Journal of cancer education : the official journal of the American Association for Cancer Education
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Biography Historical Article
Abraham Flexner--a crusader against medical maleducation.
The Flexner Report, one of the most cited publications in medical education, describes the site-visits to 163 medical schools in 40 American states, in terms of admission requirements, number of students, number of faculty, etcetera. The Flexner Reports (there are three!) are still worth reading. For instance, Flexner holds a plea for problem orientation. "The student is to collect and to evaluate facts. ⋯ Flexner's significance as a medical educator is illustrated by a discussion of the role of the teacher and the nature of medical education. Learning, not teaching, is what it is all about. It is argued that cancer education can learn from Flexner's insights.
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Delphi technique is a method of structuring group communication and is useful in achieving consensus on goals, plans, or positions. The Delphi technique was used to determine a course of action to enhance cancer education at each of eight medical schools in Texas. Participants in this study were deans of medicine and a faculty member considered to be the lead cancer expert in the curriculum. ⋯ The Delphi technique was found to be an effective approach for increasing awareness of the statewide cancer plan, for involving all medical schools in achieving the goals of the plan, and for identifying means for enhancing cancer education at each medical school. A consensus was reached to develop a statewide standardized assessment of graduating medical students' knowledge about principles of cancer prevention and screening. The results could serve as a means of determining cancer education needs at each medical school.
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This course describes a 7-week, one-and-one-half-hour per week course on Death and Dying and examines its impact on medical students' attitudes. The 30 participants were tested on attitudes about death and dying pre- and post-course. ⋯ The Semantic Differential technique was used to measure the pre- and post-course attitudes toward "treating the dying patient" and "dealing with the dying patient's family." There was a decrease in anxiety about death and dying when the posttest was compared with the pretest on the anxiety scales, with death of self and death of others reaching significance (p = .04 and .04). There was a decrease in anxiety scores on the Semantic Differential on treating the dying patient and dealing with the dying patient's family (p = less than .001 for both).
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There is a paucity of data on variables predictive of successful smoking cessation in cancer patients. In this questionnaire-based study, we report the smoking status of 75 patients (46 men, 29 women) with head and neck cancer followed for a minimum of 30 months after definitive therapy. Seventy-one percent of the men and 61% of the women who were current smokers at diagnosis stopped smoking subsequent to diagnosis and treatment. ⋯ In addition, older age, college education, and lighter smoking habits were somewhat predictive of successful cessation. Fear of recurrent disease and physician advice were the questionnaire-listed incentives most often chosen as contributing to success in cessation. The role health professionals can play in counseling cancer patients to stop smoking is stressed.