While the relationship between academic variables and admission into medical school has been well documented, the relationship between socioeconomic background and admission has not been extensively examined. In 2001, the Texas Legislature passed HB 1641, which allowed for the use of socioeconomic variables in the admission of graduate and…

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)

The predoctoral dental curriculum cannot provide the depth of experience and knowledge needed for the increasing representation of geriatric patients in family dental practices. A curriculum model designed to enhance knowledge and refine clinical skills in caring for the elderly is proposed. (MSE)

A study comparing inpatient care costs of family practice residencies and other residency programs found that family practice residencies do not add to direct inpatient costs and may even reduce costs. It is suggested that this provides an additional rationale for institutions to sponsor graduate training in family practice. (Author/MSE)

The use of student health centers at California higher education institutions as medical student training sites in 1988 is documented. Directors of the 28 residency programs using student health centers for their residents reported satisfaction with the association, and health center directors with residents on rotation also reported overall…

To prevent deficiencies typical of non-university-affiliated community residency programs, five hospitals were included in the city-wide Phoenix Hospitals Affiliated Pediatric Program (PHAPP). Trainees have been enthusiastic and directors feel all individual programs have been significantly strengthened, overcoming problems inherent in…

Six ways of organizing optometry students' experience in the management of ocular disease are outlined and their advantages and disadvantages are discussed. (MSE)

Introduction of a course on the doctor-patient relationship in the clinically demanding first postgraduate year encountered two problems: student perceptions that the content was not necessary or was too burdensome, and the tendency of residents to feel guilty or inadequate in patient relationships at that stage of training. (MSE)

A study of 184 third-year medical students randomly assigned to ambulatory care and traditional inpatient curricula in an internal medicine clerkship found those with the ambulatory care experience were somewhat more likely to choose an ambulatory care career than those in the traditional curriculum. However, the clerkship experience did not…

The discussion of score reporting methods to be used in new versions of the National Board of Medical Examiners (NBME) examination defines selected aspects of score reporting, outlines the use of scores, and examines the potential for misuse by medical schools and in resident selection. An NBME opinion poll is reported. (Author/MSE)

Evaluation of a University of Calgary (Canada) program to train 11 Saudi Arabian physicians found variability in preparation and progress of the students but determined the benefits to the institution outweighed disadvantages. The review reinforced the value of periodic program review and yielded recommendations for improvement of training.…

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…