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Biomedical subjects

R W Hofmeister

Publications and source records attributed to R W Hofmeister.

4 recordsLinked to original sources

Continuity of care in the referral process: an analysis of family physicians' expectations of consultants.

A total of 497 referrals from a rural family practice training center are analyzed from the perspective of the referring physicians' expectations for continuing care of the referred patient. Those expectations were stated explicitly at the time of referral within three mutually exclusive categories. Referral expectations are partitioned by diagnostic groups and by specialty of the consultant. Analysis suggests that the referring physicians' expectations for continuing care of the referred patient vary significantly depending upon the specialty of the consultant.

Continuity of Patient Care↗

Rural training settings and practice location decision.

Since 1974 the residency program in family medicine at the University of Missouri-Columbia has required resident physicians to spend approximately 25 percent of their last two years in a faculty supervised rural training center. This paper describes the setting of the rural training, the practice location decisions of the graduates, their recollections about their views regarding rural practice during their training, and their current judgements about the usefulness of that rural training experience. The results offer strong and corroborating evidence that such training is well received, is judged to be different from usual training, and is considered useful in both clinical and personal decision making. A ranking of ten training opportunities inherent in a rural center provides insight into why such experiences are well received. The data are suggestive, though far from conclusive, that participants' initial views about rural practice are reinforced by their rural training experience.

Attitude of Health Personnel↗

Some considerations in the design of family practice residency experiences.

A time-study of residents in a family practice training program is reported. Data concerning time with patients and time with attending physicians tended to be inversely associated with patient volume. The proportions of time spent in these two activities are compared with related activities reported for other participants in postgraduate medical education and for practicing physicians. Study results are used to illustrate and develop some issues involved in thd design of residency experiences for primary care physicians.

Curriculum↗