One of the less obvious costs of educational programs is the increased volume of work-ups and treatment for hospitalized patients that are ordered by residents. In a hospital with both private teaching and private nonteaching floors, a comparison shows that service charges on teaching floors are 60 percent higher than on nonteaching floors.…

A cost containment program initiated in 1975 on the medical teaching service of Charlotte Memorial Hospital, a University of North Carolina affiliated hospital, has led to a significant improvement in hospital house staff utilization of facilities and procedures. In the outpatient setting an actual reduction in patient-encounter cost was realized…

A follow-up survey on senior medical students in North Carolina tracing their professional orientations since their freshman year is reported. Focus is on their attitudes toward four issues: physician-patient relationships; political and economic changes in medicine; treatment of women physicians and patients; and maldistribution of physicians.…