third of the athletes attending "testing" institutions were oblivious to the fact their school was engaged in drug-testing, and more than 70% were unable to correctly identify their school's drug-testing protocol. Implications of such ignorance are discussed.

Adult↗
PubMed1989

Standardizing the administration of the Profile of Mood States (POMS): development of alternative word lists.

Although standard administration procedures are essential for valid inference making, current Profile and Mood States (POMS; McNair, Lorr, & Droppleman, 1971) protocol forces each examiner, when asked for assistance, to provide subjects extemporaneously with a word or phase that is: (a) synonymous with the original item, (b) located nowhere else on the instrument, and (c) more meaningful to the subject than the original item. The purpose of this article is to describe an empirically based extension of current POMS protocol designed to augment uniformity in administration procedures by providing examiners with a standardized list of alternatives to be referred to when questions concerning the meaning of POMS items arise. A multiphase survey procedure was employed to generate and refine alternative items. A series of alpha (internal consistency) reliabilities, calculated for the POMS subscales after each alternative was substituted, revealed little change in subscale homogeneity resulting from the substitution of the alternatives.

Emotions↗