Howcanmedicalschoolsmakesure that their students will regularly encounter patients with common clinical conditions during their clinical training? This is a major challenge because patients who previously would have been hospitalized for the management of such conditions can now be cared for in ambulatory settings, thanks to advances in medical practice. As a result, most of the patients seen b...

OBJECTIVE To describe the establishment of the Pharmaceutical Care Leadership Residency Program (PCLRP), a residency experience that prepares graduates to take responsibility for leading practice change in pharmacy. SETTING University-based residency program focused on delivery of pharmaceutical care in ambulatory care settings. PRACTICE DESCRIPTION AND INNOVATION: Currently, ambulatory care ...

BACKGROUND Worldwide, patients are the cornerstone of bedside teaching of medical students. In this study, the authors aimed to assess patients' acceptability toward medical students in teaching hospitals of the Faculty of Medicine of Kuwait University. METHODS Ninehundred and ninety five patients were approached in 14 teaching hospitals; 932 patients agreed to participate (refusal rate is 6....

BACKGROUND AND PURPOSE Guidelines for prescribing antibiotics for uncomplicated urinary tract infection (UTI) were established in Taiwan in 2000. This study investigated the extent of physicians' adherence to the guidelines for treating ambulatory women with UTI. METHODS National Health Insurance claims data were used to evaluate antibiotic prescription behavior for UTI among physicians servi...

background and purpose: future generalists require in depth exposure to primary care practice and the opportunity to work with successful generalist role models.changes in hospital practice, patient availability, increased student numbers and their expectations and a redefinition of expected learning outcomes are changing the emphasis of clinical teaching away from traditional inpatient setting...

OBJECTIVES Our study explored community preceptors' perceptions of their teaching role, to better understand effective ambulatory and community-based teaching. METHODS Bandura's social cognitive theory and Schön's notion of reflective practice guided conceptual development of an interview exploring preceptors' views of their role, teaching goals, teaching techniques, student assessment practi...

Public health accomplishments have dramatically improved children’s lives. Sanitation programs, vaccines, better nutrition, surveillance and monitoring of disease, and the development of antibiotics have led to extraordinary reductions in infant and child mortality.1 Ambulatory pediatricians have contributed, through research, teaching, and advocacy, and especially through the delivery of impro...

The Ambulatory Surgery Centre of the Lausanne University Hospital was established in 1995 as a multispeciality unit comprising general surgery, plastic surgery, otorhinolaryngology, orthopaedics and urology. In its first 3 years of activity 873 general surgery procedures were performed, including biopsies, laparoscopies, inguinal hernia repair and vein stripping. An audit of these cases reveale...

CURRENT CHALLENGES AND PROBLEMS Medical school teaching in child health has traditionally been focused on the clinical problems seen in children, as inpatients, in tertiary care teaching hospitals. In recent years there has been a move to reduce inpatient stays and develop a more ambulatory model, with children being seen in rapid access or review clinics, to try to minimise the frequency and d...