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Biomedical subjects

S R Daugherty

Publications and source records attributed to S R Daugherty.

At least 37 records · Page 2Linked to original sources
PubMed1992

Assessment of drug involvement: applications to a sample of physicians in training.

The investigators examined survey data of lifetime and recent drug use in national samples of 2036 senior medical students and 1772 resident physicians to test whether patterns of lifetime drug use could be characterized adequately by a single underlying dimension of 'drug involvement'. The data analysis was based on a two parameter normal item response theory (IRT) model using the marginal maximum likelihood estimation method. The results showed that a single latent dimension of 'drug involvement' characterized individual drug use differences on the following measures: substances ever used, substances used in the previous year or previous month, and the sequential order of first use for each substance. The dimension was equivalent for students and resident physicians, and for both genders. Those who professed 'no religion' tended to be more drug involved. Physicians-in-training with a higher drug involvement score based on lifetime use were more likely: (a) to have used higher-ranking drugs (such as LSD and prescription opiates) in the past year; and (b) to have used a greater number of different drugs during the past month. Subjects first began to use each of the substances in a relatively invariant sequence corresponding to that predicted by the model. The implications of this model for evaluating the drug use histories of physicians-in-training, for identifying subgroups at greater risk for continued drug involvement after the beginning of medical training, and for further psychological, biological, and sociocultural research on the nature of 'drug involvement' are discussed.

Adult↗
PubMed1992

The decision to enter a medical specialty: timing and stability.

The timing and stability of the decision to enter a medical specialty were examined for one class of medical students. Students were asked to predict specialty choices for themselves on six occasions from orientation day in year 1 to January of the senior year. Choices were compared to actual National Residency Matching Programme results. Forty-five per cent predicted their ultimate specialty choice at orientation, and 69% predicted their ultimate choice by the end of the second year. Specialty choices are made early, and are more stable and accurate than the previous literature has suggested. Variations in timing among the specialties are described, and implications for medical education are discussed.

Career Choice↗
PubMed1991

Personality profiles and specialty choices of students from two medical school classes.

Changes in the composition of medical school classes, in methods of personality assessment, and in the nature of medical specialties motivated the authors to reexamine the relationship between a student's personality and his or her chosen medical specialty. In the mid-1980s, the authors assessed two consecutive classes of medical school students (120 in each class) on 15 personality measures throughout their four years; usable data were obtained for 199 of the students. The students' specialty choices upon graduation were obtained from the results of the National Resident Matching Program, and were classified as follows: internal medicine, surgery, family practice, pediatrics, psychiatry, obstetrics-gynecology, and hospital-based specialties. The authors constructed personality profiles for the students who had chosen each of these seven specialty groupings, on the basis of t-tests and discriminant function analyses, and discuss these profiles and their associations with the students' specialty choices in the context of earlier research. The personality profiles for surgeons were remarkable for their consistency with reports from the literature from the 1950s and 1960s, while the profiles for obstetricians, psychiatrists, and pediatricians were complex and provocative. Distinctive personality profiles did not emerge for internists or family practitioners.

Career Choice↗
PubMed1991

Student perceptions of mistreatment and harassment during medical school. A survey of ten United States schools.

Senior students at 10 medical schools in the United States responded to a questionnaire that asked how often, if ever, they perceived themselves being mistreated or harassed during the course of their medical education. Results show that perceived mistreatment most often took the form of public humiliation (86.7%), although someone else taking credit for one's work (53.5%), being threatened with unfair grades (34.8%), and threatened with physical harm (26.4%) were also reported. Students also reported high rates of sexual harassment (55%) and pervasive negative comments about entering a career in medicine (91%). Residents and attending physicians were cited most frequently as sources of this mistreatment. With the exception of more reports of sexual harassment from women students, perceived mistreatment did not differ significantly across variables such as age, sex, religion, marital status, or having a physician parent. Scores from the 10 schools also did not vary significantly, although the presence of a larger percentage of women in the class appeared to increase overall reports of mistreatment from both sexes.

Attitude↗
PubMed1990

A norm-referenced longitudinal study of medical student drinking patterns.

The alcohol consumption patterns of a single class of 121 medical students was assessed at six points over the course of 4 years of medical school training, along with other measures of drinking-related impairment, family history of alcoholism, personality, and psychosocial functioning. Research Diagnostic Criteria were applied to make diagnoses of alcoholism. Eleven percent of the class reported drinking at a level considered "heavy" by class social norms, most transiently. Eighteen percent of the class met criteria for alcohol abuse by virtue of drinking-related impairment during medical school; they were likely to evidence a prior history of alcohol abuse and a family history of alcoholism. Half the excessive drinkers abused alcohol, but two-thirds of the abusers were not excessive drinkers. Alcohol abusers describe themselves as less warm, kind, gentle, and emotionally expressive than their classmates, and were more preoccupied with themes of power in spontaneous fantasy productions. These findings suggest that interpersonal strategies to intervene with alcohol abusing medical students may encounter predictable resistances, and suggest another intervention approach better suited to their psychological concerns.

Adult↗
PubMed1988

Intimacy, power, and psychological well-being in medical students.

Numerous reports suggest that medical school has adverse psychological effects on medical students, although not all students are affected equally. The authors examined the effects of two social motives, the need for power and the need for intimacy, on measures of well-being and distress obtained throughout the undergraduate years. Medical students high in both power and intimacy motivation were more depressed, neurotic, fatalistic, and self-doubting than were their classmates. These effects began at the end of year 1, peaked in year 2, and disappeared by the end of clerkships. High intimacy-low power students had the highest levels of well-being. These effects were equally true in men and women and both support and render more precise prior role conflict explanations.

Adult↗
PubMed1988

Casualties of residency training: a national study of loss and attrition.

Little information is available on the number of physicians in training who leave their residency or otherwise drop out of the profession during these years. We report on a recently completed (1987) national survey of residency program directors documenting the number of people who withdraw or are dismissed from residency and their reasons for leaving.

Clinical Competence↗
PubMed1988

Evaluation of medical student performance in the clinical years.

The analysis of a system for evaluating student clinical clerkship performance shows that residents and attendings make use of only a single dimension, from "good physician" to "bad physician." Further analyses show that this dimension is defined differently by different specialties, and that the results of evaluations from all clerkships are required to provide full and adequate assessment of students' abilities.

Aptitude↗
PubMed1988

The experience of mistreatment and abuse among medical students.

Concerns expressed by Silver regarding the possible existence of abuse of medical students have been confirmed with findings of verbal, physical and sexual abuse as well as unnecessary sleep deprivation and negative comments regarding the choice of a career in medicine.

Adaptation, Psychological↗
PubMed1987

Alcohol-use patterns through medical school. A longitudinal study of one class.

We describe the patterns of alcohol use of one medical school class assessed repeatedly over time from the first day of medical school to a point several months short of graduation. Although male students consistently drank more than their female counterparts during the preclinical years, the men reduced their alcohol intake during the clinical years to converge on the lower, more consistent intake rates of their female classmates. Over the four years of medical school, 11% of the students met criteria for excessive drinking for at least one six-month period and 18% were identified as alcohol abusers by Research Diagnostic Criteria during the first two years. More than half of the excessive drinkers met abuse criteria, whereas only one third of the alcohol abusers were also excessive drinkers. Alcohol abusers had better first-year grades and better overall scores on the National Board of Medical Examiners, part I, test than their classmates. The implications of these findings for designing and implementing alcoholism intervention/prevention programs in medical schools are discussed herein.

Adult↗