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)

A one-month subspecialty outpatient clinic program for third-year medical students is described. The clerkship featured high volume (60-70 patients) clinical practice, library research (12 short papers), and close mentor supervision. Pre- and posttest scores did not distinguish participants from others, but participants later reported improved…

The Department of Community Health and Family Medicine at the University of Florida College of Medicine developed a curriculum component integrating epidemiologic concepts into a third year family medicine clerkship through a small-group project on a specific condition likely to be encountered by primary care physicians in community practice. (MSE)

A successful one-year medical information system pilot project responded to 240 questions by 47 physicians in 10 rural Alberta (Canada) communities. On average, each physician submitted 5.1 questions, and each community submitted 24 questions. Physicians received responses in a median of 7.3 hours or could conduct their own searches. (Author/MSE)