Biomedical subjects
S L Hostler
Publications and source records attributed to S L Hostler.
Childhood sexual abuse reported by facilitated communication.
Facilitated communication remains an unproven and controversial strategy for nonspeaking children with developmental disabilities. It is possible that the process may be influenced by the facilitator. The evaluation of alleged sexual abuse reported by FC must include a full psychosocial history, complete physical examination for evidence of abuse, and the assessment of the child's communicative competence. The demonstration of communicative competence requires a strategy similar to that utilized with Carla. The successful documentation of the child's communication of general information should precede the pursuit of specific abuse issues.
Family-centered care.
The dramatic changes in medical science over the past 30 years have enabled the survival of children with severe chronic impairments and the development of a complicated system of specialized health care for them. The current health care system does not recognize the expertise or the primacy of the family in providing for the well-being of their children. Both professionals and parents acknowledge the challenge to organize the delivery of health care in a manner that supports the growth and development of the child and family. Family-centered care is a new philosophy of health care that places the family rather than the hospital and medical staff at the center of the health care delivery system. The eight essential components have been described. Parents remain the most knowledgeable and committed advocates for their children. Successful implementation of family-centered care for this nation's population of children with chronic illness and physical disability requires significant changes in the roles currently played by professionals and by parents, as well as major reforms in the policies and practices of the health care system.
A derivation of clinic capacity.
Explore the source record for details and available documents.
Perceptions of the gender fairness of the medical education environment.
Many medical institutions are making an effort to create "gender-fair" environments. Perceptions of the current state of the environment may have implications for progress toward this goal. We surveyed faculty, housestaff, and medical students at the University of Virginia School of Medicine (UVASOM) to determine their perceptions of the status of women at that institution. The results showed that women perceived their environment as significantly more inequitable and sexist than their male counterparts did. Women faculty perceived significantly more inequity and sexism than women housestaff or students. Comments from both women and men at UVASOM focused on the need to eliminate discrimination of all kinds and to recruit more women faculty as leaders, mentors, and role models. The UVASOM is now implementing recommendations that should significantly reduce the discrepancy in perceptions of its environment.