Draws on discussion with leaders of organizations at the interface of the health and university sectors on the current and future direction of relationships between service, research, and education. Outlines some challenges for those managing the tripartite mission and suggestions for ways to approach these. (EV)

Surveyed community physicians affiliated with a teaching hospital to assess factors influencing their decisions to serve as preceptors and the relative value of incentives. Found that student influence on patient care was a driving factor, that preceptors preferred nonmonetary compensation, such as continuing medical education credit, and that…

Graduate medical education is defined as the phase that begins at graduation from medical school and ends after completion of the requirements for one of the specialty certifying boards. A chronology of events in the history of graduate medical education, 1844-1981, is provided. (MLW)

This paper describes a method used to evaluate 48 medical residency programs at one institution. It presents the background rationale, logistics, and results obtained by surveying alumni, in the context of their current practice, for relevant data on the value of their training experience. Surveys were sent for 3 years to all alumni of Cleveland…

A survey of U.S. pediatric training programs to determine the role of rules in the hospital admission of pediatric patients is reported. The results support the hypothesis that rules are a widely used teaching tool. The rules relate to such factors as fevers, age, specific diseases, administrative concerns, head traumas, and poisonings. (JMD)

One of the less obvious costs of educational programs is the increased volume of work-ups and treatment for hospitalized patients that are ordered by residents. In a hospital with both private teaching and private nonteaching floors, a comparison shows that service charges on teaching floors are 60 percent higher than on nonteaching floors.…

All U.S. internal medicine residency programs were surveyed in 1981-82 to obtain quantitative information on specific program features, formal teaching conferences, supervision of residents, and evaluation of residents in ambulatory care. (Author/MLW)

A study of three hospitals' family medicine residents' knowledge of and interest in nutrition education revealed large gaps in residents' knowledge of nutritional aspects of certain conditions likely to arise in general practice. Previous medical school nutrition courses had little influence on residents' perceived knowledge. (MSE)

A rural southwestern New York hospital that instituted a rural residency track (RTT) in concert with a physician-centered strategy increased its admissions, physicians, employment, and profits. Developing an RTT requires dedicated CEO leadership, a strong on-site chief of service, family physicians who perform cesarean sections, and midlevel…

High quality care and teaching in a nursing home require organization of an active medical staff that enhances and does not distract from a physician's commitment to his practice in the office and hospital. The medical residency program at the Jewish Home for the Elderly of Fairfield, Connecticut, is described. (MLW)

Results of the Association of American Medical College 1978 survey of teaching hospitals regarding stipends, benefits, and funding sources for house staff are reported. Statistics include average stipends and variations due to geographic regions, and hospital affiliation, bed size, and ownership. Patient revenues and operating appropriations…

Johns Hopkins Hospital expanded its health care delivery capabilities and strengthened its position in the marketplace by acquisitions of and mergers with other hospitals and a health maintenance organization. The resulting conglomerate has achieved its goals of expanding patient care, broadening the patient base, and enlarging the asset base and…

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…

Medical residents were randomly assigned to either a 20-minute session on the importance of screening for domestic violence or to an unrelated topic. Subsequently, 71 percent of the trained residents diagnosed at least one case of domestic violence compared to 52 percent of residents in the control group. Rates of diagnosis also differed by…

Approximately 180 references are cited covering accreditation and licensure, continuing education, curriculum, educational measurement and research, graduate education, history, internship and residency, foreign studies, schools, specialism, students, teaching hospitals, teaching methods and materials, among other topics. (LBH)