The Death Of Bed Number 12
Education & Educational Research; Health Care Sciences & Services
Kanafani G; Kohn M; Zarconi J
Academic Medicine
1993
1993-04
Journal Article or Conference Abstract Publication
n/a
EVALUATION OF HUMANISTIC QUALITIES AND ETHICAL REASONING IN MEDICINE RESIDENTS BEFORE AND AFTER AN EDUCATIONAL INTERVENTION
Research & Experimental Medicine
Radwany S; Steffen V; Kohn M; Keller D; Bologna R; Doyle W
Clinical Research
1991
1991-04
Journal Article
n/a
Life prolongation: views of elderly outpatients and health care professionals.
Humans; Middle Aged; Aged; *Attitude of Health Personnel; Communication; Decision Making; Age Factors; *Physician-Patient Relations; *Attitude to Death; Empirical Approach; Patient Participation; Death and Euthanasia; Withholding Treatment; *Right to Die; Akron City Hospital; Resuscitation; Ethics; Stress; Medical; 80 and over; Psychological
A peculiar dynamic in communication exists between those who are most likely to be involved in life-prolongation decisions. We found that both the elderly and health care professionals talk about life-prolongation, but not with one another; that they consider some of the same factors as they think about the life-prolongation decision; and that most of them believe physicians should be responsible for initiating discussion. However, the physician or health care professional who wishes to avoid crisis situations also is reluctant to broach the issue for fear of unnecessarily alarming or compromising the defense mechanisms of the patient. The patient remains patient, waiting–with fears of dependency, memories of previous life-threatening experiences, and deep sensitivity for suffering–for the physician to initiate the discussion. Is a mediator such as a family member necessary in these situations? Is the hospital environment not conductive to discussion of less than heroic efforts?
Kohn M; Menon G
Journal of the American Geriatrics Society
1988
1988-09
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1111/j.1532-5415.1988.tb04270.x" target="_blank" rel="noreferrer noopener">10.1111/j.1532-5415.1988.tb04270.x</a>
Learning to be present to dying patients.
Humans; Students; Terminal Care/*psychology; *Attitude to Death; *Physician's Role; Hospices; Medical/psychology
Kohn M
Minnesota medicine
2000
2000-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Student identification of ethical issues in a primary care setting.
*Education; *Ethics; *Primary Health Care; Confidentiality; Decision Making; Graduate; Health; Humans; Insurance; Medical; Medical/psychology; Morals; Ohio; Perception; Physician Impairment; Physician-Patient Relations; Students; Thinking
Ethical issues in the clinical arena have received significant attention during the past few decades. Limited focus has been directed toward ethical issues in the primary care office setting. A study was conducted to determine the ethical perspectives through critical review discussions between medical students and their preceptors during the PCP programme. Major ethical themes and percent of occurrence emerging from an analysis of the summaries of their discussions included decision-making (40%), professional standards (16%), locus of care (12%), community responsibility (10%), and confidentiality (10%). This study adds to the evidence that while the ethical issues prevalent in the primary care setting are less dramatic than those in a hospital, they are sufficiently frequent to warrant inclusion in the curriculum, enabling students to become more sensitive to their existence.
Homenko D F; Kohn M; Rickel T; Wilkinson M L
Medical education
1997
1997-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1111/j.1365-2923.1997.tb00041.x" target="_blank" rel="noreferrer noopener">10.1111/j.1365-2923.1997.tb00041.x</a>
The depiction of medical education in medical school catalogs.
*Catalogs as Topic; *Education; *Schools; Medical
BACKGROUND: Medical educators bear responsibility for the informational materials that their institutions use to communicate with potential applicants. These documents, because they are often the first official correspondence that prospective students receive, may be influential in shaping students' expectations. METHOD: In March 1990 all North American medical schools that awarded MD or DO degrees were requested to send their catalogs and courses of study to the authors. In response came 175 documents, with nearly all the schools represented at least once. The photographs and other visual images in these documents were then analyzed from the perspective of a hypothetical applicant who perused what his or her initial request for information had produced. RESULTS: Nearly 3,400 images were analyzed and categorized according to content and stylistic approach. Two basic stylistic approaches were found: stylized and documentary. Few documents used exclusively one or the other approach, as the approaches represent poles along a continuum. The stylized approach portrays medical education as a product to be sold, whereas the documentary approach candidly tells the story of medical education. CONCLUSION: The authors conclude that the documentary approach is a more morally responsible way for schools to communicate with individuals who are in the beginning stages of building their mental images of medical education and medical care.
Kohn M; Wear D
Academic medicine : journal of the Association of American Medical Colleges
1994
1994-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/00001888-199401000-00020" target="_blank" rel="noreferrer noopener">10.1097/00001888-199401000-00020</a>