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5. Deteriorating School Facilities and Student Learning. ERIC Digest, Number 82.

Author

ERIC Clearinghouse on Educational Management, Eugene, OR. and Frazier, Linda M.

Abstract

Many facilities in American public schools are in disrepair, a situation negatively affecting the morale, health, and learning of students and teachers. Many schools postpone repairs during tight financial times to pay for academic programs. Some school officials and communities are pursuing innovative, grassroots solutions to maintaining school facilities. While education is the state's responsibility, local school districts are charged with raising funds for school maintenance. Limited research shows that children's ability to learn is affected by the school environment. Billions of dollars are needed to refurbish schools and construct new facilities, requiring strong federal support. Until more state and federal support is available, schools should utilize local resources. Schools can also appeal to communities to support bond measures for facility maintenance and refurbishing. (JPT)

Published
1993

12. Variability in physician management of employment during pregnancy

Author

Frazier, Linda M., Ho, Hui-Ling, and Molgaard, Craig A.

Subjects
Pregnant women -- Employment, Maternity benefits -- Surveys, Health, Women's issues/gender studies
Abstract

Background and objectives: Successful employment outcomes for pregnant women result from a complex interplay between the woman, her employer, her prenatal care provider, laws and other influences. Methods: A mail survey about management of employment during pregnancy was sent to directors of US residency programs that train prenatal care providers. Each physician was randomly assigned one of 4 vignette patients whose job involved prolonged standing, rotating shifts and lifting 40 lbs. Half the vignette patients had risk factors for preterm birth and half would have financial difficulty if placed on an unpaid antenatal leave. Results: The 301 respondents estimated that they provide a written job restriction for 20% of their employed pregnant patients, although in 6 clinics the job restriction rate was 100%. For vignettes with preterm birth risk factors, 62.5% of physicians would always recommend a job restriction, 35.6% would do so sometimes, and 2.2% would rarely do so. When the vignette did not have risk factors for preterm birth, 21.5% of the physicians would always recommend a job restriction, 51.3% would do so sometimes, 25.9% would do so rarely and 1.3% would never do so. Economic factors were not associated with prescribing job restrictions. One in 5 of the residency programs provides no teaching on occupational health issues in pregnancy, and 65.1% provide 2 hours or less. Conclusions: Variability in employment recommendations suggests that some women may not obtain the job modifications that they need, whereas others may be restricted unnecessarily. The limited curriculum time devoted to this topic may make it difficult to train physicians about complex employment issues during pregnancy. KEYWORDS. Pregnancy, occupational health, sick leave, curriculum, internship and residency

Published
2001

25. Back pain: the history and physical examination

Author

Abromovitz, Alan M., Frazier, Linda M., Kelleher, Michael, Rothschild, Bruce M., Weintraub, Michael I., and Deyo, Richard A.

Subjects
Backache -- Causes of, Back -- Medical examination
Published
1993

29. Cancer-Related Tasks Involving Employment: Opportunities for Clinical Assistance

Author

Frazier, Linda M., Miller, Virginia A., Miller, Brigitte E., Horbelt, Douglas V., Delmore, James E., and Ahlers-Schmidt, Carolyn R.

Subjects
Ovarian Neoplasms, Uterine Cervical Neoplasms, Focus Groups, Middle Aged, Health Surveys, Article, Endometrial Neoplasms, Occupational Therapy, Employment, Supported, Adaptation, Psychological, Humans, Female, Delivery of Health Care, Social Adjustment
Abstract

Many cancer survivors experience unmet psychosocial needs related to their jobs, and women often fare worse than men in this regard. However, little research exists on ways to assist patients with cancer in preventing or managing common job problems. We conducted focus groups and a survey among 73 women who were employed at the time of presentation of a gynecologic cancer. We compared the findings with existing recommendations and professional standards for occupational rehabilitation. Participants described different cancer-related employment tasks in three time periods: just after diagnosis, during primary treatment, and after primary treatment is completed. The more difficult tasks included communicating with supervisors and coworkers, determining company policies, applying for employer-sponsored benefits, handling finances, managing symptoms on returning to work, finding effective solutions to cancer-related job problems, leaving the job with dignity if too sick or if the job ended, and making career plans. The cancer care team may be able to help meet the psychosocial needs of employed cancer survivors by screening for job concerns, providing information, formulating a return-to-work plan, treating symptoms, consulting with professionals who have employment-related expertise, and giving other forms of assistance.

Published
2009

30. Impact of a medical journal club on house-staff reading habits, knowledge, and critical appraisal skills; a randomized control trial

Author

Linzer, Mark, Brown, J. Trig, Frazier, Linda M., DeLong, Elizabeth R., and Siegel, William C.

Subjects
Reading interests -- Surveys, Hospitals -- Officials and employees, Periodicals -- Subscriptions, Delphi technique -- Usage, Readership surveys -- Statistics, Interns (Medicine) -- Surveys, Residents (Medicine) -- Surveys
Abstract

The journal club is an established teaching modality in many house-staff training programs. To determine if a journal club improves house-staff reading habits, knowledge of epidemiology and biostatistics, and critical appraisal skills, we randomized 44 medical interns to receive either a journal club or a control seminar series. A test instrument developed by the Delphi method was administered before and after the interventions (mean, five journal club sessions). By self-report, 86% of the house staff in the journal club group improved their reading habits vs 0% in the control group. Knowledge scores increased more in the journal club group than in the control group, and a trend was found toward more knowledge gained as more sessions were attended. Ability to appraise critically a test article increased slightly in each group, but there was no significant difference between the groups. We conclude that a journal club is a powerful motivator of critical house-staff reading behavior and can help teach epidemiology and biostatistics to physicians-in-training.

Published
1988

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