The University of Cincinnati's comprehensive emergency medicine residency curriculum provides significant practical training in ground and aeromedical transport, disaster work, telemetry communications, and administrative matters. Initial program feedback has been very positive. (MSE)

The University of Pittsburgh School of Medicine's Division of General Internal Medicine is described, focusing on personnel and organization, educational programs, clinical and research activities, special programs, finances, and related issues and pressures. The program is proposed as a model for other institutions. (MSE)

The development of medical ethics education at the University of California, San Francisco, is chronicled and its contributions to bioethics literature are noted. Emphasis is placed on the importance of using medical cases in such instruction. The University of Washington's ethics program and its potential for innovation are then described.…

A 1990 survey of 281 health maintenance organizations found 42 were directly involved in graduate medical education, most through agreements with academic medical centers or teaching hospitals, to serve as an ambulatory care rotation site. One-sixth of these were accredited to serve as sponsoring organizations. Program model types were also…

The experiences of three family medicine residency programs in developing and implementing half- to full-day teaching sessions are described. Each program has multiple training locations, including rural sites, and releases residents from clinical duties for sessions on behavior issues, procedures, training, and other topics. Program success…

The West Virginia School of Osteopathic Medicine's successful interstate educational exchange program through the Southern Regional Education Board is described, and concerns are expressed for the program's future. Suggestions are offered for establishing similar multistate programs that promote education in medical specialties and encourage…

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)

A program combining pediatrics and internal medicine is described. The four-year program, focusing on ambulatory care, alternates six-month rotations in each field and includes clinic training. Success factors include comparison of outpatient and inpatient care, developing an ambulatory practice to support resident salaries, and preparation for…

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…

The University of Minnesota internal medicine residency program of ambulatory general medicine rotations in rural communities and urban managed care settings is described. Development and structure of rotations, objectives, teaching strategies, faculty development, evaluation system, and elements of successful implementation are discussed.…

In response to New York State legislation limiting house staff working hours, a survey of obstetrics and gynecology resident programs (n=26) was conducted. Results were used to construct a prototype call schedule and a hypothetical monthly schedule indicating how a single resident would function without violating any state regulations. (MSE)