How we teach and how they learn.

Residents need to learn how to assess and accommodate to a variety of behaviors and affective styles presented by patients and their families. This requires those skills which enable them to facilitate interactions with people in a positive, effective, and efficient manner. The teaching of these interpersonal and communication skills should incorporate a multi-disciplinary model. The development and implementation of a successful resident training program requires careful attention to the establishment of goals and objectives, learning activities and evaluation strategies that will meet the needs of the resident. The utilization of a multi-teaching, multi-media, and collaborative team approach intensifies the effectiveness of the overall training program. This article describes a training program that focuses on communication skills while being mindful of the various settings in which residency training occurs. These include the use of video-tape of physician/patient interaction in continuing care clinic, communication with children in non-medical settings and audio-tape reviews of physicians telephone management in a pediatric emergency care setting. The evaluation instruments developed to assess interpersonal and communications skills are reviewed and discussed as an integral component of this educational and training model.

Fecundidade da manjuba Curimatella lepidura (CURIMATIDAE) na represa de Três Marias, rio São Francisco, MG / Fecundity of manjuba Curimatella lepidura (CURIMATIDAE) in the Três Marias reservoir, São Francisco river, MG

Foram determinados os tamanhos dos ovócitos e as fecundidades residual e relativa ao peso de corpo, ao comprimento padrão, ao peso do ovário e ao peso de corpo do líquido dos ovócitos vitelogênicos, e a fecundidade absoluta de 230 fêmeas de manjubas (Curimatellalepidura) coletadas no reservatório de Três Marias, rio São Francisco, MG durante três anos de coleta. Foi utilizado o método gravimétrico para determinar a quantidade de ovócitos vitelogênicos, que foram separados dos avitelogênicos, por diferença de peso. O diâmetro médio dos ovócitos foi de 711±44µm. O valor médio da fecundidade absoluta foi de 60.994,9±27.142,7 ovócitos por fêmea no estádio 2C de maturação (maduro). A fecundidade média relativa ao peso corporal e ao peso do ovário foi de 1.294,1±437,5 e 8.293,8±1.961,9 ovócitos por grama, respectivamente. Não houve diferença significativa (P<0,05) entre as fecundidades absolutas médias nos três anos de pesquisa. Foram encontrados elevados coeficientes de correlação, e os modelos lineares e potenciais foram os mais adequados para expressar as fecundidades absolutas e relativas, ou seja, quanto maior o grau de maturidade, maior a fecundidade dos peixes.

The sizes of vitellogenic oocytes and fecundity of 230 females of manjubas (Curimatella lepidura) from the Três Marias reservoir, river São Francisco, MG, was determined throughout three years of monthly captures. Gravimetric method was used to determine the quantities of vitellogenic oocytes, which were separated from no vitellogenics by weight difference and using water flow. The average diameter of vitellogenic oocytes was 711±44µm. The mean absolute fecundity was 60994.9±27142.7 oocytes per female in stage 2C of maturation (mature). The average fecundity relative to body weight and ovarian weight was 1294.1±437.5 and 8293.8±1961.9 oocytes per gram, respectively. There was no significant difference (P<0.05) between fecundity during the three years of research. High correlation coefficients were found, and the linear and potential models were the most appropriate to express the absolute and relative fecundities, i.e., the higher the maturity degree, higher the fecundity.

Eccrine gland clear reticulated cytoplasm.

This report relates how a normal variation of the eccrine secretory coil was mistaken for pathologic change. Electron microscopic studies of this variation, which to the best of our knowledge have not previously been reported, are presented.

Eyelid cysts, hypodontia, and hypotrichosis.

We report a case of multiple ectodermal defects with the principal features of eyelid apocrine hydrocystomas , hypodontia, and hypotrichosis. To the best of our knowledge this is the second such report and presents histologic features that are unique in our experience.