Strategies used at several medical schools to address common issues in ambulatory care clerkship programs are presented. These include institutional and policy concerns (institutional resistance, financing, faculty incentives), administrative and implementation problems (logistics, faculty recruitment, student recruitment/placement), and…

The use of patient encounter recordkeeping systems in four medical programs at three universities (Case Western Reserve University, Ohio; University of Colorado; and University of Rochester, New York) is described and compared. Uses for curriculum evaluation and development, psychometric uses, and administrative issues are discussed. (MSE)

The University of Manitoba (Canada) medical school is introducing teaching in the ambulatory care setting as traditional inpatient wards become less suitable for clerkships. However, few faculty are willing to accommodate students in their clinics, and other educational and administrative difficulties impede program expansion. (MSE)

The primary care clerkship at George Washington University (District of Columbia) medical school, the only required ambulatory care experience in the curriculum, is described. Topics discussed include the interdisciplinary structure of the program, its goals, curriculum and student evaluation, and challenges faced in implementation (faculty,…

The University of Rochester has developed a third-year medical school clerkship in which students spend the second half of the clerkship in the offices of practicing internists. Participating faculty are carefully chosen and trained. Experience indicates the approach is feasible, academically effective, and acceptable to students and faculty.…

A study evaluated the instrument used for rating faculty in the pediatrics department of the University of Wisconsin medical school by assessing its measurement of overall teaching effectiveness in two different instructional settings. The form was shown to be reliable and useful for faculty development and decision making. (MSE)