PubMed · 9258580
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1997. Training models: introduction.. https://pubmed.ncbi.nlm.nih.gov/9258580/
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We used the Genetics Office Automation System (GOAS), a database management system designed to facilitate collection and analysis of medical genetic data, to evaluate the Missouri Genetics Disease Program (MGDP). From 1985 through 1995, patient data were collected at four tertiary care genetic centers. The number of genetic visits per 100,000 people more than doubled from 1985 through 1995. The results of subpopulation analyses indicate that the MGDP has facilitated improvements in: (1) services for newborns and infants, (2) rural outreach programs, and (3) evaluation of the incidence and impact of genetic disorders.
As academic medical centers increasingly deliver care in primary care settings, a new category of faculty-clinician-educators-has emerged. Although the shift of education and patient care to outpatient settings makes the expanded role of clinician-educators necessary, it also presents challenges to clinician-educators themselves and to the institutions for which they work. This article examines these contemporary challenges (including financial constraints, undefined processes of promotion, and limited opportunities for professional development) and suggests strategies for meeting them. The number of clinician-educators joining the ranks of medical school faculties will probably continue to increase. As clinician-educators seek to provide the highest-quality education and patient care in the new medical marketplace, their success will be critical to the viability of the academic centers of the future.
OBJECTIVE: To investigate the reasons for patients failing to keep appointments in the orthodontic department of a dental school and related circumstances. DESIGN: Retrospective single centre postal questionnaire. SETTING: University orthodontic department in Belfast, Northern Ireland, 1994. SUBJECTS: All 1995 patients failing to keep appointments during the first six months of 1994 (13.6% of total appointments). MAIN OUTCOME MEASURES: The responses expressed as frequencies. RESULTS: Responses were received from 758 patients (37% male, 55% female). The most frequent reasons for failure to keep appointments were illness, other commitments and forgetfulness. Only half of the patients attempted to cancel the appointment. The majority of failures occurred when appointments were made for the preferred time of attendance. Keenness for treatment exceeded perception of the severity of malocclusion. Seven in ten patients were satisfied with their treatment, more than half thought that they were nearing the end of treatment and 21.2% would not be upset if their appliances were withdrawn. CONCLUSIONS: Parents and patients should be aware of school commitments in advance of making appointments and an automated telephone reminder system should be introduced. The importance of cancelling appointments which cannot be fulfilled should be emphasised. Patients wearing retainers should be overbooked in a special clinical session.