Relationships among the communication skills

This article explores the potential as well as the procedures for microteaching as a valuable and effective aid in training future teachers of speech.     

Mobility and Composition: The Architecture of Coherence in Non-places

This paper considers how veterinary students compose narratives of patient care. The author discusses the labor required to uncover narrative agents and actions, arrange them in time, posit causal connections, and assemble the elements into a coherent narrative. Students quickly learn how much of this effort can be effectively offloaded to a dedicated infrastructure of cognitive resources and how much must be offloaded to less suitable resources, the latter of which incurs important cognitive costs.     

How much effort is needed to keep up with the literature relevant for primary care?

OBJECTIVES: Medicine must keep current with the research literature, and keeping current requires continuously updating the clinical knowledge base (i.e., references that provide answers to clinical questions). The authors estimated the volume of medical literature potentially relevant to primary care published in a month and the time required for physicians trained in medical epidemiology to evaluate it for updating a clinical knowledge base. METHODS: We included journals listed in five primary care journal review services (ACP Journal Club, DynaMed, Evidence-Based Practice, Journal Watch, and QuickScan Reviews). Finding little overlap, we added the 2001 "Brandon/Hill Selected List of Print Books and Journals for the Small Medical Library." We counted articles (including letters, editorials, and other commentaries) published in March 2002, using bibliographic software where possible and hand counting when necessary. For journals not published in March 2002, we reviewed the nearest issue. Five primary care physicians independently evaluated fifty randomly selected articles and timed the process. RESULTS: The combined list contained 341 currently active journals with 8,265 articles. Adjusting for publication frequency, we estimate 7,287 articles are published monthly in this set of journals. Physicians trained in epidemiology would take an estimated 627.5 hours per month to evaluate these articles. CONCLUSIONS: To provide practicing clinicians with the best current evidence, more comprehensive and systematic literature surveillance efforts are needed.