Walk into any school in America and you will see adults who care deeply about their students and are doing the best they can every day to help students learn. But you will also see a high degree of variability among classrooms--much higher than in most other industrialized countries. Today we are asking schools to do something they have never done…

The University of Illinois' medical school has a third-year program of weekly role-playing exercises focusing on management of acute medical problems. Students are responsible for creating the cases, complete with scenarios and treatment teams, simulating them, and successfully treating or reaching an impasse. Little teacher preparation time is…

New programs and related activities in ambulatory care and education in the Western Region Veterans' Health Administration and its 11 affiliated medical schools are reported, including advisory activities, innovative projects, and a conference. Future activities in the expanded western region are outlined. (Author/MSE)

In the University of South Dakota's medical school clerkship program, students may choose one of three ambulatory-care settings. In one, the curriculum is problem based and student centered to enhance student interest in primary care. The new program has been successful and well received and is being further developed. (MSE)

The University of Michigan uses computer teleconferencing to extend classroom interaction beyond classroom hours and space. Using this computer conference to present, explore, and discuss medical ethics issues makes students active, thoughtful participants and makes discussion easier. Current case materials are presented before classroom…

Stanford Medical Group, a model group practice in internal medicine, was established at Stanford University (California) within the academic medical center. Clinical faculty status was raised by developing a separate faculty track for the practice. The approach has been well-received and successful in attaining training and patient care goals.…

At Case Western University (Ohio), medical students critically analyze the quality and cost of asthma care in the community by studying patients in primary care practices. Each writes a case report, listing all medical charges and comparing them with guidelines for asthma care. Several recommendations for improved care have emerged. (MSE)

University of Virginia medical student evaluations of teachers at the end of clerkships are compiled into a detailed annual report containing constructive criticism and recommendations. Teaching faculty then respond by addressing the comments and initiating proposals for improvement. Experience with the system has been encouraging, and wider…

A popular required family medicine clerkship at Jefferson Medical College (Pennsylvania) suggests that ambulatory care can be taught as a core component of the clinical curriculum. Success requires strong institutional support, structured curriculum, adequate patients, dedicated faculty, sufficient training sites, an appropriate evaluation…

Carolinas Medical Center (North Carolina) initiated a behavioral training program for general practice dental residents to develop skills in handling patient anxiety/stress, obesity, and depression. The program includes monthly seminars, a clinical rotation in behavioral medicine with additional related seminars, and a month-long clinical rotation…

The Columbia-Presbyterian Medical Center (New York City) program of preemployment urine toxicology examinations for beginning housestaff physicians has resulted in treatment for two physicians testing positive for illegal drugs. The program's primary purpose is to focus on substance abuse issues in graduate medical education. (Author/MSE)

University of Hawaii medical school workshops retrain faculty for their roles as tutors in the newly adopted problem-based curriculum. Assessment of trainees' knowledge and skills before and after the sessions indicate the training was successful and also identified common problems faced by traditional teachers in the new role of facilitator.…

The University of Maryland at Baltimore's 12-month graduate program in general dentistry focuses on comprehensive care and treatment planning in a simulated group practice environment. To achieve its goal of self-support, the program solicits training grants from international corporations, generates income from clinical facilities, encourages…

The University of Minnesota's required six-week ambulatory medicine clerkship provides a comprehensive orientation to ambulatory care through planned integration of patient care with academic work. Responses of both students and faculty have been enthusiastic, with the benefits compensating for high costs in preceptor time. (MSE)

A three-hour workshop that succeeds in overcoming medical faculty's reluctance to participate in educationally relevant situations is described. The program's strength is seen in increased faculty sensitivity to limitations of their teaching approach and awareness of the role of their concept of teaching. Workshop weaknesses are also discussed.…