Explains the development of the Teaching Matrix, a model designed to encourage clinician-teachers to reflect on their teaching before, during, and after each teaching session. The model focuses on who and what is being taught, how the material is being taught, student comprehension, and self-assessment. (MDM)

Presents a classification of community-based medical education. Distinguishes between programs developed primarily to provide services to underserved communities; programs with a research focus; and programs that have student clinical training as their primary goal. The taxonomy is intended to contribute to development of a theory of…

An Oregon program is described in which physicians in training are incorporated into a faculty private practice clinic. The model encourages efficiency, overhead control, and appropriate staffing; it also provides a useful learning experience in the ambulatory care setting and compensates faculty members for their additional time spent teaching.…

Drawing from survey data (n=138 medical schools in the United States and Canada), a study analyzed medical schools' systems for evaluating student progress in clinical experiences. The 4-stage model used by most schools, common and unique characteristics, and 17 symptoms of system errors, signaling a need for system review, are outlined.…

The Harvard University Medical School (Massachusetts) and a community health maintenance organization (HMO) have formed the first medical school department to be based in a freestanding HMO, replicating the conventional teaching hospital clinical teaching model in a managed care situation. The model is seen as potentially transforming medical…

The Department of Surgery at the Southern Illinois University School of Medicine has developed a multidisciplinary clerkship that melds traditional and nontraditional clerkship features within an organizational structure that places the teaching, curriculum, and student evaluation responsibilities in the hands of the faculty. (MLW)

Four factors of clinical decision making identified by medical students include quality of care, cost, ethics, and legal concerns. This paper argues that physicians have two responsibilities in the clinical decision-making model: to be the primary advocate for quality health care and to ensure balance among the four factors, working in partnership…

The Technological Innovations in Medical Education (TIME) model, designed to be controlled by a professor in the classroom, incorporates voice recognition technology and video dramatization to create a believable patient encounter. A field test finding was that the students became committed to the care and management of the simulated patient.…

When planning and developing an ambulatory clerkship, careful attention must be paid to the desired outcomes from the experience, the appropriate site, and instructional model to use to best meet the objectives. The major differences between ambulatory and inpatient educational settings are explored. (Author/MLW)