Academic medicine : journal of the Association of American Medical Colleges
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This study analyzed the pledges received from all U. S. medical schools accredited in 1989 by the Liaison Committee on Medical Education of both the Association of American Medical Colleges and the American Medical Association to determine what pledges were affirmed and what ethical principles they contained. The Oath of Hippocrates was the most frequently affirmed pledge (the wording of which was used by 60 schools). ⋯ The principle of veracity was not evident in any oath. However, nonmaleficence, beneficence, and justice were evident in half of the pledges, and confidentiality was included in three-fourths of them. The authors conclude that the medical oaths failed to address the changing doctor-patient relationship emerging in the 1990s, whereas they continued to affirm traditional principles of nonmaleficence and beneficence.
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Gender bias of Ohio physicians in the evaluation of the personal statements of residency applicants.
Sexism has been documented at every level of medical training as well as in the community of practicing physicians. Although there is speculation in the literature about sexist attitudes and perceived sexual discrimination influencing a medical student's choice of specialty, there are few data on gender bias in the evaluation of residency candidates applying in different specialties. ⋯ S. women in residencies were underrepresented (less than 12%) compared with the percentage of women in medical schools, and to the 3,586 board-certified Ohio physicians in another six specialties in which women in residencies were overrepresented (more than 38%). The physicians consistently rated the women candidates more favorably than they did the men candidates.
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The contemporary academic medical center is a complex organization providing medical and other professional health education, biomedical and behavioral research, and a comprehensive range of patient care services. This paper presents data from the Association of American Medical Colleges' 1989 survey of 125 member faculty practice plans. The survey data showed that 62% of the 74 responding plans were units or associations within the medical school corporate structure. ⋯ The survey data showed that 75% of the practice plans operated satellite centers, and 61% planned to build new ambulatory care facilities in order to expand and improve services to patients. The practice plans also have adapted to changes in third-party reimbursement and are establishing mechanisms to negotiate managed care contracts involving multiple clinical departments to increase referrals and maintain patient shares; 86% of the plans participate in at least one managed-care organization. The role of the practice plan will continue to evolve in response to the needs of the academic medical center for a cooperative and supportive environment in which to conduct its traditional missions of teaching, research, and patient care.
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Comparative Study
Medical school and residency performances of students admitted with and without an admission interview.
In 1982 the Brown University Program in Medicine eliminated the personal interview from its process of selecting applicants for admission to medical school. This study compares the 113 M. ⋯ This study offers additional evidence that the selection interview, as practiced in most U. S. medical schools, does not contribute to the predictive validity of the admission process.