The domination of the information processing approach has shifted research from problem solving strategies to the structure and organization of knowledge that characterizes expertise. The purpose of this study was to compare the reasoning processes of 12 clinicians and 40 medical students as they responded to 6 positively stated multiple choice…

This preliminary study examined the feasibility of using home videotape vignettes in the process of diagnosing young children's behavioral problems. It assessed whether recurrent symptomatic behaviors would appear spontaneously on home videotape. Twenty-eight mental health providers-in-training competed symptom checklists after viewing tapes of…

This study investigated the procedures used by psychologists in a large midwestern urban area for the initial diagnosis and placement of elementary children with severe emotional disturbance (SED) in educational programs in light of the widespread criticism of the use of projective tests due to the questionable reliability of the tests and…

GUIDON is an intelligent computer-aided instruction (ICAI) program for teaching diagnosis, which has been tested using the infectious disease diagnosis rules of the MYCIN consultation system developed at the Stanford University School of Medicine. GUIDON engages a student in a dialogue about a patient suspected of having an infection and thus…

To examine the characteristics of expertise, a study at the University of Minnesota cardiac clinic compared differences in diagnostic ability and strategies between novices (fourth year medical students) and experts (specialists in pediatric cardiology). The investigator presented a model for expertise based on knowledge of subject matter content…

Reported are the recommendations resulting from a review of the Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT). The concept of developmental assessment, as used in the EPSDT, is explained. The introduction provides a summary of the recommendations. Areas covered and for which recommendations are discussed include the role…

This study, written in both English and Spanish, examined the decision-making process of Hispanic families living in the United States who have a child with a hearing loss. Twenty-nine families in four different geographical areas shared their experiences in learning about their child's disability, searching for appropriate interventions, and…

A national representative survey of primary care physicians (N=648) was conducted to determine how they deal with patients who have substance abuse problems. The survey revealed how physicians identify substance abuse in their patients, what efforts they make to help these patients, and what barriers they find to effective diagnosis and treatment.…

These three symposium papers summarize the outcomes of studies that explored the accessibility and the utilization of youth mental health services. The first study, "The Role of Diagnostic Systems" (Theodore Fallon and Mary Schwab-Stone), involving 219 children (ages 6-12), examined the perils involved in the use of categorical diagnosis to…

Directors of patient evaluation courses at U.S. and Canadian medical schools were surveyed to identify problems that might underlie decreasing competence in clinical skills. The problems identified include inadequate numbers of patients for student examinations, lack of administrative and financial support, and lack of recognition for faculty.…

In an effort to encourage cost-conscious behavior and quality assurance, students in community medicine clerkships at the Medical College of Ohio were required to conduct retrospective reviews of their peers' laboratory usage patterns using information generated by these peers during internal medicine and pediatrics rotations. (Author/JMD)

A survey of 55 pharmacy schools found that of those offering a pharmacy doctoral program, three-fourths had a separate course devoted to physical assessment of patients, most offered in the third professional year. Most require students to demonstrate use of stethoscope, sphygmomanometer, ophthalmo-otoscope, tuning fork, reflex hammer. Reasons for…

Cooperative training programs were evaluated through content analysis of 74 role-played interviews of video-recorded investigations that focused on culturally relevant questioning skills. Results identified 119 questions and statements rated by professionals as helpful in interviewing children suspected of having been sexually abused. All…

Parents of 153 children with autism completed a questionnaire on early childhood behaviors of concern and age of onset. Parents identified the following concerns: gross motor difficulties; social awareness deficits; communication problems; and unusual preoccupations. There was a significant interval between parents first noticing abnormalities and…

A self-report measure for the Type A subcomponent of time urgency and perpetual activation (TUPA) was developed using 10 coronary heart disease (CHD) patients and validated with another 48 CHD patients. The internal consistency and test-retest reliabilities indicate that the instrument has clinical and research applications. (SLD)