A work sampling study of provider activities in school-based health centers.

Background: The purpose of this study was to describe provider activities in a convenience sample of School-Based Health Centers (SBHCs). The goal was to determine the relative proportion of time that clinic staff engaged in various patient care and non-patient care activities.

Methods: All provider staff at 4 urban SBHCs participated in this study; 2 were in elementary schools, 1 in a middle school, and 1 in a school with kindergarten through grade 8.

Factors related to publication success among faculty development fellowship graduates.

Background And Objectives: This study's purpose was to understand factors related to scholarly project publication among fellowship graduates and to explore the role of collegial relationships and institutional characteristics on ever having published and number of publications.

Methods: We surveyed 5 years of graduates (2000-2004) from the Michigan State University Faculty Development Fellowship Program (n=90) via e-mail. The survey instrument included questions about barriers and facilitators, colleague relationships, and aspects of their institutional environment, the latter adapted from a validated survey by Bland et al.

Breaking through the glass ceiling: a survey of promotion rates of graduates of a primary care Faculty Development Fellowship Program.

Background: Academic promotion has been difficult for women and faculty of minority race. We investigated whether completion of a faculty development fellowship would equalize promotion rates of female and minority graduates to those of male and white graduates.

Methods: All graduates of the Michigan State University Primary Care Faculty Development Fellowship Program from 1989-1998 were sent a survey in 1999, which included questions about academic status and appointment.

Using a formative simulated patient exercise for curriculum evaluation.

Background: It is not clear that teaching specific history taking, physical examination and patient teaching techniques to medical students results in durable behavioural changes. We used a quasi-experimental design that approximated a randomized double blinded trial to examine whether a Participatory Decision-Making (PDM) educational module taught in a clerkship improves performance on a Simulated Patient Exercise (SPE) in another clerkship, and how this is influenced by the time between training and assessment.

Methods: Third year medical students in an internal medicine clerkship were assessed on their use of PDM skills in an SPE conducted in the second week of the clerkship.

Medical students, clinical preventive services, and shared decision-making.

Objective: Improving access to preventive care requires addressing patient, provider, and systems barriers. Patients often lack knowledge or are skeptical about the importance of prevention. Physicians feel that they have too little time, are not trained to deliver preventive services, and are concerned about the effectiveness of prevention.