In redesigning the preclinical curriculum and shifting from a discipline-based approach to an organ system-based approach, faculty at the University of Arizona College of Medicine in Tucson took the opportunity to restructure the sequence of introductory histology content to make it more engaging and relevant. In this article, the author describes…

Objective: The authors demonstrate that the teaching of professional boundaries in psychiatry is an essential component of training to prevent harm to patients and to the profession. Methods: The authors illustrate overarching principles that apply to didactic teaching in seminars and to psychotherapy supervision. Results: The teaching of…

Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect…

This brief review is meant to serve as a refresher for faculty teaching respiratory physiology to medical students. The concepts of ventilation and perfusion matching are some of the most challenging ideas to learn and teach. Some strategies to consider in teaching these concepts are, first, to build from simple to more complex by starting with a…

Detailed recommendations for integrating preventive medicine into residency education and the continuum of medical care are outlined, with the goal of putting the patient's health rather than disease process into the forefront of primary care. Suggestions are based on a guide assessing the effectiveness of 169 types of preventive intervention.…

Residents benefit from general practice dental residencies by getting training in areas not adequately covered in the undergraduate curriculum and having time to mature professionally. Patients benefit from improved care and increased access to services. Greater attention should go to the quality and types of services such programs make possible.…

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)

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)

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…

The financial strategies used by five dental schools to support postdoctoral general dentistry education include increasing patient care income by residents, increasing income by faculty and other providers, enhancing extramural patient income, using management economics and efficiency, and developing innovative ways of generating income. (MSE)