Availability of mental health resources for residents in academic medical centers

In a survey on the availability of mental health resources for medical students and residents in academic medical centers, the author found that most centers offer some mental health assistance to medical students but few centers provide any formal mental health assistance to house officers. The structures and limitations of the programs for residents are described in this paper. Therapists lacking comprehensive training are frequently employed in these programs. The author concludes that the emotional needs of residents are not being adequately addressed.     

Predicting academic performance at a predominantly black medical school

A study was conducted by the authors that examined the validity of the Medical College Admission Test (MCAT), undergraduate grade-point average (GPA), and "competitiveness" of undergraduate college in predicting the performance of students at a predominantly black college of medicine. The performance measures used in the analysis consisted of course grades in all four years of medical school and scores on both Part I and Part II of the National Board of Medical Examiners (NBME) examinations. The predictive validities of the MCAT scores and undergraduate GPAs were found to be similar to those revealed in earlier studies conducted at predominantly white schools. Two exceptions to these similarities were found. First, the MCAT scores at the black school had a somewhat lower validity in predicting NBME examination scores than was the case at the other schools. Second, of the six MCAT subtest scores, Skills Analysis: Reading had the highest correlation with first-year grades, in contrast to results at the other schools. No differences between men and women were found in the validity of MCAT scores and the GPA. The competitiveness of the undergraduate college attended was found to contribute significantly to the prediction of all measures of medical school performance.     

浅谈医学专科类学校学生厌学的原因及对策

近年来，随着医学教育的发展、高专类学校的扩招、《执业医师法》等法规的实施、就业压力的增大，医学专科类学校在校生厌学现象日益突出，因此研究学生厌学现象出现的原因并提出对策是非常必要的。     

《军医进修学院学报》在国内医学院校学报中的排位及分析

笔者将《军医进修学院学报》近3年的影响因子与相关期刊的数据进行分析和讨论，并对自身学术地位及价值进行评估。     

某医学院校学生转专业后的学习状况分析

目的 为了了解转专业学生对新专业学习的适应情况,为高校转专业政策的制定及实施提供参考依据.方法 统计北京某医学院校2007级-2010级临床医学专业学生生物医学课程、临床医学课程及临床技能考核成绩,并将转专业学生与非转专业学生成绩进行均值比较及t检验.结果 转专业学生生物医学课程、临床医学课程及临床技能考核成绩均优于非转专业学生,大部分学生的成绩在年级中名列前茅.结论 转专业学生对新专业的学习适应良好,成绩较佳;该校现行转专业制度有效保障部分学生的发展需求,取得预期效果。     

Career and parenting satisfaction among medical students, residents and physician teachers at a Canadian medical school

BACKGROUND: Studies of career and parenting satisfaction have focused separately on medical students, residents and practising physicians. The objective of this study was to compare satisfaction across a spectrum of stages of medical career. METHODS: A survey of incoming medical students, current medical students, residents and physician teachers at the University of Saskatchewan was conducted in the spring of 1997. Response rates were 77% (43/56), 81% (177/218), 65% (134/206) and 39% (215/554) respectively. Factors assessed in the stepwise regression analysis were the effect of sex, parenting and level of training on the likelihood of recommending parenting to medical students or residents, and on parenting dissatisfaction, job dissatisfaction, career dissatisfaction and the importance of flexibility within the college program to accommodate family obligations. RESULTS: More male than female physician teachers had partners (92% v. 81%, p < 0.01) and were parents (94% v. 72%, p < 0.01). Female physician teachers spent equal hours per week at work compared with their male counterparts (mean 52 and 58 hours respectively) and more than double the weekly time on family and household work (36 v. 14 hours, p < 0.01). Physician teachers were the most likely respondents to recommend parenting to residents and their peers. Residents were the most dissatisfied with their parenting time. At all career stages women were less likely than men to recommend parenting, were more dissatisfied with the amount of time spent as parents and were more likely to regard flexibility within the college program as beneficial. There were no sex-related differences in job dissatisfaction and career dissatisfaction. However, married women were more dissatisfied with their jobs than were married men. Job dissatisfaction was greatest among medical students, and career dissatisfaction was greatest among residents. INTERPRETATION: The optimal timing of parenthood appears to be upon completion of medical training. Women were less likely to recommend parenting, less satisfied with the time available for parenting and more likely to value flexibility within the college program to accommodate family needs. These differences did not translate into women experiencing more job or career dissatisfaction.     

现代医学模式在医护人员中面临的困难

针对现代医学模式在临床医疗护理实践中所面临的困难,从临床医生传统的思维方式,临床护理中生物-心理-社会医学模式观念淡漠两个方面进行了具体的分析,提出了相应的解决对策,以期现代医学模式的思想能够有效的渗透到临床工作当中去.     

Endoscopic review of patients who have had gastric surgery

Seventy one patients who had had operations on their stomachs over 15 years previously were examined by endoscopy and multiple mucosal biopsy sampling. Sixty six had histologically proved gastritis (56 chronic atrophic gastritis, 10 superficial gastritis), 38 intestinal metaplasia, and 11 epithelial dysplasia. In three cases the epithelial dysplasia was severe (carcinoma in situ). One patient had an infiltrating carcinoma and another, whose biopsy appearances were reported as severe dysplasia, developed a carcinoma of the stomach eight months later. All patients having undergone gastric surgery more than five years previously should be screened endoscopically and any found to have moderate dysplasia subjected to regular endoscopic screening thereafter. Patients with severe dysplasia (carcinoma in situ) should be considered for radical surgery.     

A survey of two cohorts of women who graduated from a Canadian medical school.

The careers of 71 women who graduated in medicine from the University of Western Ontario between 1961 and 1970 are compared with those of 84 women who graduated from the same university between 1924 and 1958. In both cohorts approximately 65% were working full time. Fewer members of the 1961-70 cohort were doing no medical work and more were working part time.     

退伍军人服刑人员的心理因素特点

目的 探讨退伍军人服刑人员的心理因素.方法 对退伍军人服刑人员和二年兵的密西根酒精依赖调查表(MAST)、父母教养方式评价量表(EMBU)、信赖他人量表(FPS)和卡特尔十六种个性因素测验(16PF)的得分均值作比较.结果 ①退伍军人服刑人员的酒精依赖程度[(4.98±3.86)分]要显著高于二年兵[(1.67±2.12)分].②退伍军人服刑人员在父母教养方式量表的负性因子上的得分均值均显著高于二年兵(P＜0.01),而在正性因子上的得分均值显著低于二年兵(P＜0.01).③退伍军人服刑人员和二年兵在信赖他人量表得分均值的差异无显著性(P＞0.05).④退伍军人服刑人员的兴奋性、敢为性、独立性、怀疑性和世故性均显著高于二年兵,而稳定性[(5.38±1.50)分]则显著低于二年兵[(5.71±1.62)分].结论 退伍军人服刑人员的心理因素特征具有显著的犯罪行为倾向.