Primary care settings are optimal environments for providing comprehensive, family-centered care to young children and their families. Primary care clinics with integrated behavioral health clinicians (BHCs) are well-positioned to build trust and create access to care for marginalized and underserved populations. Refugees from around the world are…

This article presents an overview of the Healthy Steps for Young Children (Healthy Steps) program at Montefiore Medical Center, in the Bronx, NY. The authors review the theoretical underpinnings of this national program for the promotion of early childhood mental health. The Healthy Steps program at Montefiore is integrated into outpatient…

Physicians affiliated with small community hospitals face numerous barriers to using developmentally oriented best practices in primary care with young children. Saint Anthony Hospital's Developmental Support Project model promotes improved developmental outcomes for children through two complementary strands of services: (a) training and…

Current geriatrics workforce projections indicate that clinicians who care for adults will need basic geriatrics knowledge and skills to address the geriatric syndromes and issues that limit functional independence and complicate medical management. This is most evident for the clinicians caring for veterans in the Department of Veterans Affairs…

Health care providers could help achieve the necessary shift to healthful eating and active living; however, lack of coverage or reimbursement, lack of time, and limited information about appropriate interventions are some of the documented barriers. This report highlights the potential for Supplemental Nutrition Assistance Program Education…

After struggling as a surgical specialty, obstetrics and gynecology initiated its "women's physician" program in the 1970s. This program officially defined the mostly male obstetricians and gynecologists at that time as women's primary care physicians. Using archival data, this article explains this development as a response to the specialty's…

The newborn nursery provides an ideal setting for introducing basic concepts in primary care. In the University of California, Irvine, Medical Center nursery, a multidisciplinary team considers the many physiologic adjustments a newborn must undergo to adapt successfully to its environment. (Author/MLW)

When medical student and resident education at a hospital-operated pediatric primary care clinic was threatened by chronic financial deficits, the clinic was reorganized as a faculty-operated prepaid group practice independent of the hospital. The group practice is cost-effective, promotes efficiency, and has improved faculty-hospital relations.…

The progress of the child survival and development revolution (CSDR) from 1983 through 1986 is reviewed. The concept of the CSDR was first proposed in 1982 as a response to the need for low-cost, high-impact child health care measures during the global recession of the early 1980s. The report begins with a brief description of the relevance of the…

Describes the development of a hands-on sports medicine training program for residents at the University of California, Davis, Medical Center. Education strategies include clinical teaching, on-the-field education, experiential learning, and didactic instruction. Programs focusing exclusively on sports medicine are needed because the number of…

This paper is intended to familiarize professionals involved in the treatment of the elderly with the role of the Psychologist Clinician as a member of the primary care health team. The paper provides a description of the care facility and its programmes, and of the areas of involvement of the Clinical Psychologist. Data regarding the number of…

The ways to increase the funding base of a family medicine residency program through the appropriate use of procedures related to patient care and the provisions of service are discussed. Areas for potential expansion in training programs and financial staffing strategies to increase revenues are described. (Author/MLW)

Breakthroughs in science and social organization could soon be helping to save the lives of half the 40,000 young children who now die every day. They could also prevent several million children a year from becoming mentally or physically disabled. To achieve these goals, local successes showing that a child health revolution is possible must be…

A two-week elective to introduce medical students to primary care internal medicine was developed and evaluated. Course time is divided between conference sessions and office experience. Evaluations by students consisted of a questionnaire of conference topics, the student's ability to carry out course objectives, and the preceptor's teaching…

A comprehensive program evaluation designed to encourage active participation by the faculty, residents, and staff members involved in a residency program in primary care pediatrics is described. The evaluation was based on an approach in which continual review of instructional objectives and learning experiences ensured continual monitoring of…