Assuntos
Competência Clínica/normas , Medicina Clínica/educação , Ciência de Laboratório Médico/educação , Ensino/métodos , Medicina Clínica/normas , Educação de Pós-Graduação em Medicina/normas , Educação de Graduação em Medicina/normas , Avaliação Educacional , Humanos , Internato e Residência , Avaliação de Programas e Projetos de Saúde , Estados UnidosRESUMO
Nine patients were given carbamazepine before rapid discontinuation of benzodiazepines. Most patients had had long-term benzodiazepine treatment and had abused benzodiazepines; five had taken high doses. All patients tolerated rapid discontinuation well and none developed significant withdrawal symptoms.
Assuntos
Benzodiazepinas/efeitos adversos , Carbamazepina/uso terapêutico , Síndrome de Abstinência a Substâncias/tratamento farmacológico , Adulto , Idoso , Feminino , Humanos , MasculinoRESUMO
The questions of illness susceptibility and the how and why of the onset of illness are of great concern to family physicians, who are constantly presented with a bewildering array of maladies. This paper presents a model of illness onset as related to life change which is felt to be a highly relevant and useful concept for family physicians. This model has been developed over many years and proposes that illness onset is predictably related to life change, which in turn is a reflection of the amount of coping required. The specific development of these concepts is presented in detail including the development and quantitation of the social readjustment rating scale which quantifies life changes.
Assuntos
Doença/psicologia , Acontecimentos que Mudam a Vida , Adulto , Aconselhamento , Feminino , Humanos , Masculino , Modelos Psicológicos , Médicos de Família , Gravidez , Escalas de Graduação Psiquiátrica , Ajustamento SocialRESUMO
This review of the University of Missouri-Columbia medical graduates, with similar data from two other studies, supports the thesis that hometown size and speciality choice are interrelated predictors of the community in which physicians practice. Physicians with nonmetropolitan backgrounds were two to three times as likely to select nonmetropolitan practice as physicians with urban backgrounds. Physicians entering family medicine were almost three times as likely to select nonmetropolitan practice as physicians in other primary-care specialities. Presence of both predictors (nonmetropolitan background and selection of family medicine) resulted in two thirds selecting nonmetropolitan practice. However, selection of family medicine by graduates with urban backgrounds or selection of other specialties by graduates with nonmetropolitan backgrounds did not appreciably increase the likelihood of nonmetropolitan practice. These data have implications for medical school admissions policy and curriculum.
