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The Diabetes Educator

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Evaluation & the Health Professions
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A Resident's Internal Medicine Practice

Thomas J. McGlynn, JR

The Milton S. Hershey Medical Center, The Pennsylvania State University, Hershev

Robert F. Munzenrider

The Pennsylvania State University, Middletown

John Zizzo

Valley Health Systems, Inc., Huntington, West Virginia

The decision-making experience of rest-dents in a primary care internal medicine training practice was examined. The patient population provided residents appropriate training opportunities but the experience of many residents making decisions about prevalent primary care problems was often inadequate. The residents' evaluation of their educational experience with patients suggests that several elements of patient care affect their ability to learn. These include the occurrence of diseases in their patients, opportunities to treat and follow patients, the chance to use diagnostic pro cedures, and the option of reviewing their care with supervisors and consultants or through reading. The results of this study and the current understanding of the development of clinical judgment are discussed as argumentsfor evaluating internal medicine training programs in part by examining the content of residents' decision-making opportunities in their ambulatory patient practices.

Evaluation & the Health Professions, Vol. 2, No. 4, 463-476 (1979)
DOI: 10.1177/016327877900200405
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 ANN INTERN MEDHome page
J. B. REULER, D. A. NARDONE, D. L. ELLIOT, and D. E. GIRARD
Education for Clinical Medicine: An Annotated Bibliography of Recent Literature
Ann Intern Med, October 1, 1982; 97(4): 624 - 629.
[Abstract] [PDF]