0
Editorial |

Context (Place) Matters

Frederic W. Hafferty, PhD
Arch Pediatr Adolesc Med. 2008;162(6):584-586. doi:10.1001/archpedi.162.6.584.
Text Size: A A A
Published online

Extract

Former speaker of the US House of Representatives Thomas “Tip” O'Neill (1912-1994) is noted for saying, “All politics is local.” He could have been talking about clinical decision making and, by extension, medical education.

In their comparative study of training sites and residents' attitudes about neonatal resuscitation, Janvier and colleagues1 report a series of compelling links between site (4 neonatal residency programs in the province of Quebec, Canada) and willingness to resuscitate a depressed infant at 24, 25, 26, and 27 weeks of gestation.1 They also identify a “site effect” for medical knowledge (cerebral palsy prevalence), along with the finding that knowledge does not substantially increase with level of training.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
Jobs
JAMAevidence.com

The Rational Clinical Examination
Evidence Summary and Review 5

The Rational Clinical Examination
Updated Literature Search

brightcove.createExperiences();