Development and validation of a scaled questionnaire for evaluation of residency programs.

Abstract:

:As residency programs adapt to the need to promote primary care, the importance of quantitating qualitative issues increases. In this study, a questionnaire based on reported residency stressors was answered by 238 internal medicine residents. The Profile of Mood States (POMS) was also completed by 64. Factor analysis derived three scales reflecting emotional distress and satisfaction with the workload and learning environment. Emotional distress correlated positively with POMS scores indicating depression and dejection and was inversely related to workload. Workload satisfaction was significantly higher in programs with fewer admissions and lower in programs with greater patient loads. Responses did not differ by postgraduate year of training. Residents in different programs showed significant differences in emotional distress and workload but not learning environment. Residents in university programs indicated more stress and less satisfaction with workload than those in community programs. This study supports the validity of the three scales and provides insights into elements of the educational process that are difficult to quantitate.

journal_name

South Med J

journal_title

Southern medical journal

authors

Seelig CB,DuPre CT,Adelman HM

doi

10.1097/00007611-199507000-00010

subject

Has Abstract

pub_date

1995-07-01 00:00:00

pages

745-50

issue

7

eissn

0038-4348

issn

1541-8243

journal_volume

88

pub_type

杂志文章
  • Arsenic exposures in Mississippi: a review of cases.

    abstract::Arsenic poisonings occur in Mississippi despite public education campaigns to prevent poisonings in the home. We reviewed 44 Mississippi cases of arsenic exposures occurring from January 1986 to May 1990. We compared the epidemiologic differences between unintentional and intentional poisonings. Cases were found and c...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199104000-00012

    authors: Park MJ,Currier M

    更新日期:1991-04-01 00:00:00

  • Herpes simplex type 2 causing fulminant hepatic failure.

    abstract::Although exceedingly rare, fulminant hepatic failure (FHF) in immunocompetent patients can develop with primary or recurrent infection due to herpes simplex virus (HSV). The diagnosis is frequently obscured by the absence of mucocutaneous involvement. Elevated transaminase values with leukopenia and a relatively low b...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Fahy RJ,Crouser E,Pacht ER

    更新日期:2000-12-01 00:00:00

  • Reconsideration of orchiectomy in the treatment of advanced prostatic carcinoma.

    abstract::The results of a large randomized prospective clinical trial conducted by the Veterans Administration Co-operative Urological Research Group (VACURG) in 1968 are updated and reevaluated. In this study, placebo, diethylstilbestrol (DES, 5 mg/day), orchiectomy plus placebo, and orchiectomy plus DES were compared in pati...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Jordan WP Jr,Blackard CE,Byar DP

    更新日期:1977-12-01 00:00:00

  • Sickle cell vaso-occlusive pain crisis in adults: alternative strategies for management in the emergency department.

    abstract::The gene for sickle cell disease is carried by 8% of the African-American population in the United States. The primary care physician is often called upon to recognize and treat one of the major sequelae of sickle cell disease--vaso-occlusive pain crisis. An injectable nonsteroidal anti-inflammatory drug has recently ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199208000-00005

    authors: Sanders DY,Severance HW,Pollack CV Jr

    更新日期:1992-08-01 00:00:00

  • Acute electrocardiographic changes after pneumonectomy.

    abstract:BACKGROUND:Postpneumonectomy electrocardiographic (ECG) changes have not been well-defined. METHODS:We reviewed the clinical data and the preoperative and postpneumonectomy ECGs of 15 patients who had pneumonectomy. RESULTS:All postpneumonectomy ECGs showed a higher heart rate and two (13%) showed diffuse ST elevatio...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Frye DM,Sahn AS

    更新日期:2000-10-01 00:00:00

  • Patients Desire Personalized, Specific, and Continuous Advice on Weight Management.

    abstract:OBJECTIVE:To deliver effective care, healthcare systems should understand patients' preferences for weight management across a spectrum of needs. Our objective was to describe patients' perceptions of what helps or hinders weight loss and maintenance. METHODS:Semistructured interviews were conducted with patients who ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001196

    authors: Pfoh ER,Flench R,Varghai NH,King M,Heinberg LJ

    更新日期:2021-01-01 00:00:00

  • Ruptured ovarian artery aneurysm complicating a term vaginal delivery.

    abstract::Ruptured ovarian artery aneurysm is rare. Of the eight cases previously reported, seven were diagnosed postpartum. Our case of a ruptured right ovarian artery aneurysm was associated with massive retroperitoneal bleeding. The probable time of rupture could be traced to the second stage of labor. This case indicates th...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199309000-00023

    authors: Belfort MA,Simon T,Kirshon B,Howell JF

    更新日期:1993-09-01 00:00:00

  • Impact of early recognition on outcome in nonpenetrating wounds of the small bowel.

    abstract::During a recent ten-year period, 20 patients were treated for nonpenetrating, small-bowel trauma requiring resection. Despite the relative infrequency of this injury, jejunoileal trauma must be suspected in all patients sustaining blunt force to the abdomen. Physical signs suggesting major intra-abdominal wounds usual...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198409000-00004

    authors: Maull KI,Reath DB

    更新日期:1984-09-01 00:00:00

  • Cimetidine usage for unlabeled conditions in an ambulatory care service.

    abstract::With the intent of cost containment, we conducted a survey of cimetidine usage in the Ambulatory Care Service of our Veterans Administration Medical Center. During a period of six months, this drug was prescribed for 132 patients. Only about 20% received cimetidine for FDA approved conditions. Treated conditions not a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198410000-00019

    authors: Thomas CT,Thomas E,Reddy KR,Martin E,Stapleton JA

    更新日期:1984-10-01 00:00:00

  • Rubella: pattern of outbreak in a university.

    abstract::During the spring term of 1975, rubella was diagnosed in 23 students at Georgetown University in Washington, DC. The cases were concentrated among students from the School of Foreign Service and their close contacts; outbreaks did not appear in other divisions of the university. Rubella immunization of susceptible fem...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Chretien JH,Esswein JG,McGarvey MA,deStwolinski A

    更新日期:1976-08-01 00:00:00

  • Arterial distensibility in young normotensive subjects and in patients with borderline and essential hypertension.

    abstract::We evaluated the indices of arterial distensibility in a group (N = 40) of normotensive subjects and patients with borderline or established hypertension by measuring intra-arterial pressure, pulse wave velocity, and a mathematical modification of MOEN's formula to calculate arterial distensibility. Multiple linear re...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198401000-00015

    authors: Aristimuño GG,Suarez DH

    更新日期:1984-01-01 00:00:00

  • HIV antibody testing in hospitalized patients.

    abstract::We retrospectively reviewed the charts of 190 hospitalized patients who had human immunodeficiency virus (HIV) antibody testing at our medical center in 1986 and 1987. From 1986 to 1987, HIV antibody testing increased fourfold based on total hospital discharges. Nine patients (5%) tested positive by enzyme immunoassay...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199001000-00008

    authors: Manian FA,Rinke D

    更新日期:1990-01-01 00:00:00

  • Dinitrophenol poisoning: a diagnosis to consider in undiagnosed fever.

    abstract::A 32-year-old farmer had signs and symptoms of dinitrophenol poisoning after crop spraying with a herbicide containing derivatives of 2,4-dinitrophenol. Dinitrophenol causes toxicity by the uncoupling of oxidative phosphorylation in the mitochondria of cells throughout the body. In man the classic syndrome consists of...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Leftwich RB,Floro JF,Neal RA,Wood AJ

    更新日期:1982-02-01 00:00:00

  • Pseudoaneurysms and related complications of aortic bypass grafts.

    abstract::During a recent five-year period 14 patients had pseudoaneurysms as late complications of aortic bifurcation grafts. Severe atherosclerosis had been present at the time of the aortic grafts, and subsequent progression of arterial disease appeared to be the usual cause of the pseudoaneurysms which occurred from two to ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198012000-00016

    authors: Harbrecht PJ,Ahmad W,Fry DE

    更新日期:1980-12-01 00:00:00

  • Assessment of therapeutic plasmapheresis in demyelinating neurologic disorders.

    abstract::Considerable controversy exists with regard to therapeutic efficacy of plasmapheresis in the immune-mediated demyelinating disorders of the peripheral and central nervous system: acute inflammatory polyneuropathy (Guillain-Barré syndrome), chronic inflammatory demyelinating polyneuropathy, and multiple sclerosis. In a...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198608000-00018

    authors: Tindall RS,Rollins JA

    更新日期:1986-08-01 00:00:00

  • Transient ischemic attacks not produced by extracranial vascular disease: a plea for complete and early angiographic investigation.

    abstract::Six patients with classical transient ischemic attacks that were not directly related to extracranial carotid disease are presented. These cases were selected to include a variety of pathologic conditions: one case each of brain tumor, arteriovenous malformation, chronic subdural hematoma, cervical spondylosis, and tw...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197606000-00015

    authors: Auld AW,Shafey S

    更新日期:1976-06-01 00:00:00

  • Erysipelas-like syndrome caused by Streptococcus pneumoniae.

    abstract::Streptococcus pneumoniae produced an erysipelas-like eruption in a patient with the nephrotic syndrome. The eruption and accompanying fever resolved upon treatment with aqueous penicillin. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197906000-00038

    authors: Varghese R,Melo JC,Chun CH,Raff MJ

    更新日期:1979-06-01 00:00:00

  • Tuberculous peritonitis: fatality associated with delayed diagnosis.

    abstract::We describe a fatal case of tuberculous peritonitis and review the literature on the diagnostic modalities available to diagnose this entity. We suspect a delayed diagnosis resulted in the death of our patient. Today, the prompt diagnosis of an unknown ascitic process involves laparoscopy. A patient with unknown large...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199904000-00010

    authors: Ahmad M,Ahmed A

    更新日期:1999-04-01 00:00:00

  • Life stress and psychiatric clinic referral.

    abstract::A "life stress" scale is applied to the antecedent events motivating 179 patients to seek outpatient psychiatric help. Intake evaluation reports of patients who kept their appointments at the Adult Psychiatric Outpatient Clinic of Vanderbilt University Hospital over a three-month period were reviewed. Almost half of t...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197602000-00016

    authors: Corney RT,Roback HB

    更新日期:1976-02-01 00:00:00

  • Transchondral talar dome fractures: not just a sprained ankle.

    abstract::Transchondral talar dome fractures are a rare but not unknown cause of continued disability following a "sprained ankle." The diagnosis is made with standard ankle roentgenograms and an awareness of the lesion. Surgical treatment is recommended in acute and chronic cases, based on the amount of displacement of the fra...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198405000-00007

    authors: Nash WC,Baker CL Jr

    更新日期:1984-05-01 00:00:00

  • Glycerol: an alternative to dexamethasone for patients receiving brain irradiation for metastatic disease.

    abstract::Forty-four patients with metastatic brain neoplasms received glycerol instead of corticosteroids during periods of brain irradiation. Headache, nausea, and vomiting were controlled in more than 90% of symptomatic patients, while paralysis, confusion, and papilledema improved in 55% to 80%. Patients with minimal or no ...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Bedikian AY,Valdivieso M,Heilbrun LK,Withers RH,Bodey GP,Freireich EJ

    更新日期:1980-09-01 00:00:00

  • Proportion and Characterization of Co-infections of HIV and Hepatitis C or Hepatitis B among People with HIV in Alabama, 2007-2016.

    abstract:OBJECTIVES:People living with human immunodeficiency virus (HIV) have an increased risk of other infections, including viral hepatitis, which can complicate the treatment and progression of the disease. We sought to characterize Alabama cases of HIV co-infected with hepatitis C virus or hepatitis B virus. METHODS:Usin...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001104

    authors: Siza C,Bixler D,Davidson S

    更新日期:2020-06-01 00:00:00

  • Lightning strikes at a mass gathering.

    abstract::Among natural disasters, lightning is a leading cause of morbidity and mortality throughout the world. A well-informed bystander and an astute physician can make the difference between an outcome of death or lifelong disability versus complete or near-complete recovery. What is done in the first few minutes after such...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199907000-00010

    authors: Milzman DP,Moskowitz L,Hardel M

    更新日期:1999-07-01 00:00:00

  • Does a bite cause cancer? Misperceptions of breast cancer etiology among low-income urban women in Miami, Florida.

    abstract:OBJECTIVES:To explore breast cancer beliefs among a cohort of low-income, urban, English-speaking women in Miami, Florida, who had undergone screening mammography. METHODS:Four focus groups of 34 women were conducted. Discussions were transcribed verbatim and transcripts were analyzed separately by two investigators u...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0000000000000022

    authors: Marcus EN,Drummond DK,Dietz N,Kenya S

    更新日期:2013-12-01 00:00:00

  • Prostate-specific antigen and digital rectal examination in screening for prostate cancer: a community-based study.

    abstract::In this study, 1,027 healthy men over age 40 were screened for prostate cancer with digital rectal examinations (DRE) and prostate-specific antigen (PSA) levels. Findings were abnormal in 189 (18%). PSA levels alone were abnormal (> 4.0 ng/mL) in 111 men (12%), 60 men (8%) had abnormal DRE and normal PSA, and 18 men h...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199407000-00009

    authors: Bretton PR

    更新日期:1994-07-01 00:00:00

  • Intervention and alcoholism.

    abstract::It is difficult for some alcoholics to admit their illness and recognize their need for help. From experience a process called intervention has evolved. Basically it consists of a well planned and rehearsed scenario, devoid of coercion and criticism, in which the alcoholic can find no acceptable alternative to treatme...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198511000-00016

    authors: Barefoot SW,Smith VW

    更新日期:1985-11-01 00:00:00

  • Skeletal muscle involvement in Rocky Mountain spotted fever.

    abstract::A case of Rocky Mountain spotted fever in a 10-year-old boy accompanied by an unusually high degree of myalgia and muscle weakness was presented. On admission to the hospital, his creatine phosphokinase, SGOT, SGPT, and aldolase values were all abnormally high. Rash did not appear until the fourth hospital day. On the...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197812000-00037

    authors: Krober MS

    更新日期:1978-12-01 00:00:00

  • Long-term survival after autologous bone marrow transplantation for metastatic breast carcinoma.

    abstract::A phase II study of doxorubicin (Adriamycin)-based induction chemotherapy followed by cyclophosphamide/BCNU (CyBCNU) intensification and autologous bone marrow transplantation (ABMT) was conducted in 20 consecutive women with hormone-resistant metastatic breast cancer referred to our center. Of these 20 women, aged 24...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007611-199503000-00015

    authors: Saez RA,Slease RB,Selby GB,Strnad C,Epstein RB,Confer DL

    更新日期:1995-03-01 00:00:00

  • Rickets in premature infants fed different formulas.

    abstract::To study the role of formula as a cause of rickets, we randomly assigned 46 very-low-birth-weight (VLBW) infants (less than or equal to 1,500 gm) to one of three groups receiving either Isomil, a soy isolate formula, Similac with Iron, a common milk-based formula, or Similac 24 LBW, a hypercaloric milk-based formula d...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007611-198401000-00005

    authors: Kulkarni PB,Dorand RD,Bridger WM,Payne JH 3rd,Montiel DC,Hill JG

    更新日期:1984-01-01 00:00:00

  • Chronic intermittent intestinal obstruction from a seat belt injury.

    abstract::Most patients with intestinal obstruction have had previous surgery. Rarely, the development of adhesions and resulting small bowel obstruction is attributed to previous intra-abdominal trauma. We present the case of a young man, without a history of surgery, who had been a restrained driver in a motor vehicle crash. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Harrison JR,Blackstone MO,Vargish T,Gasparaitis A

    更新日期:2001-05-01 00:00:00