Journal of medical education
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Seventy-nine family practice residents were studied to test the hypotheses that the level of job stress and the level, source, and type of social support affect residents' psychological health. Self-report data were collected on measures of job stress, life stress, social support provided by three sources (supervisors, coworkers, and people outside work), and psychological health symptoms. ⋯ Low levels of problem-solving and of emotional support from people at and outside work also were associated with a high number of reported symptoms. The author concludes that residents who perceive high job stress and/or low social support should be identified early in their residencies so that assistance can be provided.
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An attempt was made to determine the extent to which physicians trained and certified in family medicine are involved in emergency medicine. An 18-item, self-report questionnaire was mailed to 73 graduates of a family practice residency program to obtain information on their practices, their professional and emergency medicine experiences, and their attitudes toward the practice of emergency medicine by family practitioners. ⋯ Supplemental income was cited the most often as a reason for becoming involved in emergency medicine. Only variables related to the physicians' attitudes discriminated between those who were practicing emergency medicine and those who were not.
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A new required clinical clerkship in family medicine at Duke University School of Medicine is described in terms of planning, implementation, and modification in response to students' evaluations. Seventy-five percent of the eight-week course involves direct clinical experience both in academic practices and community sites, and 25 percent is spent in small group seminars and workshops. ⋯ Several modifications made in the clerkship over a three-year period have raised the students' ratings to near their ratings of the five traditional clerkships. The data demonstrate that family medicine can be taught effectively as a core clinical rotation and can broaden the general education of medical students.