Dissertations / Theses: 'A school at a medical clinic'

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Eid, Tarek. "Why do Physicians Volunteer at Medical Schools and Free Clinics?" Thesis, The University of Arizona, 2018. http://hdl.handle.net/10150/626849.

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Doetsch, Jane Marie. "Initial planning of a school-based clinic: pilot project in the Moreno Valley Unified School District." CSUSB ScholarWorks, 1989. https://scholarworks.lib.csusb.edu/etd-project/539.

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Mumaw, Christopher Allen. "Design and implementation of a sports medicine clinic with emphasis on the high school student-athlete." CSUSB ScholarWorks, 1989. https://scholarworks.lib.csusb.edu/etd-project/515.

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Booth, Jeremy. "Assembling practice in clinical placements at a new medical school." Thesis, University of York, 2017. http://etheses.whiterose.ac.uk/18488/.

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Sociological studies of undergraduate medical education classically concentrated on students and tutors in the clinical environment and paid scant attention to course structures, systems of assessment or the institutional context in which medical education is embedded (Merton, Becker, Foucault, Atkinson, Bosk). Like them, this thesis offers a close ethnographic focus on the clinical experience, but combines it with a sociology of associations that explores the network of institutions and processes that impinge on it. Employing an ‘extended case method’ it focuses on the creation of a new medical school, and building on previous studies applies new materialist perspectives to explore the development and processes of regulation, the organization of supervision and assessment, and the embodied nature of practice (Burawoy). After an analysis of the original aims and development of the GMC’s Tomorrows’ Doctors it examines the school’s early years, focusing on the assessment of professionalism. It shows how the need to transfer information between the school and the NHS shaped assessment, and explores the clinical legitimation of the types of assessment to inform a discussion of their exchange-value and use-value. It presents the results of observations in clinical placements through Foucault’s perspective of the gaze and the ‘implicit labour of language’ in the assembly of practice, and by treating the senses used in patient consultations as mediators. It shows how patient-centered practice continues to reproduce a traditional individualized medicine and its hierarchy, and argues that patients in the community of practice serve as exemplars for comparison, learning, and the definition of the field of medicine itself. Following Kuhn’s assertion that scientific communities are best discovered by examining patterns of education and communication, this broader perspective makes an original contribution to the sociology of knowledge as well as to the fields of professional education and healthcare provision.

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Kazemekas, Lynn M. "The Development of instructional strategies by clinical medical school faculty." Diss., Virginia Tech, 1991. http://hdl.handle.net/10919/37230.

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This study described the instructional practices of selected clinical medical school faculty. It addressed the following questions: - how do medical and surgical clinical faculty select/design and combine instructional methods and media in teaching clinical content? - what influences clinical faculty use of a particular method or medium for clinical teaching? The primary purpose of this research was to investigate how clinical medical school faculty make pedagogical decisions and carry out their instruction in clinical patient care settings. The research described the clinical faculty members' instructional practices with medical students and how the medical apprenticeship system is used for their clinical instruction. The research involved two medical schools and a sample of four clinical faculty representing surgical and medical practice. A general method of descriptive research was employed including the data-gathering techniques of participant observation, interviewing, and collection of documents. Strategies developed by Spradley (1980) and Erickson (1986) were used for data analysis. Findings indicated that the sample clinical faculty do not use an instructional planning process such as described by Gagne and Briggs (1979) or Wildman and Burton (1981). Instead, they select instructional methods and media intuitively, carefully monitoring the medical students' reactions to their instruction. The data show the instructional techniques that include the human element -- defined here as personcentered methods -- are selected most often.
Ed. D.

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Miller, Deborah Ann 1952. "Critical Thinking Skills Related to Pre-Clinical Medical School Course Examinations." Thesis, University of North Texas, 1992. https://digital.library.unt.edu/ark:/67531/metadc279394/.

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The major purpose of this study was to determine if pre-clinical medical school course examinations reflect critical thinking skills. The entire second year class from a medical school in the southwest made up the population. Student examination results from the first two years as well as scores on the Watson-Glaser Critical Thinking Appraisal were used in this study.

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Campbell, Natasha. "Placebos in medicine: from conceptualizations in medical school to integration in clinical practice." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=107754.

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Placebo effects constitute context-dependent medical phenomena, and exemplify the link between psychosocial factors and physiological processes. By surveying medical students (Study 1) and practicing physicians (Study 2), the present thesis explores the knowledge and attitudes towards the role of placebos, and their related effects, in the clinic. In addition, this thesis addresses the ethics of deception in clinical practice (Commentary Response 1). Findings from Study 1 demonstrate that medical students are unaware of many non-drug effects that influence response to treatment, and yet, approximately 40% reported that they would prescribe a placebo in clinical practice. Such placebo science knowledge is critical, moreover, considering recent reports documenting the widespread use of placebos in clinical practice. These findings may foster informed discussions regarding the inclusion of placebo science in medical curricula. Study 2 reveals substantive differences among subspecialties of medicine, specifically between psychiatrists and non-psychiatrists, on the issue of placebos. Moreover, approximately 20% of physicians in Canada reported that they have prescribed or administered a placebo in the course of routine clinical practice. Such findings have implications for formal policy regarding the use of placebos in the clinic. Altogether, these findings underscore the crucial role placebos and non-drug effects have within the medical community, and emphasize the value of further exploration into the intricacies of placebo knowledge, patterns of use, and efficacies within various practices.
Les effets du placebo constituent un phénomène médical lié au contexte et illustrent le lien entre les facteurs psychosociaux et les processus physiologiques. Suite à un sondage mené auprès d'étudiants en médecine (Étude 1) et auprès de praticiens (Étude 2), cette thèse explore les connaissances et les attitudes vis-à-vis du rôle des placebos et de leurs effets dans le cadre clinique. De plus, la présente étude aborde les questions éthiques qui reposent sur la tromperie en clinique (Réponse au Commentaire 1). Les résultats de l'étude 1 démontrent que les étudiants en médecine ignorent l'influence de divers éléments non médicamenteux sur la réaction aux traitements, pourtant, 40% d'entre eux ont déclaré qu'ils prescriraient un placebo lors de leur pratique clinique. Être au fait des dernières recherches sur le placebo est critique, tout particulièrement lorsque l'on considère les derniers rapports sur l'utilisation du placebo dans le cadre clinique. Ces recherches peuvent mener à des discussions éclairées sur l'ajout de cette science aux études médicales. L'étude 2 révèle qu'il existe à ce sujet des différences substantielles au sein des spécialisations, tout particulièrement entre les psychiatres et les non-psychiatres. Par ailleurs, environ 20% des médecins au Canada ont signalé qu'ils avaient prescrit ou administré un placebo au cours de leur routine clinique. De tels chiffres ont des conséquences sur la réglementation qui entoure l'usage des placebos lors de routines cliniques. En somme, ces résultats soulignent le rôle crucial joué par les placebos et les effets non médicamenteux au sein de la communauté de médecins et l'importance d'explorer davantage les connaissances liées au placebo, son usage et son efficacité dans le cadre de diverses pratiques.

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Haubert, Lisa Marie. "Surgical Clinical Correlates in Anatomy: Implementation of a First-Year Medical School Program." The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1253374287.

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Wicks, Mark. "Meaning making from negative encounters between students and clinical faculty in a state medical school /." Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/7836.

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Peckover, Christopher Allen. "Iowa school finance equity: a value-critical policy analysis." Thesis, University of Iowa, 2010. https://ir.uiowa.edu/etd/571.

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Young, Adam Stephen. "Advancing the Human Condition: How Clinical Research Inspired and Prepared Me for Medical School." Miami University Honors Theses / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=muhonors1210015918.

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Chambergo-Michilot, Diego, Carlos E. Muñoz-Medina, Diego Lizarzaburu-Castagnino, Franco León-Jiménez, Miguel Odar-Sampé, Reneé Pereyra-Elías, and Percy Mayta-Tristán. "Migration to study in medical schools of Peru." Instituto Nacional de Salud, 2020. http://hdl.handle.net/10757/655699.

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The aim of this study was to describe the frequency of migration to study medicine in Peru. We conducted a secondary data analysis of the Red-LIRHUS study (2011-2012). We included 3 680 Peruvian students. Approximately, 23.2% migrated for medical school. Less than 1% were international migrants. We found a higher proportion of migrant students in Universities outside of Lima than in Universities in Lima (27.1% vs. 15.8%). There was also a higher proportion of migrants in private universities (28.3% vs. 16.0%) Migrant students were more likely to live alone (27.4% vs. 6.4%) and to report having failed a module/course (51.0% vs. 38.6%) compared to non-migrant students. It is necessary to evaluate potential interventions for the preservation of the well-being of people who migrate for their medical training.
Revisión por pares

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Easterly, Anita. "Does the Program of Master of Science in Biomedical Sciences in Medical Sciences atThe University of Toledo Enhance Training for Medical School? A Quantitative Study ofPre-Clinical Medical Students’ Academic Preparation and Perceptions." University of Toledo / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1575384107073827.

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Chur-Hansen, Anna. "An investigation of the English language proficiency and academic and clinical performance of University of Adelaide Medical School undergraduates /." Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09PH/09phc5595.pdf.

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Thesis (Ph.D.) -- University of Adelaide, Dept. of Psychiatry, 1998.
Author's revision to her thesis is in envelope on back page. Copies of author's previously published works inserted. Bibliography: leaves 472-502.

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Stubenberg, Patricia Anne. "Descriptions of Clinical Teaching Excellence in the First Two Years of Medical School: The Views of Academic and Community-Based Preceptors." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4780.

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The changing dynamics in patient care, along with the increasing role of early clinical experiences and community-based teaching models, can be a catalyst in furthering important research and training for clinical teaching excellence. Curricular challenges as well as limited scholarly work generate educational possibilities for study. Embracing a strong educational doctrine of teaching excellence in undergraduate medical education will help shape the future of health care and ultimately enhance patient care. This grounded theory study (a) described and explained descriptions of teaching excellence among first and second year academic and community-based preceptors in the Longitudinal Clinical Experience (LCE) program at the University of South Florida (USF), Morsani College of Medicine and (b) generated theory related to the explanation of the phenomenon of clinical teaching excellence. The single site study drew upon preceptors in the Longitudinal Clinical Experience (LCE) course who were nominated for a teaching excellence award by second, third, and fourth year medical students through a voluntary, online survey. Based on these surveys, 17 academic and 17 community-based preceptors who represented someone who had gone above the student's expectations in providing an exceptional learning experience were nominated. From the list of 34, 13 eligible preceptors were invited to participate in the study and a sample of eight (four academic and four community-based preceptors) were interviewed. The semi-structured, one-hour face-to-face interviews were conducted between April and December 2012 using an interview process. All interviews were located in the preceptor's academic, hospital, or practice setting except one, which took place in the preceptor's private residence. Interview questions were distributed to participants in preparation of the meeting. After obtaining written informed consent by the participants, interviews were tape recorded and lasted an average of 60 minutes. Data analysis was completed using a complimentary, manual and electronic coding method to categorize and develop initial concepts and themes. Data were continuously tested with field notes, observations of the interviews and settings, and thoughts from the researcher's journal, supporting the fluid and constant comparative analysis of grounded theory. The following four thematic categories, supported by preceptors' reflective and reframing practices, emerged from the presentation of data for theory development: (a) preceptors have an awareness of, and adapt to, each student's readiness to learn; (b) preceptors demonstrate an intrinsic commitment to teaching; (c) preceptors create supportive learning environments; and (d) preceptors utilize sound pedagogical practices. As a result of an in-depth, reciprocal analysis from the selected categories and descriptions of clinical teaching excellence, a higher-order construct (theory) was generated, and suggested transforming and implementing adult learning principles and strategies into early clinical education experiences can have a positive influence on medical education and strengthen student learning. Recommendations for practice and future research include (a) utilizing findings in curriculum planning, (b) expanding the study to increase awareness of the value of reflection and reframing in clinical teaching, (c) investigating the impact of clinical teaching excellence on patient care practices, and (d) expanding the study to compare primary care and specialty disciplines. Professional development programs should include designing activities based on preceptors' instructional needs, sound pedagogical practices, and in compliance with continuing medical education requirements.

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Olsen, Gaynel S. "A Study of the Relationships among Characteristics of Experiences Medical Students Encounter of Patients Diagnosed with Diabetes Mellitus and the Objective Standardized Clinical Exam Scores during the Family Medicine Clerkship." VCU Scholars Compass, 2007. http://scholarscompass.vcu.edu/etd_retro/136.

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This study was conducted using a quantitative, non-experimental, correlation design to explore the relationships between student-patient encounters with Diabetes Mellitus and the scores on the Diabetes Mellitus OSCE during Family Medicine clerkship. The focus of the research was to explore relationships between various methods of competency measures of third-year medical students during their Family Medicine clerkship as they encountered patients diagnosed with Diabetes Mellitus (DM). A paradigm shift in medical education is taking place and driven by the Liaison Committee for Medical Education (LCME). These changes are fueled by the public outcry demanding verification of competency of our physicians. The study's focus is on the competency outcome measures from a new educational design, moving away from patient-centered education to competency-based, student-centered education and away from a norm-referenced assessment to a criterion-referenced assessment. Relevant literature on the need for competency-based medical education and various methods for implementation informed this study, including Miller (1990); Barman (2005); Barrows (1993), De Champlain, Margolis, Macmillan, and Klass (2001); Harden and Gleeson (1979); and Howley and Wilson (2004). More direct observation of student performance must be instituted with documentation of student clinical skills. Findings revealed no differences are seen in medical student competency acquisition during encounters of patients diagnosed with DM, in terms of cognitive, psychomotor, neck exam or affective measures, during the VCU SOM Family Medicine Clerkship. Significant differences are noted in the psychomotor subscale scores of the DM OSCE as the result of suburban clerkship site placement, as opposed to rural or urban sites. Finally, students at non-residencies see more patients with DM than at residency clerkship sites. Implications for further research were discussed focusing on 1) why differences were found only found in suburban clerkship sites; 2) the possibility that cultural competency understanding may play a role in these differences; 3) how do students learn about DM prior to the FM clerkship; 4) the possibility that the OSCE does not reflect community FM practice models.

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Verma, Rajiv, and n/a. "Clinical outcomes of dental implant treatment provided at the School of Dentistry, University of Otago from 1989 to 2005." University of Otago. School of Dentistry, 2008. http://adt.otago.ac.nz./public/adt-NZDU20081219.145402.

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Objective: The aim of the study was to evaluate the clinical outcomes of oral implant treatment provided at the School of Dentistry, University of Otago from 1989 to 2005. Methods: Oral implant patients (n=320) with 586 implants were identified and invited to attend for a clinical examination. Implant demographics of all the patients were extracted from the files. Implant demographics of the examined and unexamined patients were compared to assess if the examined patients were representative of the total group. One hundred and three patients with 214 implants agreed to attend for an examination. In the clinical examination full mouth plaque scores, probing depths, bleeding on probing and suppuration were measured. In addition, around implants recession and width of keratinized gingiva were also recorded. For the radiographic examination, baseline radiographs and radiographs taken at the time of examination were digitized and compared to measure the amount of bone lost or gained around implants using NIH Image J software. Results: There were equal numbers of males and females with a mean age of 46.3 � 15 years at the time of implant placement. The smoking history at the time of examination was recorded, 56% of the patients were non-smokers, 37% former smokers, and 7% were current smokers. More than half of the implants (56%) were placed in the anterior region. Based on the type of implant system, 79% were Branemark implants, 10% Straumann, 6% Southern implants and 4% were unknown. Most of the patients (64%) had implant-supported crowns, 19% had fixed denture prostheses, and 17% had implant-supported overdentures. The overall implant survival rate was 97.7% with five implants lost (2.3%) and 8 implants treated for peri-implantitis (3.8%). The mean PD around implants was 2.3mm (SD 0.6mm), mean recession was 0.5mm (SD 0.8mm) and mean attachment level of 2.8mm (SD 0.9mm). Probing depths [greater than or equal to] 4mm with BOP were recorded around implants in 8.9% of patients. The mean full mouth plaque score was 30% while mean plaque score around implants was 15.9%. The average bone loss around implants was 0.3mm (SD 0.8). Maximum bone loss observed was 2.9 mm. Conclusion: The prevalence of peri-implant inflammation and implant survival rates in this group of patients appeared comparable to that reported in the literature. The prevalence of peri-implant lesions was low in the group of patients examined.

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Mignin, Erin Nicole. "Embryonic Policies: Reproductive Technology and Federal Regulation." Bowling Green State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1354301736.

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Liu, Chaomei. "Traditional Chinese medical clinic system." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2517.

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The Chinese Medical Clinic System is designed to help acupuncturists and assistants record and store information. This system can maintain and schedule appointments and view patient diagnoses effectively. The system will be implemented on a desktop PC connected to the internet to facilitate the acupuncturists record of information.

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Merricks, Beverley Ann. "The use of a self-regulated learning conceptual framework to investigate students' engagement with individualised feedback from summative clinical examinations at a UK medical school." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7938/.

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Research regarding students’ engagement with feedback from objective structured clinical examinations (OSCEs) is currently limited. Medical students at the University of Birmingham are provided with individual comments from examiners on their performance in summative OSCEs. This thesis explores student engagement with feedback in this context, and if engagement differs depending on the level of performance in the OSCE. A self-regulated learning (SRL) conceptual framework was devised to illustrate how effective learners incorporate feedback into their learning routines, highlighting the role of reflection in this process. Three empirical studies were conducted to appraise the SRL framework. An interview study (N=11) found that students at different performance levels in the OSCE had contrasting approaches to engaging with their feedback. However, two questionnaire studies (N=180 & 233) with sub-scales to assess the level of student engagement with feedback and their propensity to reflect on their learning, found that the majority of respondents claim to cognitively engage with feedback, whilst a lower number act to improve clinical skills or knowledge. The majority of the respondents were assessed as being reflective learners. Therefore there was no association between performance levels and these attributes. There was a statistically significant association between the engagement and reflection scales, suggesting that these may be related as hypothesised in the SRL conceptual framework, but a causal relationship cannot be asserted from these results. The findings of this research indicate a gap in the current level of engagement with feedback between cognitive engagement and action. Suggestions are made for activities to ameliorate this situation, which may be relevant for similar contexts.

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Stephenson, Melanie K. "Safety-Net Medical Clinic Behavioral Health Integration." Wright State University Professional Psychology Program / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych152767560332411.

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22

Ukah, Fidelia. "Conducting a Needs Assessment at Outpatient Medical Clinic." Thesis, Walden University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3732467.

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Colorectal cancer is one of the most common cancers in the United States and confronting its challenges has remained a problem to the United States health sector, especially among outpatient clinics. Guided by health belief model, the purpose of this needs assessment was to identify patients age 50 and older in outpatient clinic located in a large metropolitan city in Texas who should receive information on the need for colorectal cancer screening based on their risk for developing colorectal cancer as outlined by American Cancer Society. A sample of 70 charts of patients age 50-75 years was randomly selected and audited using descriptive statistics. Among the patients aged 50-75 years attending the outpatient clinic, 25.7% were African Americans, 71.4% were Hispanic, and 2.9% were Caucasians; 42.9% were male and 57.1% were female. The rate of colorectal cancer screening was 12.9%, a rate that is lower than the rate for all Texans, which was 54.1% - 59.2%. CRC screening was ordered for 62.9% of all patients; 24.2% of clinic patients were identified as being at high risk for colorectal cancer. The low rate of screening may hamper early detection of colorectal cancer in outpatient clinics setting. It is recommended that the outpatient clinic develop intensive campaign to increase patient awareness about the need for and benefits of colorectal cancer screening, especially for those at high risk for developing colorectal cancer. The findings of this study may raise awareness on the chasm in quality of health care availability and provide insight on colorectal cancer and its prevention.

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Canby, James B., Kenneth J. Euske, and Douglas O. Moses. "Cost reporting at a Navy Branch Medical Clinic." Thesis, Monterey, California: Naval Postgraduate School, 1993. http://hdl.handle.net/10945/24140.

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Ukah, Fidelia Ijeuru. "Conducting a Needs Assessment at Outpatient Medical Clinic." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1630.

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Colorectal cancer is one of the most common cancers in the United States and confronting its challenges has remained a problem to the United States health sector, especially among outpatient clinics. Guided by health belief model, the purpose of this needs assessment was to identify patients age 50 and older in outpatient clinic located in a large metropolitan city in Texas who should receive information on the need for colorectal cancer screening based on their risk for developing colorectal cancer as outlined by American Cancer Society. A sample of 70 charts of patients age 50-75 years was randomly selected and audited using descriptive statistics. Among the patients aged 50-75 years attending the outpatient clinic, 25.7% were African Americans, 71.4% were Hispanic, and 2.9% were Caucasians; 42.9% were male and 57.1% were female. The rate of colorectal cancer screening was 12.9%, a rate that is lower than the rate for all Texans, which was 54.1% - 59.2%. CRC screening was ordered for 62.9% of all patients; 24.2% of clinic patients were identified as being at high risk for colorectal cancer. The low rate of screening may hamper early detection of colorectal cancer in outpatient clinics setting. It is recommended that the outpatient clinic develop intensive campaign to increase patient awareness about the need for and benefits of colorectal cancer screening, especially for those at high risk for developing colorectal cancer. The findings of this study may raise awareness on the chasm in quality of health care availability and provide insight on colorectal cancer and its prevention.

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Pettersson, Fanny. "Learning to be at a distance : structural and educational change in the digitalization of medical education." Doctoral thesis, Umeå universitet, Pedagogiska institutionen, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-110740.

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As an expression of current challenges faced by contemporary societies, past decades have witnessed heavy demands for higher education to change and transform. One key question here has been the increased digitalization of higher education. Within this wider setting, this thesis deals with an attempt to handle the increasing shortage of physicians in Sweden by way of digitalizing medical education. The aim of this explorative and longitudinal thesis is to describe and analyze structural and educational transformation work in medical education during the digitalization of the program and the transition from face-to-face to distance education. This thesis focuses on teachers, students and management, who are all heavily involved in this transition of the medical program. Two questions guide the research: (1) what are teachers’ and students’ expectations pending the transition, and what are the influences of already established tools and activities on the program and (2) in what ways do conflicts and changes occur over time, and how do teachers, students, and management deal with these as part of the transition? Cultural-historical activity theory (CHAT) serves as the theoretical framework of the thesis. In particular, the concepts of dominant and non-dominant activities, conflicts, transitional actions, and levels of learning inform the analysis. The data are generated by surveys (N = 108), logging of actors’ activity patterns (N = 100 teachers and 100 students), field studies (65 hours), and interviews (N = 62). The data cover teachers’, students’ and management’s roles in the transition. The analysis shows that the way of theoretically understanding the transition – from a dominant face-to-face activity to a new and unproven non-dominant distance activity – have proved to contribute to deeper understanding of the process of digitalizing medical education. The analysis further displays how the transition from face-to-face to distance education creates considerable conflicts that over time force teachers, students and management into structural and educational transformation work. This type of work successively renders new educational design solutions and new flexible ways of organizing distance medical education. This thesis discusses how the structural and educational transformation work forces actors to collectively engage in the transition by experimenting with new suitable methods and designs, as digital technologies and technology-enhanced learning (TEL) could make sense to teachers and students when they are at a distance.

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Skym, Sophea Ey. "Strategies Clinic Managers Use to Reduce Missed Medical Appointments." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4256.

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Patients who miss their medical appointments increase health care costs for themselves and for clinics. The purpose of this qualitative, single exploratory case study was to explore strategies health care clinic managers use to reduce medical no-shows for patient-scheduled appointments. Change management theory guided the scope and analysis. The data collection included a single clinical operations manager who have strategies to mitigate no-shows for patient-scheduled appointments participated in a semistructured interview in southeastern Virginia, the direct observation of 2 office workers in their natural setting of scheduling appointments, and for methodological triangulation, a review of organizational archival documents about missed medical appointments. Member checking was used to strengthen the credibility and trustworthiness of analyses, which were carried out using Yin's 5-step analysis process. Major themes were forgetfulness and high deductible plan; minor themes were lead-time and inclement weather that lead to no-shows. This study explored the strategies necessary to reduce costs and increase revenues; it could free funds to provide services to patients, such as education and counseling support. The findings from this study could contribute to social change by adding new knowledge or informing the strategies to reduce medical no-shows. These findings may also benefit organizational worth and increase community health.

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Ezirim, Jovita Chibuzo. "Type 2 Diabetes Prevention Program in the Medical Office Clinic." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/352.

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The challenge of diabetes prevention is to reduce the financial and human costs of diabetes by preventing new cases and enacting social change. African Americans and Hispanics Americans have a high incidence of Type 2 diabetes because of factors that place them at risk for prediabetes. The purpose of this project was to plan the implementation and evaluation of a Type 2 diabetes prevention program in a medical office clinical setting. The clinic of interest was located in the downtown area of the city and provided care mostly to African American population. The Iowa model of evidence-based practice formed the theoretical framework for the study. The goal was to decrease the number of African Americans patients who will convert from prediabetes to Type 2 diabetes in the medical office clinic. The program was planned using the information from the Center for Disease Control and Prevention Road to Health toolkit. The outline covered a 6-week program. A pretest will be given to assess baseline knowledge of diabetes and diabetes prevention. The same test will be given after the implementation to evaluate if the program enhanced diabetes and diabetes prevention knowledge. Six months after the implementation of the program, nurses will complete a chart review to evaluate how many patients converted from pre-diabetes to Type 2 diabetes since the implementation of the project. The project will lead to the integration of a Type 2 diabetes prevention program in a medical clinic. It will increase the number of African Americans with prediabetes who will engage in lifestyle modification behavior. The project will also decrease the incidence of Type 2 diabetes among African Americans and reduce the health disparity of diabetes among the population.

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Fung, Shuk-ching Corina. "Needs assessment for schizophrenic patients in an out-patient clinic /." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B24391049.

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Silva, Simone de Camargo. "A constituição de um acervo permanente : uma história contada através de documentos." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-03062008-132327/.

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A presente pesquisa tem por principal objetivo apresentar um panorama histórico da Clínica Psicológica \'Dr Durval Marcondes\' através da análise de seus prontuários clínicos, provenientes dos atendimentos realizados desde o seu início, em 1964. Para atingir tal objetivo, foram necessárias duas etapas distintas de trabalho: na primeira, realizada manualmente, procedeu-se a alocação física dos prontuários, o que viabilizou a construção da sede do arquivo com toda a sistematização necessária para a determinação de um acervo permanente. Na segunda, desenvolveu-se um projeto piloto que buscou inserir parte do acervo no PsicoUsp, software regularmente utilizado na CP desde 1999. Como resultado da segunda etapa do trabalho obteve-se a inclusão de dois novos campos ao PsicoUsp, inclusão esta que já está sendo utilizada rotineiramente, facilitando a comunicação entre os acervos permanente e corrente da CP. Também nessa fase, pode-se realizar uma análise de dados em quatro décadas de trabalho da CP, de 1964 a 2004, que buscou ilustrar, por exemplo, como se deu a distribuição de gênero e faixa etária nos atendimentos realizados, que tipo de trabalho foi desenvolvido com os clientes, quais os testes utilizados e em que freqüência. Ressalta-se que a análise aqui apresentada apenas ilustra a enormidade das informações que podem ser obtidas com esse acervo, salientando uma vez mais a importância para a CP, para o PSC e para o IPUSP da aquisição da sede do arquivo permanente.
The main objective of the present research is to show a historic perspective of \'Dr Durval Marcondes\' Psychological Clinic through the analysis of its clinical client records, coming from cases attended since its foundation, in 1964. In order to achieve this goal, two distinct work stages were necessary: first, the physical allocation of the client records, manually accomplished, which enabled the construction of the archives head office with the full systematization necessary to the formation of a permanent archive. Second, the development of a pilot project to insert part of the archive in PsicoUsp, a regularly used software in the PC since 1999. As a result of the second stage of the work, two new fields have been included in PsicoUsp and routinely used, simplifying the communication between permanent and current archives of the PC. Also in this stage, four decades worth of data were analyzed concerning the work of the PC between 1964 and 2004. This analysis tried to illustrate, for instance, how the distribution by gender and age was done; what kind of work was developed with the patients; which tests were made and how frequently. It must be emphasized that the present analysis only illustrates the immensity of information that can be obtained with this archive, stressing once more the importance to the PC, the PSC and the IPUSP of the setting of a permanent archive.

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Sarmiento, Jeanne M. "Pediatric outpatient clinic manpower requirement variables at Navy Medical Treatment Facilities." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2000. http://handle.dtic.mil/100.2/ADA380204.

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Thesis (M.S. Management) Naval Postgraduate School, June 2000.
Thesis advisor(s): Scaramozzino, James; Hatch, William. "June 2000." Includes bibliographical references (p. 73-76). Also available online.

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Jones, Sheila K. "A Case Study of an Elementary School-based Health Clinic." Digital Commons @ East Tennessee State University, 1996. https://dc.etsu.edu/etd/2744.

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The purpose of this study was to perform a qualitative analysis of an elementary school-based health clinic (SBHC). This situational analysis was performed to further understand the impact of accessible primary health care on an elementary school population. Data were collected through 30 participant interviews of parents, educators and medical personnel. Additional data were collected through the clinic files, and a t-test was used to compare the attendance and achievement data of clinic consumers for the clinic year against records from the previous year. The researcher presented information on the steps of SBHC development to include community campaign procedures. The investigation was performed to not only understand the procedural steps of clinic development, but also to document any issues which surfaced in the process. Some of the major recommendations as a result of this investigation were: (1) The health needs of community children must be viewed as a community concern and not one exclusively owned by the school. (2) The community as a whole, must come together in the form of an advisory board holding a broad representation of the community. (3) School communities should assess their school public to understand the level of need for instituting a SBHC. (4) A community needs assessment should be performed to understand the medical services currently available to children. (5) SBHC files and operations must meet the standards and norms of the profession.

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Bohannon, Katie Lynn. "Women in white coats : female physician role enactment in medical clinic interactions /." [Boise, Idaho] : Boise State University, 2009. http://scholarworks.boisestate.edu/td/43/.

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Thomas, C. M., and John B. Bossaer. "Patient Use of Herbal Supplements in an Outpatient Hematology/Oncology Medical Clinic." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/2356.

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Primary Objective: According to the National Center for Health Statistics, many Americans use some type of vitamin or supplement. A recent study of cancer patients in the VA medical system found that a significant number of cancer patients do not mention the use of supplements to their healthcare providers. Many of these supplements were also found to interact with or compound side effects of chemotherapy regimens. The purpose of this study is to determine the incidence of cancer patients taking supplements and to determine the completeness of home medication lists in regard to vitamins or herbal supplements.

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Sandoval, Hernández Cristian Andrés. "Sistema de control de gestión para la empresa Home Medical Clinic S.A." Tesis, Universidad de Chile, 2015. http://repositorio.uchile.cl/handle/2250/137508.

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Tesis para optar al grado de Magíster en Control de Gestión
El presente trabajo busca alinear los conceptos de trabajo estratégico con la operación de la empresa de servicios, Home Medical Clinic, particularmente con su unidad estratégica de negocios denominada hospitalización domiciliaria. Para lograr lo anterior, se desarrollaran cada una de las materias vistas y analizadas durante el programa de control de gestión, y poniendo en práctica las diferentes herramientas al contexto mencionado, un sistema de control de gestión, puede ser en cualquier tipo de organización, una oportunidad para mejorar y cumplir con su estrategia. Los esfuerzos se centran en la elaboración de una propuesta de un sistema de control de gestión, para la unidad estratégica de negocio denominada hospitalización domiciliaria, del cual su principal objetivo es el cumplimiento de su misión. Para alcanzar el propósito de este trabajo, se plantea en primera instancia la introducción, que nos coloca en el contexto de la empresa y la descripción detallada de la unidad de negocio. De esta forma se obtienen los principios sobre los cuales se aborda el desarrollo estratégico de la unidad, proponiendo misión, visión y valores, acorde a la teoría vista en el programa de magister en control de gestión. Posteriormente se realiza el análisis FODA, evaluando los aspectos del ámbito interno (fortalezas y debilidades) y de su entorno (oportunidades y amenazas), lo que sustentará la formulación estratégicas de la empresa, de la cual se realiza la propuesta de valor con los atributos diferenciadores. El trabajo continúa con el modelo de negocio para detectar los elementos que generan valor a la unidad estratégica, para luego obtener el mapa estratégico que servirá como brújula y permitirá alinear a los miembros de la unidad. Luego, el mapa estratégico deriva en la obtención del cuadro de mando integral, estableciendo indicadores para las unidades responsables con el objetivo de medir y alcanzar los resultados definidos en la estrategia. Posteriormente se realiza la bajada en cascada para las áreas que se determinen esenciales para cumplir con la visión de la empresa por medio de tableros de control, lo que finalmente se asocia a un esquema de incentivos que permitirá alinear a la organización en las definiciones estratégicas de la compañía y de la unidad estratégica de negocios.

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Wilsey, Katherine Lambos. "Why Patients Miss Appointments at an Integrated Primary Care Clinic." Antioch University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1595879483897791.

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Drews, Lori Ann. "Trends in failure to appear rates at a monthly foot-care clinic." Pullman, Wash. : Washington State University, 2009. http://www.dissertations.wsu.edu/Thesis/Spring2009/l_drews_041309.pdf.

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Richardson, Tony Andrew. "Meeting Meaningful-Use Requirements With Electronic Medical Records in a Community Health Clinic." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2872.

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Small nonprofit medical practices lack the technical expertise to implement electronic medical records (EMRs) that are consistent with federal meaningful-use requirements. Failure to comply with meaningful-use EMR requirements affects nonprofit community health care leaders' ability to receive reimbursement for care. Complexity theory was the conceptual framework used in this exploratory single case study. The purpose of the study was to explore the strategies nonprofit community health care leaders in Washington, DC used to implement EMRs in order to comply with the meaningful-use requirements. Data were collected via in-depth interviews with 7 purposively-selected health care leaders in a nonprofit clinic and were supplemented with archival records from the organization's policies and legislated mandates. Participants' responses were coded into invariant constituents, single concepts, and ideas to develop theme clusters. Member checking was used to validate the transcribed data which was subsequently coded into 4 themes that included: access to information, quality of care, training, and reporting implications. Recommendations include increased effectiveness of training provided to health care leaders or the perceptions of the patients as stakeholders in EMR implementation. By using strategies that facilitate seamless movement of information within a digital health care infrastructure, business leaders could benefit from improved reimbursement for services. Implications for social change include progress and transformation in the way health care access is provided.

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馮淑貞 and Shuk-ching Corina Fung. "Needs assessment for schizophrenic patients in an out-patient clinic." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31225998.

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McNamee, Mary Josephine McCarthy John R. "Essential student clinical behaviors for satisfactory completion of initial medical-surgical nursing experiences as perceived by baccalaureate nursing faculty." Normal, Ill. Illinois State University, 1988. http://wwwlib.umi.com/cr/ilstu/fullcit?p8907677.

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Thesis (Ph. D.)--Illinois State University, 1988.
Title from title page screen, viewed September 23, 2005. Dissertation Committee: John R. McCarthy (chair), Ronald S. Halinksi, Mary Ann Lynn, Rodney P. Riegle, David L. Tucker. Includes bibliographical references (leaves 153-166) and abstract. Also available in print.

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Hopps, Joshua Altmaier Elizabeth M. Tranel Daniel Thomas. "Pattern and content of neuropsychological referral questions across 25 years of outpatient visits in a hospital-based clinic." Iowa City : University of Iowa, 2009. http://ir.uiowa.edu/etd/379.

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Cherus, David arap Cheruiyot. "Modelling, simulation, and performance analysis of a hybrid power system for mobile medical clinic." Kassel : Kassel Univ. Press, 2004. http://deposit.d-nb.de/cgi-bin/dokserv?idn=973052805.

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Barker, McKayla, Angela Chrisman, Mason Johnson, Matthew Gouge, and Emily K. Flores. "I.M.P.A.C.T. of Interprofessional Student Teams at a Remote Area Medical Clinic in Rural Appalachia." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/26.

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Introduction: Remote Area Medical (RAM), a non-profit organization serving underserved populations, partnered with East Tennessee State University to provide a unique learning opportunity for student volunteers at a clinic in rural Appalachia. Interprofessional student teams were established with undergraduate and graduate students in multiple professions. This study examined the impact on attitudes of students who participated and the impact of student teams on the event, hypothesizing that a positive impact would be seen on both. COVID-19 adjustments made were also evaluated. Methods: Surveys of student participants were conducted electronically utilizing REDCap before and after participation in the event. Surveys included demographic questions, validated surveys, and open-ended questions. Demographic questions gauged personal background, level of education, and history of interprofessional education or events. The previously validated surveys utilized were the Interprofessional Collaborative Competency Attainment Scale-Revised (ICAAS-R) and the Student Perceptions of Interprofessional Clinical Education-Revised Instrument Version 2 (SPICE-R2). Quantitative data was analyzed with SPSS version 25. Qualitative data was analyzed with deductive coding. Interventions were tallied by student teams during the event. Results: Eighty-nine students participated logging 1,213 interventions and 84 completed portions of the survey (94% response rate). ICAAS-R (n=79) displayed mean increases from 4.19 out of 5 in the pre-survey to 4.58 in the post-survey (p Conclusion: Statistically significant quantitative findings and qualitative themes supported the hypothesis that working in interprofessional teams at a RAM event would positively impact student attitudes towards interprofessional practice, and that student teams would have a positive impact on the event. COVID-19 adjustments made were well perceived. Findings can be summarized with the I.M.P.A.C.T. neumonic.

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Stene, Hurtsén Anna. "Clinical skills and teaching in Surgery at undergraduate level. Comparison between two newly started medical schools." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-48396.

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Rekman, Janelle. "The Development of a Workplace-Based Surgical Clinic Assessment Tool." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34234.

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Purpose of Study: Workplace-based assessment is an opportunity for a learner to be assessed in their community of practice by an expert rater. The challenges and biases brought into this assessment relationship are complex. A shift towards Competency Based Medical Education in post-graduate residency education has triggered consideration of how to implement feasible assessment tools for the operating room, the in-patient ward, and the outpatient clinic. Competent performance in outpatient clinic is vital to surgical practice, yet no assessment tool currently exists to assess daily performance of technical and nontechnical skills of surgery residents. This project describes the development of a competency-based assessment tool, the Ottawa Clinic Assessment Tool (OCAT). Research Question: How does the OCAT demonstrate validity for measurement of surgical resident performance in clinic? Method: A consensus group of experts was gathered to generate ideas reflective of a competent ‘generalist’ surgeon in clinic. An entrustability anchor scale was developed. A six-month pilot study of the OCAT was conducted in orthopedics, general surgery and obstetrics and gynecology with quantitative and qualitative evidence of validity collected. Two subsequent feedback sessions, and a survey for staff and residents evaluated the OCAT for clarity and utility. Results: The OCAT was developed as a 13-item tool, with a global assessment item and 2 short answers questions. 44 staff surgeons completed 132 OCAT assessments of 79 residents. Psychometric data was collected as evidence of internal structure validity and relations with other variables. Analysis of feedback indicated the rating scale was practical and useful for surgeons and residents. Conclusions & Contribution to the Research Field: Surgical programs will require a daily clinic assessment tool to help define resident competency progression. Multiple sources of validity evidence collected in this pilot project demonstrate that the OCAT can measure resident clinic competency in a valid and feasible manner.

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Plews, Caroline Margaret Coatsworth. "Clients' reports of the work of health visitors in the child health clinic and during home visits." Thesis, University of Hull, 2001. http://hydra.hull.ac.uk/resources/hull:4626.

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This study examines clients' reports of aspects of a single child health clinic visit and of a home visit by the health visitor. There are two foci of the thesis. First: recall; value and use of the advice/information selected by the client as the most important; second, an exploration of the meaning of support identified by some clients.Seven health visitors participated in the research, which incorporated two studies. In the first study, the researcher observed the content of discussions between 100 clients and the health visitor in child health clinics. These clients were then interviewed at home and asked questions about the advice/information received from the health visitor during theirprevious visit to the child health clinic.For the second study, information was recorded by the health visitor describing the content of 149 home visits. Clients were interviewed at home and asked similar questions regarding advice/information received from the health visitor. In addition, those clients who described receiving support were asked to describe the meaning to them of this aspectof the visit.Data analysis for both studies included descriptive and inferential statistics and content analysis.Findings from both studies indicate that recall of advice/information is related to the amount of advice/information given to the client. This may have implications for the amount of advice/information that health visitors are encouraged to provide.Advice/information received from the health visitor was generally valued and used by the mothers in both studies. Clients appeared most likely to be dissatisfied when topics had been raised which they had no interest in discussing. It is suggested that that there may be correspondence between some clients' descriptions of support, and taxonomies of social support found in social support literature. An exploration of health visiting work employing the concepts of social support is recommended.

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Hackett, Stacey Lynn Hyten Cloyd. "Improving administrative operations for better client service and appointment keeping in a medical/behavioral services clinic." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9099.

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Anno, Tony. "The Creation of a Pacemaker Clinic at a Federally-Funded Patient-Centered Medical Home: A Quality Improvement Project." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/738.

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It is common for clinicians to implant medical devices, such as permanent pacemakers and implantable defibrillators, for cardiac diseases. These medical devices require follow-up care at regular intervals to ensure proper device function and optimal outcomes. Currently, many individuals without insurance or financial resources lack access to recommended follow-up care after implantation of a cardiac device. The purpose of this project was to determine the number of individuals who have had a medical device implanted without insurance coverage over a 3-year period, and then to establish a clinic that provides this service. The standard of care and operating procedure for the pacemaker clinic was established using evidence-based guidelines from the Heart Rhythm Society and the American Heart Association. Complexity science was the theoretical model used to guide this project's design and implementation. This quality improvement initiative was non-experimental, descriptive, and quantitative. Data were extracted from the ICD Registry and United States Census Bureau to determine the number of residents, insurance status, and number of implants over a 3-year period. These data were used to estimate the number of individuals with devices. The data revealed that 40 individuals with low power cardiac devices and 15 individuals with high power devices lacked access to care. The model developed estimates a growth rate of 7 to 10% annually. The pacemaker clinic will provide access to over 70 individuals lacking care for their pacemakers, thereby resulting in improved healthcare outcomes, fewer preventable complications, and optimal device performance.

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Duffy, Pamela Ann. "Holes in the health care safety net an ethnographic study of a free medical clinic /." [Ames, Iowa : Iowa State University], 2008.

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Wheller, Rochelle. "Patient compliance to exercise prescription at the Victoria University osteopathic medicine clinic." 2005. http://eprints.vu.edu.au/903/1/Wheller_et.al_2005.pdf.

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Patient rehabilitation advice (PRA) is commonly used amongst a variety of health care practitioners to aid and enhance the recovery of their patients. Research has demonstrated a positive relationship between the level of adherence to PRA recovery from a variety of musculoskeletal conditions, and has shown non-compliance to home-based exercise programs reduces the probability of successful outcome for therapeutic intervention. No previous research has focused on compliance to prescription and methods of prescription used in the osteopathic medicine setting. As exercise has shown to augment treatment efficacy and speed of recovery, it is important that osteopaths are informed of the current likely adherence rate to PRA and all factors that may cause non-compliance to their exercise prescription. The overall compliance rate to PRA at VUOMC is comparable with previous studies, with the use of diagrams being the least utilised but most effective method of prescription in the VUOMC setting. This study provides a basis for understanding exercise prescription implications that are important both to osteopaths and osteopathic patients in enhancing treatment results in terms of speed and efficacy, as well as potentially reducing treatment costs to both patients and third party payers. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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Blajer, Jelena. "Analysis of co-pathologies in 1000 patients attending an osteopathic teaching clinic." 2004. http://eprints.vu.edu.au/745/1/Blajer_et.al_2004.pdf.

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Osteopaths primarily treat musculoskeletal disorders, but as primary health care providers, also need to diagnose and recognise co-pathologies, and understand the implications any past conditions may have on a patient's present complaint. These conditions may affect the patient's presenting complaint, and consequently influence the type and effectiveness of osteopathic treatment given, but may also have important safety implications of their own. The current study aims to investigate the types and frequency of co-pathologies and signs and symptoms of possible co-pathologies seen by students in a teaching clinic, and to relate those to known national averages. Thus initiate a process of exploration that will ultimately help students and educators gain a broader understanding of patient demographics and the most commom co-pathologies seen by student osteopaths. Conclusions: Osteopaths predominantly treat patients with musculoskeletal problems, however most patients we see will have at least one co-pathology present in their medical history, demonstrating the need for an increased public awareness of the potential for osteopaths to play a part in patient's general healthcare. Tha patterns identified generally corresponded with the trends identified in the known national averages. Students need to have greater exposure to the conditions that were not commonly identified in the current study but common in the wider community, such as arthritides. Co-pathologies can influence a patient's musculoskeletal complaint, as well as the type and efficacy of osteopathic treatment. Therefore it is important that students and educators alike are aware of the prevalent co-pathologies so that the curriculum is tailored to include these conditions, so that graduates are better prepared for life in private practice. This minor thesis was written by a post-graduate student as part of the requirements of the Master of Health Science (Osteopathy) program.

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