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Biomedical subjects

S W Strode

Publications and source records attributed to S W Strode.

8 recordsLinked to original sources

Testing a multimedia module in cancer pain management.

BACKGROUND: The technologies for providing better pain management for cancer patients are widely available, but barriers still exist that prevent their optimal use. One of the most important barriers is a knowledge deficit among primary care physicians in adequate pain assessment, in opioid pharmacology, and in the importance of an interdisciplinary approach to the management of pain. METHOD: The authors prepared a CD-ROM multimedia cancer pain management module to overcome the physician knowledge barrier. RESULTS: Tests of the module with primary care physician and primary care resident volunteers indicate that the cancer pain management multimedia module meets its educational objectives.

Arkansas↗

Rural Arkansas physicians and telemedicine technology: attitudes in communities receiving equipment.

OBJECTIVE: To assess physician attitudes toward the usefulness, effectiveness, and expected use of telemedicine, as well as interest in learning about the technology. METHODS: A survey instrument assessing attitudes toward each of the four objective domains was mailed to 46 physicians at six hospitals affiliated with the Rural Hospital Program of the University of Arkansas for Medical Sciences. Binomial probability methods were used to analyze the responses. RESULTS: The survey achieved a response rate of 59% (27/46). Physician responders agreed that telemedicine would be useful in improving patient care quality but would not be useful in improving the financial position of the hospital or in lowering patient-borne costs. Physicians were evenly split on the effectiveness and expected utilization of telemedicine for patient consults. There was significant interest in learning more about telemedicine applications. CONCLUSION: Barriers to utilization of telemedicine by physicians may remain even under a new reimbursement system unless referring physicians are convinced of the benefits to the community as well the clinical effectiveness of the technology.

Adult↗

Propoxyphene dependence and withdrawal.

Despite the widespread use of propoxyphene products as analgesics, there is no profile of a typical abuser of propoxyphene. Propoxyphene is structurally related to methadone and has central nervous system effects similar to those of opioids. The patient with dependence needs professional help in withdrawing from propoxyphene, in finding an alternative regimen for management of pain and in connecting with self-help programs focusing on life without chemical dependence.

Adult↗

Changes in residents' attitudes and achievement after distance learning via two-way interactive video.

BACKGROUND AND OBJECTIVES: Training family practice residents in communities remote from academic medical centers has been difficult because of the lack of available local subspecialists and the concomitant need for subspecialists to travel to each of the remote training sites. To alleviate these problems, the Area Health Education Centers Program at the University of Arkansas for Medical Sciences sought to deliver high-quality presentations to family practice residents at remote locations, using two-way interactive video. The study 1) assessed the differences in attitudes of residents before and after a series of presentations and 2) evaluated the differences in achievement of residents based on who received the information by two-way interactive video or with the instructor on-site. METHODS: Four conferences were broadcast to five remote residency programs, and two local programs received identical conferences on-site. RESULTS: There was no difference in achievement between the two groups, but attitudes toward learning by interactive video declined. CONCLUSIONS: Interactive video is a viable instruction method for achievement. The negative attitude shift toward interactive video may have been because it was a new experience, or the preparation of the faculty was inadequate.

Arkansas↗