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)

Reports a 4-year experience in teaching evaluation of care at a 3-year medical school. Topics are introduction of patient care evaluation, impact of professional standards review organization (PSRO) legislation on program design, results (evaluation of quality assurance program), and future teaching of quality-cost evaluation. (JT)

David McK. Lawrence discusses the objectives, program components, strengths, and weaknesses of the MEDEX training model, an attempt to bridge the gap between academe and practicing physicians for the new health practitioners. Robert E. Jewet describes background, program highlights, and key issues in the physicians assistant (PA) training…

An outreach program for Dartmouth Medical School has been developed which utilizes rural communities in the education and training of medical students and residents in primary care. (Editor)

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.…

Describes a Family Nurse Practitioner Program that has effectively improved the distribution of primary health care manpower in rural areas. Program characteristics include selection of personnel from areas of need, decentralization of clinical and didactic training sites, competency-based portable curriculum, and circuit-riding institutionally…

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)

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…

Indonesia's efforts to improve its qualitative and quantitative participation in community health activities are discussed. Student and faculty problems in the community health program at Udayana University Medical School in Bali are cited. Knowledge gained from Indonesian programs should be examined by American medical educators for use in…

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)

The experience of two combined residency programs in internal medicine and pediatrics is reviewed. The difficulty for residents of achieving competence in two disciplines is compounded by a lack of faculty role models. Success will depend on the ability of graduates to offer special talents to academic and clinical settings. (Author/MLW)

The characteristics of the mental health components of residency training in traditional internal medicine, primary care internal medicine, and family practice were examined. Internal medicine programs relied on the consultation method and in-patient facilities, and used the psychiatrist as the primary teacher. Evaluation of the outcome of…

A continuing medical education program is discussed that addresses chronic obstructive pulmonary disease and that links primary care physicians to a source of needed clinical knowledge at a relatively low cost. The educational methods, evaluation design, diagnosis of educational needs, selection of program content and behavioral outcomes are…