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Patient-Selection Bias for the Case Conference? An Inquiry into Psychiatric Education Inequity

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Abstract

A survey of twenty case conference presentations by psychiatric residents in a teaching hospital showed that the patients selected differed significantly from what would be expected (as determined from the record of 246 inpatients) in being less severely ill and having no histories of previous hospitalizations. There were also a trend to choose white and non-local patients. These findings suggest that such case selection for teaching may lead to inappropriate emphasis in the training of psychiatric residents.

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Authors and Affiliations

  1. Department of Psychiatry, The University of New Mexico Mental Health Programs, 620 Camino de Salud, N.E., Albuquerque, New Mexico, 87131, USA

    Winston W. Shen MD

  2. Department of Mathematics and Computer Science, Fairleigh Dickerson University, Teaneck, New Jersey, USA

    Tsung-Dow Huang PhD

Authors
  1. Winston W. Shen MD
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  2. Tsung-Dow Huang PhD
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Additional information

When the work was done, Dr. Shen was with the Department of Psychiatry and Behavioral Sciences, Louisiana State University College of Medicine; and Dr. Huang was with the Department of Mathematics, Tulane University College of Science and Engineering, New Orleans, Louisiana. The authors thank Robert Kellner, MD, PhD, for his help in reviewing the manuscript.

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Shen, W.W., Huang, TD. Patient-Selection Bias for the Case Conference? An Inquiry into Psychiatric Education Inequity. Acad Psychiatry 5, 218–226 (1981). https://doi.org/10.1007/BF03399813

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  • DOI: https://doi.org/10.1007/BF03399813

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