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At least 19 recordsLinked to original sources
PubMed1984

Graduate and mature entrants to medicine: changes in career intentions.

Fifty-nine students who had previously taken degrees or commenced careers in subjects other than medicine entered the Cambridge Clinical Course in its first 5 years of operation, commencing in 1976. A questionnaire was used to ascertain their original career plans when entering medical education, their career plans in 1981, and the reasons for any changes. Graduates originally planning careers in general practice and teaching or research maintained their intentions, but some of those who had favoured hospital clinical work changed their minds in favour of general practice. General practice was also the most common choice amongst those students who were earlier unsure as to what branch of medicine they would enter. Of students changing their career intentions, half indicated that disenchantment with hospital medicine was a prime reason for the change.

Age Factors↗
PubMed1978

How much will U.S. medicine change in the decade ahead?

During the past 12 years health care services have been increasingly used by low-income families, largely as a consequence of infusion of more funds into the health care system. The number of persons employed in health-care has gone up along with an expanded governmental role. Present governmental concerns are focused on cost and the relation of public attitudes to needs for, and costs of, a system of national health insurance. In the near future, medical services are not likely to be expanded, and various costly services may be contracted. The number of physicians will go up but the fraction in solo practice will decline. Patterns of physician maldistribution are not likely to be changed substantially. Costs will continue to go up, and government and other third-party payers will strive to control them. A comprehensive form of national health insurance will not come soon, and the public will become increasingly aware of the limits to which health care can improve their lives.

Cost Control↗
PubMed1991

AIDS in California family medicine. Changing experiences, knowledge, and geographic distribution.

Information regarding practice patterns specific to acquired immunodeficiency syndrome (AIDS) was obtained in 1988 from 1774 family physicians in California using a mail survey. Data were analyzed across the following county groupings: Los Angeles County, other counties in standard metropolitan statistical areas, and counties outside standard metropolitan statistical areas. Comparisons were made with the data from a telephone survey conducted in 1986. Differences over time were analyzed. By 1988, the percentage of physicians treating or referring patients for possible AIDS had more than doubled in counties outside standard metropolitan statistical areas. The percentage of physicians reporting one or more diagnosed cases of AIDS had tripled, a finding that suggests the importance of AIDS in family medicine is increasing at a rapid rate. In addition, survey results indicate that a majority of those surveyed still lack the AIDS-related knowledge and competency necessary to effectively deal with AIDS.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Medical student attention to preventive medicine: change with time and reinforcement.

We followed medical students' attention to documentation in their write-ups of appropriate preventive medicine information, based upon a patient's age, sex, and existing medical conditions, as well as the translation of critical findings to the problem list, for three years. The proportion of relevant items documented was .50 in year one, .80 in year two, and .69 in year three. Significant differences (p less than .001) were found between all three years. Similarly, the proportion of important items translated to the problem list was .04 in year one, .22 in year two, and .18 in year three. There was significant improvement in years two and three as compared to year one (p less than .001). The impact of interventions designed to reinforce the medical student's attention to preventive medicine was also studied. Cued forms on which to record the patient's history were compared to written feedback regarding the student's write-ups. Both significantly improved student performance. The effect of the written feedback also persisted in the follow-up period.

Adult↗
PubMed1985

Laboratory animal medicine. Changes and challenges.

Less than three decades have elapsed since the specialty of laboratory animal medicine was first formally recognized. Tremendous progress and maturation has occurred in this short time frame due in large part to the foresight of early pioneers in the field, attention to the moral and ethical use of animals, and the recognition by the biomedical research community of the indispensable role played by the laboratory animal medicine specialist in forging new knowledge in the biomedical sciences. The ability of laboratory animal medicine specialists to properly balance their efforts in collaborative and independent research, clinical services and teaching, offers exciting challenges and opportunities for veterinarians entering the specialty. Undoubtedly, another challenge to the specialty, currently and in the foreseeable future, is the debate over animal rights which began to ferment in the late 1970's, after lying relatively dorment since the 1950's. A growing number of Americans, including some scientists, contend that animals have inherent rights to a full life, free of intentional pain, even when done in legitimate scientific pursuits; some ardent anti-vivisectionists state that the use of animals in experimental research is immoral. The laboratory animal medicine specialist will have to effectively deal with the administrators of institutions using research animals, the attendant federal and state guidelines and laws regulating their use, and defend the use of laboratory animals to a polarized public, while at the same time ensure the humane care and use of animals under their purview. Certainly, the specialty is squarely placed in a hotly debated dilemma, fraught with ethical, moral, medical, philosophical, religious, and political complexities. I believe the specialty has the vision and maturity, and is indeed ready, to successfully meet that challenge - to assuage public concern, implement new federal policy regarding animal care and use, and maintain the excellent progress in laboratory animal medicine realized in the last 75 years.

Animals↗
PubMed1983

France, the fundament, and the rise of surgery.

This article describes events in 17th and 18th century France that resulted in the elevation of surgery from a lowly status to one of parity with medicine. Changes in the education and organization of surgeons are described, and the nature and significance of the successful operation for fistula-in-ano on Louis XIV is considered in some detail.

Colorectal Surgery↗
PubMedDate not supplied

The child between nature and culture.

Medicine changes: some diseases disappear and "new" ones arise. New therapies also pose new problems, some of which even have bioethical traits. Progress often produces diseases. In any case - for good or for worse - culture, the foundation of progress, deeply interferes with the natural environment in which the child lives, and constantly modifies it, especially, or indeed, in industrial societies. For a better quality and longer duration of life, the hope should be to put culture as extensively as possible in the service of nature so as to not contaminate or deteriorate it and so as to prevent progress from turning against man. Especially in industrial societies, the family too has furthermore changed and has provided the child with different living conditions. New pediatrics and the new pediatrician are committed to a better management of the problems posed by changing medicine as well as by the changes undergone by the environment as a function of culture and progress.

Bioethics↗
PubMed1988

Career plans and debt levels of graduating U.S. medical students, 1981-1986.

Trends in students' responses to the annual graduation questionnaire of the Association of American Medical Colleges from 1981 to 1986 were examined. Since 1981 the percentage of students choosing primary care specialties dropped from 43.6 percent to 36.6 percent. The decline of interest in primary care specialties occurred mainly in general internal medicine. Changes in career activity since 1981 reflected increasing interest by the students in full-time academic appointments and decreasing interest in solo, private practices. Changes in the size of a city in which students planned to practice reflected an increasing interest in large cities or suburbs. The students' preferences for certain geographic regions of the country for practice locations changed very little. Finally, total postsecondary educational debt increased from an average of +19,697 in 1981 to an average of +33,499 in 1986. This difference represents a 70 percent increase as measured by 1987 dollars and a 37 percent increase in constant dollars.

Career Choice↗
PubMed1983

Medical education meeting community needs.

As the scientific foundation of clinical practice has expanded the caring aspect of medicine has been given less emphasis. The development of a paradigm of medicine based on achieving a diagnosis has resulted in neglect of this caring aspect of medicine in education programmes. This has contributed to the current failing of doctors to meet community needs in terms of caring as opposed to curing in medicine. Change in the structure and emphasis of clinical training is necessary in order that graduates meet community needs.

Attitude of Health Personnel↗
PubMed1989

Traditional and evolving concepts in medical ethics.

Modern developments in science, technology and medicine have resulted in an unprecedented interest in ethical and moral issues in the practice of medicine. Changes threaten to erode the traditional ethos of practice and to transform medicine into a marketable commodity. The challenge of a new medical ethic and suggestions for a future course are discussed.

Africa, Southern↗
PubMed2025

Acoustic ejection mass spectrometry: the potential for personalized medicine.

INTRODUCTION: The emergence of personalized medicine (PM) has shifted the focus of healthcare from the traditional 'one-size-fits-all' approach to strategies tailored to individual patients, accounting for genetic, environmental, and lifestyle factors. Acoustic ejection mass spectrometry (AEMS) is a novel technology that offers a robust and scalable platform for high-throughput MS readout. AEMS achieves analytical speeds of one sample per second while maintaining high data quality, broad compound coverage, and minimal sample preparation, making it an invaluable tool for PM. AREAS COVERED: This article explores the potential of AEMS in critical PM applications, including therapeutic drug monitoring (TDM), proteomics, metabolomics, and mass spectrometry imaging. AEMS simplifies conventional workflows by minimizing sample preparation, enhancing automation compatibility, and enabling direct analysis of complex biological matrices. EXPERT OPINION: Integrating AEMS with orthogonal separation techniques such as differential mobility spectrometry (DMS) further addresses challenges in isomer discrimination, expanding the platform's analytical capabilities. Additionally, the development of high-throughput data processing tools could further enable AEMS to accelerate the development of personalized medicine.

Humans↗
PubMed1985

Probable future funding priorities in maternal and child health: a modified Delphi National Survey.

Recent enactment of program consolidation block grants proposed by the Reagan administration has left many observers of public health services wondering about the impact of such a change on categorical programs in maternal and child health (MCH). This study first presents predictions about the future of 23 specific MCH services, derived from a modified Delphi Survey of MCH experts, and then examines the implications of these predictions for future public health.

Adult↗