Performed an analysis of the root causes of events involving graduate medical trainees that were recorded in hospital-based near-miss reporting systems. Classified root causes using the Eindhoven Classification Model, medical version. Found lack of knowledge and organizational causes at root of near-miss incidents. Concluded that root cause…

Tested the reliability and validity of a structured admission interview to a public medical school residency program. Found that interrater agreement was good; moderate-to-low correlations between interview scores and other admission criteria suggested that the interview provided additional useful information and accounted for a substantial…

Proposes replacing the current approach to medical residents' education, which specifies a fixed time of training, with competency-based training. Reviews the basis of traditional residency training and its problems (both the fixed time and uncertainty of evaluation methods). Discusses the competency-based approach, probability that some residents…

Forty-three residents in internal medicine answered questionnaires about resolving conflicts with attending physicians concerning patient care. Conflicts were most likely to be resolved by negotiation but the nature of the procedure, medical school attended, and future career plans affect the means of resolving the dilemma chosen by the resident.…

Reports on a consortium-based research education seminar program developed by the OHEP Center for Medical Education that presents a yearly research forum in which the best research projects from consortium members are presented by the resident-researchers, who compete for recognition and prize money. Of the 128 presentations to date 25 percent…

Explains the current graduate medical education financing system and explores the impacts that various policy changes and legislation under consideration would have on residency programs and the health of already financially stressed teaching hospitals. (EV)

Describe four models of incorporating elder-mistreatment curriculum and collaboration with adult protective services into geriatrics medical education. Draws on efforts at the University of Medicine and Dentistry of New Jersey--Robert Wood Johnson Medical School; the University of California, Irvine College of Medicine; Hennepin County Medical…

The study compared resident-patient encounters with 107 family practice residents over a 10-year period. Although the mean number of encounters were similar, 70.5 percent of the women residents' encounters were with female patients, compared with 63.1 percent of men residents' encounters. (Author/DB)

Analysis of results of the program's 1986 matches do not support claims that results are biased to favor programs, with student success in receiving higher-ranked choices greater than hospital success. Factors affecting hospitals' and students' success in the match are analyzed and strategies for improvement are suggested. (Author/MSE)

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.…

Describes and evaluates academic problems of international medical graduates (IMGs) within one community-based residency program. Suggests that many problems may be caused by difficulty with English, differences in medical education, length of time since previous training, different life stage, or cultural differences in beliefs about…

Results of two certification examinations were analyzed for the cohorts of physicians who had taken in-training examinations as first, second, and third year residents. Multiple regression analysis showed that the composite score and all but one part-score were independently predictive of performance on the certification examination. (Author/MLW)

The University of Cincinnati's comprehensive emergency medicine residency curriculum provides significant practical training in ground and aeromedical transport, disaster work, telemetry communications, and administrative matters. Initial program feedback has been very positive. (MSE)

Based on the experience of Michigan State University's emergency medicine residency program, proposes a practical method for modifying an existing student evaluation format. The model provides a template other programs could use in assessing residents' acquisition of the knowledge, skills, and attitudes reflected in the six general competencies…

A successful approach to improving a residency training program in internal medicine had residents, attending physicians, and administrators use a consensus-building method to develop problem lists ranked by two criteria (high importance and high potential for solution), for which short- and long-term management interventions were created. (MSE)