Obstetrics in family practice.
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Biomedical subjects
Publications and source records attributed to W L Stewart.
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Guidelines on establishing a pharmacokinetics consultation service are presented with emphasis on outpatient services. Need for the service must first be demonstrated, using the literature and local data on frequency of serum drug concentration monitoring for particular drugs and patient subgroups. Physician interest in the program must be determined. The pharmacist intervention may be restricted to technical interpretation of serum drug concentration data, or it can include advice based on the patient's disease process, drug effects, and the interaction between the two. In the service described, a patient interview, a chart review, drug analysis, and a written consultation were provided. A flow chart showing movement of the patient through the service was used, and the pharmacist documented the consultation in the patient's medical record, including recommendations for dosage change and follow-up. Cost items to consider in establishing the service include equipment and supplies, space, and personnel. Staff members who are responsible for serum drug analyses must meet state-specific requirements. In estimating revenues, the current number of requests for serum drug concentrations should be doubled and the institution's estimated rate of collection should be used. After the service is established, the cost of a computerized system for pharmacokinetic predictions may be justified by the increased efficiency of such a system.
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Family practice, as a medical specialty, is designed to help fill the void in primary care availability. In order to expose medical students to family practice and provide a basis for choosing a residency in the field, many medical schools have developed undergraduate programs in family practice. This paper reports the results of a survey conducted in March 1975 on the status of undergraduate programs with particular focus on the relationships between administrative status, size of program, faculty size, and type of undergraduate curricula to the number of graduates choosing family practice as a specialty. The data indicate that there is a relationship between the commitment of the school to family practice, the size of the program, and the presence of required courses in the curriculum to the success of the program, as measured by the proportion of students in each school who choose family practice residencies.
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