This document includes a successful model for implementing educational teleconferencing, the Geriatric Live Interactive Teleconferencing program at Virginia Commonwealth University (VCU). As a vehicle for continuing professional education, teleconferencing can transmit the latest information to large numbers of health professionals in a variety of…

A study compared time required for evaluation of 468 academic group practice outpatients by surgeon and resident with that required for 216 patients seen by the surgeon alone. On average, 24.2 minutes were added for resident examination and discussion, suggesting a time cost for both patient and surgeon. (Author/MSE)

This study examined the relationship between graduate medical education (GME) and practice profiles in three specialties: family practice, psychiatry, and obstetrics/gynecology. Two analyses were performed, the first assessing the relationship between GME and current practice patterns and the second assessing the relationship between GME and…

A study of 417 pediatric residents found more men than women had children during residencies. More married women than men without children felt it would have a negative effect on careers and saw difficulties with child care. Residents having children during residencies did not differ significantly by sex on these issues. (Author/MSE)

A 1990 survey of 281 health maintenance organizations found 42 were directly involved in graduate medical education, most through agreements with academic medical centers or teaching hospitals, to serve as an ambulatory care rotation site. One-sixth of these were accredited to serve as sponsoring organizations. Program model types were also…

A study of the performance of Brown University medical students admitted with and without an interview, based on course performance, standardized test scores, and residency evaluations, provides evidence that the selection interview does not contribute to the predictive capacity of the admission process. (Author/MSE)

A model for resident selection used scaled scores reflective of the applicant's characteristics to rank applicants at the Medical College of Milwaukee (Wisconsin). Data from three years indicate that as few as three faculty were needed to interview reliably, permitting a more cost-effective approach to selection. (Author/MSE)

A study examined the relationship between (1) internal medicine patients' total charges and lengths of stay and (2) the degree of autonomy that attending physicians (n=65) permitted their residents (n=40). Results suggest that internal medicine residents have an inherently conservative practice style valuing low-intensity workups and rapid patient…

Using a national sample of recent medical school graduates (n=12,213), a study of predictive validity of the National Board of Medical Examiners test parts I and II found strong correlations between performance on those parts and part III, supporting the test's use, at least in part, for selection of residency applicants. (MSE)

Provided are appendices for a study which examined the relationship between graduate medical education (GME) and practice profiles in three specialties: family practice, psychiatry, and obstetrics/gynecology. Appendix A includes materials related to methodology of the study. Appendices B-D include supplementary materials for family practice,…

Comparison of opinions of residents in two programs providing different amounts of geriatric training concerning management of four geriatric and two traditional internal medicine problems found all had less confidence about geriatric than traditional problems. Students with more training offered more support for nondiscriminatory care of elderly…

Analysis of 174 reported state and federal adjudication decisions from 1950-89 concerning graduate medical students and their training identified 22 percent of cases as involving programmatic issues. Of these, most addressed problems of academic administration, especially resident dismissals. Recently, programs have accommodated judicial scrutiny…

The University of Cincinnati Department of Internal Medicine instituted a peer review moonlighting committee of residents to design departmental guidelines, document work activities, identify discrepancies, and initiate control policies. Results suggest such a program may help establish mutually acceptable work activity guidelines while…

A study with two graduate medical student cohorts (n=18, n=20) supports use of a structured protocol for student credentialing that includes stringent monitoring of the entire process and formal, regular feedback to housestaff regarding progress. Students credentialed with the revised monitoring showed significant improvement in results.…

A national survey of 69 teaching hospitals (principally affiliated community teaching hospitals) found much variation in direct graduate medical education pass-through costs, supported by Medicare. Analysis suggested variations may be a result of the faculty expenses component, economies of scale, and the contribution of volunteers. Tables and…