Objective: To address nationally recognized needs for increased numbers of psychiatric clinician-scholars and physician-scientists, the American Association of Directors of Psychiatric Residency Training (AADPRT) has provided a series of full-day conferences of psychiatry residency training directors designed to increase their competence in…

A successful approach to improving a residency training program in internal medicine had residents, attending physicians, and administrators use a consensus-building method to develop problem lists ranked by two criteria (high importance and high potential for solution), for which short- and long-term management interventions were created. (MSE)

An orientation program for 110 incoming housestaff was implemented at the School of Medicine and Biomedical Sciences at the State University of New York at Buffalo. Residents received instruction in large-group teaching skills, bedside teaching, small-group discussion, and student evaluation. The program was rated positively by residents.…

Development of a comprehensive medical ethics teaching program for four years and residency, and of an ethics consultation service, are described. Potentials and significant difficulties in program establishment and maintenance are discussed, including long-term funding, negative faculty and student attitudes, and instructional approaches.…

A rural track residency is a collaborative educational entity. Crafting such a residency program involves creating a nurturing relationship between academic, corporate, and community cultures that balances values and risks and focuses on mutual benefits of collaboration. Steps in the process, obstacles encountered, and solutions are described.…

The primary care pediatric residency program at the Dartmouth-Hitchcock Medical Center has developed a training program in rural primary care. Residents experience the many facets of rural practice and are introduced to community-oriented approaches to child health care. (Author/MLW)

A three-year curriculum in medical ethics operates at Rhode Island Hospital and Brown University as part of the general internal medicine residency program. The six major topics covered are co-taught as seminars by one or more members of the multidisciplinary ethics faculty (philosopher, internist, and communications specialist) and experienced…

The manual for the development of general practice residency programs in dentistry is designed to be used in three regional workshops to train individuals representing institutions who wish to develop such programs. The first of three major sections in the manual reviews the historical background of general practice residency programs. In the…

Matrix organization offers a structure that can facilitate coordination and cooperation in health care educational administration. Its application within the health care system is reviewed, the matrix organization of the primary care residency at the University of Pennsylvania is reported, and advantages and disadvantages are discussed.…

The details of a shared-schedule residency program in the Department of Pediatrics of the University of Texas Medical Branch at Galveston are reviewed. Problems encountered are presented along with suggestions for their alleviation and the benefits of the job-sharing are discussed. Guidelines for planning such a program are offered. (Author/JMD)

Obstacles to developing training programs in geriatric medicine include shortage of faculty members and negative attitudes toward geriatrics on the part of students. For two years, family medicine residents have participated in a required rotation in geriatric medicine at the Duke University Medical Center. (Author/MLW)

The history and finance of the University of Texas (San Antonio) postdoctoral general practice program in dentistry, including the general practice residency and an advanced education in general dentistry program, is chronicled. Financial tactics include developing diversified funding avenues that have minimal impact on program objectives;…

The Grand Rapids Area Medical Education Center undertook to promote and facilitate research on the local campus of the Michigan State University College of Human Medicine through consultation on all phases of medical research. The services were offered to house officers, volunteer and paid faculty, and medical students. (MSE)

The implementation of a continuity of a care clinic in a highly subspecialized Veterans Administration internal medicine training program for postgraduate medical students is described, with focus on resolving problems created by the idiosyncratic administrative features and resource limitations of the hospital. (Author/JMD)

The University of North Carolina's postdoctoral advanced education in general dentistry program relies heavily on clinic productivity and effective management to meet the challenges of a diminishing state budget appropriation and lack of financial flexibility in the state university system. External funding is also sought actively but has not yet…