Asunto(s)
Enfermedad Crónica/terapia , Educación de Pregrado en Medicina/organización & administración , Familia , Servicios de Atención de Salud a Domicilio/organización & administración , Atención Dirigida al Paciente/organización & administración , Pediatría/educación , Psicología Infantil , Estudiantes de Medicina , Adulto , Niño , Enfermedad Crónica/psicología , Familia/psicología , Humanos , New York , Desarrollo de Programa , Estudiantes de Medicina/psicologíaRESUMEN
This paper describes the strategies developed for student recruitment and selection at New York Medical College (NYMC), a private medical school with a consortium of 22 teaching hospitals, to meet its goal of 50% of graduating medical students entering generalist careers. With funding from The Robert Wood Johnson Foundation Generalist Physician Initiative, NYMC developed strategies to attract applicants interested in primary care and to select primary care applicants for matriculation. These strategies included use of recruiting newsletters to describe the primary care curriculum, on-campus open houses for undergraduates, visits to regional undergraduate schools by generalist faculty, changes in the admission committee to include more generalists, and changes in the interview format to stress nonacademic qualities in applicants. The authors present data from the Association of American Medical Colleges (AAMC) Pre-Medical Student Questionnaire and from the AAMC Medical School Matriculation Questionnaire that indicate NYMC achieved its objectives. They warn, however, that it is unclear whether these changes occurred solely as a result of NYMC's strategies, as a result of market forces driving career choices, or as a result of some combination of these factors.
Asunto(s)
Educación de Pregrado en Medicina , Medicina Familiar y Comunitaria/educación , Criterios de Admisión Escolar , Facultades de Medicina , Selección de Profesión , Humanos , New York , Objetivos Organizacionales , Facultades de Medicina/organización & administración , Estudiantes de MedicinaAsunto(s)
Casas de Salud , Anciano , Empleo , Femenino , Humanos , Esperanza de Vida , Masculino , Persona de Mediana Edad , Satisfacción del Paciente , JubilaciónRESUMEN
PURPOSE: We report the unrecognized association of Langerhans cell histiocytosis (LCH) with partial DiGeorge syndrome. PATIENT AND METHODS: A 7-week-old infant with endocrine and immunologic characteristics of DiGeorge syndrome displayed multisystem involvement of Letterer-Siwe disease at birth. RESULTS: Despite vigorous medical support and chemotherapy, she died at 9 months of age with multisystem failure. CONCLUSIONS: This case supports the role of the thymus n the pathogenesis of LCH.
Asunto(s)
Síndrome de DiGeorge/complicaciones , Histiocitosis de Células de Langerhans/complicaciones , Femenino , Humanos , Lactante , Recién Nacido , Timo/fisiopatologíaAsunto(s)
Anciano , Grupos Minoritarios , Jubilación , Estado de Salud , Humanos , Estudios Prospectivos , Calidad de Vida , Estados UnidosAsunto(s)
Artritis Infecciosa/etiología , Disentería Bacilar/complicaciones , Articulación de la Cadera , Osteomielitis/etiología , Shigella sonnei/aislamiento & purificación , Artritis Infecciosa/diagnóstico , Artritis Infecciosa/terapia , Cefuroxima/administración & dosificación , Cefuroxima/uso terapéutico , Disentería Bacilar/diagnóstico , Disentería Bacilar/terapia , Articulación de la Cadera/microbiología , Humanos , Lactante , Inyecciones Intravenosas , Masculino , Osteomielitis/diagnóstico , Osteomielitis/terapiaRESUMEN
Hypervitaminosis A in a one-year-old child resulted from overfeeding of daily vitamin supplements by a caretaker. Most cases of chronic hypervitaminosis A are the result of self-medication or health food faddism. The signs and symptoms of overdosage of vitamin A are reviewed.
Asunto(s)
Hipervitaminosis A/diagnóstico , Enfermedades de la Piel/diagnóstico , Humanos , Lactante , Masculino , Enfermedades de la Piel/inducido químicamenteRESUMEN
A case of knotting of a bladder catheter inserted to closely monitor a critically ill child is presented. The literature is reviewed, revealing knotting to be an unusual complication of this common pediatric procedure. Risk factors for knotting are discussed, and precautionary recommendations are presented.