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Do admission decisions predict performance during medical school? A comparison of one medical school's rejected and accepted applicants who attended other schools.

The relation of one school's admission decisions to performance in medical school was examined by comparing accepted applicants who chose to attend other institutions with rejected applicants who went to those same institutions. When differences among schools were controlled, no effect of admission decisions was observed.

Achievement

Continuing medical education: linking the community hospital and the medical school.

Community hospitals and medical schools have different but complementary resources to carry out continuing medical education. To strengthen the educational capabilities of both, a group of community hospitals has been linked to a medical school in a continuing medical education network. A peripatetic educational development team based at the medical school completes the link by helping community hospital physicians identify educational needs and develop educational responses, using both local and medical school experts as faculty. The educational development team provides skills and staffing which no small or moderate-sized community hospital could afford alone. The program is financially feasible for community hospitals and the medical school, does not consume the resources of either, and conserves the time of the community physician and medical school faculty.

California

Measuring the medical school learning environment.

Medical educators' growing concern over the high level of student stress has been accompanied by a shift in their conceptualization of the problem. Student stress is increasingly seen as a problem resulting from the individual's interaction with the learning environment and not as an indication of personal deficiency. This shift has made evident the need for an instrument capable of assessing the significant dimensions of the medical school learning environment. This report describes how the Medical School Learning Environment Survey (MSLES) was developed to measure aspects of the learning environment relevant to student stress. Results of the first administration and plans for future projects using the survey are discussed.

Humans

The teaching of medical ethics at Southampton University Medical School.

For centuries medical schools in Britain and elsewhere had a fairly static curriculum based on what might be called the 'three Rs' of medicine, and consequently had to make room for new subjects as the need arose in a fashion which was sometimes makeshift. However, Southampton University has only had a medical school for six years, and therefore their course on medical ethics and legal medicine was carefully integrated into the curriculum after some preliminary experiments carried out by a subcommittee which is continually reviewing the situation. Medical ethics has now a definite place in the fourth year, preceded by an introduction to ethical problems encountered in medicine in the first year. Not only do members of the medical faculty participate in this teaching but also members of the faculties of law and the arts.

Curriculum

Continuing education: a medical school responsibility?

A survey of medical school deans sheds some light on current attitudes and practices regarding continuing education. The role of medical schools as leaders in continuing medical education should be clarified.

Education, Medical, Continuing

Study of U.S. Medical School Applicants, 1977--78.

This annual report on applicants to the 1977--78 U.S. medical school freshman class describes the first substantial decline in applicants during the past quarter century. Since the decline was accompanied by the opening of several new medical schools, the chances of gaining admission improved to 39 percent, the highest in six years. For applicants making their first attempt the acceptance rate was 43 percent. There was no loss of qualified applicants, however; the 1977--78 pool presented record-high entrance test scores and undergraduate college grades. In the report comparisons are made with activity in 1974--75--the peak year for medical school spplicants--in order to measure the impact of the decline on individual medical schools and geographical regions and on various applicant subpopulations.

Education, Medical

Legal medicine in medical schools: a survey of the state of the art.

American medical colleges are showing increased interest in acquainting their students with legal aspects of the practice of medicine. However, little is known about the role of legal medicine in the medical school curriculum. During the summer of 1978 the author sent a questionnaire to all U.S. medical schools. The 86% response rate suggests considerable interest in the subject matter. The results of the survey indicate that while 40% of the schools require their students to complete some course work in legal medicine, the curricula vary considerably among the schools. The topics most frequently covered are informed consent and malpractice.

Curriculum

Relationships between performance in medical school and first postgraduate year.

Data from a longitudinal study of Jefferson Medical College graduates were analyzed to determine levels of clinical competence in the first postgraduate year and relationships between postgraduate ratings and performance during medical school. Ratings were obtained on knowledge, data-gathering skills, clinical judgement, and professional attitudes from the hospitals in which the graduates received their training. Significant relationships were found among three levels of performance in medical school and postgraduate ratings and in all four competence areas. Relationships were strongest at the highest and lowest performance levels. It is concluded that in a substantial number of cases good and poor performance in the first postgraduate year can be predicted on the basis of information already available to the medical school faculty.

Attitude of Health Personnel

Implications of off-shore medical schools in the Commonwealth Caribbean.

Facilities existing and planned in the University of the West Indies for training the medical manpower requirements of the Caribbean Commonwealth are adequate and can be extended to meet additional future needs. No valid justification exists, therefore, for the development in the area of off-shore medical schools promoted by profit-oriented entrepreneurs who have little or no experience in medical education and aimed principally at students from the United States who have failed to secure admission to an American medical school. Such students are liable to experience serious disappointments either in transferring to the United States for the clinical half of their course or in qualifying for entrance to postgraduate training programs sponsored by American educational authorities. Participation in the establishment of such medical schools has already generated unfavorable publicity, which can be ill-afforded by the countries of the English-speaking Caribbean.

Central America

Why is medical school difficult? Or, if it isn't difficult, why it should be.

Given the intellect and motivation of the idealized contemporary medical student and the structure of contemporary medical education, one might not expect medical school to be difficult; experience dictates otherwise. Since medical school prepares one to become a physician, the inherent difficulty of medical school is expected to lie in the areas of the physician's attitudes, skills, and knowledge. This expectation is not supported; instead it is suggested that the difficulty may actually reside in the fact that the student must negotiate three different learning styles in the course of only two years.

Aptitude

Hospitals and medical schools as factors in the selection of location of practice.

A study analyzing the relationship between the state in which a physician practices and the location of residency training was conducted using as subjects 467 individuals who entered graduate medical training programs at the University of Texas Southwestern Medical School at Dallas. The study population included physicians who were graduated from medical schools between 1955 and 1969 and who entered a phase of graduate training (internship/residency) at one of Southwestern Medical School's affiliated teaching hospitals. Results of the study support the conclusions of an earlier report that stressed the influence of the location of residency training in retaining physicians in Texas. The statistical findings indicate that if all other factors are equal, additional residency positions filled by graduates of medical schools in the same state might aid in increasing the retention rate of medical practitioners there.

Education, Medical

A report on the present status of undergraduate urologic teaching in medical schools and some resulting recommendations.

At the request of the Education Council of the American Urological Association a survey of urologic teaching in America's medical schools was done. The most startling and distressing finding, based upon the study of 99 medical schools, was that more than half (52 per cent) of the schools do not require any clinical exposure to urology before graduation. Suggestions are offered, based upon the documented importance of urology in the delivery of primary care, for an approach to medical school curriculum committees to mandate the return of urology as a required subject in our schools.

Curriculum