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)

The University of Pittsburgh School of Medicine's Division of General Internal Medicine is described, focusing on personnel and organization, educational programs, clinical and research activities, special programs, finances, and related issues and pressures. The program is proposed as a model for other institutions. (MSE)

A pilot program at the University of California, Davis, that incorporated skilled nursing facility training into the required curriculum of their primary care internal medicine residency is described. The goal was to increase the residents' knowledge in the care of geriatric patients. (MLW)

A program in personal and professional development for interns was developed at the University of Connecticut Affiliated Hospitals to reduce maladaptive responses to the stresses of medical training. The goals of the program are to provide a supportive atmosphere, build trust, and promote deeper self-understanding and sensitivity. (Author/MLW)

The Medical College of Georgia's third-year medicine clerkship includes a one-month ambulatory care block rotation in internal medicine, medicine, and dermatology. Students present topics and participate in case discussions in daily and weekly conferences. Program success is resulting in expansion. (MSE)

A three-year curriculum in medical ethics operates at Rhode Island Hospital and Brown University as part of the general internal medicine residency program. The six major topics covered are co-taught as seminars by one or more members of the multidisciplinary ethics faculty (philosopher, internist, and communications specialist) and experienced…

The ambulatory care segment of the Southern Illinois University internal medicine clerkship provides extensive clinical exposure in a variety of settings and includes formal educational activities in seminars and workshops. Despite problems, educational quality has improved. Planned expansion includes a longitudinal experience for students.…

Matrix organization offers a structure that can facilitate coordination and cooperation in health care educational administration. Its application within the health care system is reviewed, the matrix organization of the primary care residency at the University of Pennsylvania is reported, and advantages and disadvantages are discussed.…

The implementation of a continuity of a care clinic in a highly subspecialized Veterans Administration internal medicine training program for postgraduate medical students is described, with focus on resolving problems created by the idiosyncratic administrative features and resource limitations of the hospital. (Author/JMD)

The creation and evolution of an internal medicine clerkship in three large teaching hospitals undergoing transition from affiliated hospitals to the university hospitals of a new medical school, the Uniformed Services University of the Health Sciences, is summarized. (Author/MLW)

The need for medical school leadership in continuing medical education is discussed and a program at the University of California at Los Angeles is described. Designed to provide community primary care physicians with a dependable source of high quality courses, the program provides a total review of medicine if regularly attended over a…

This article briefly describes the four-year primary care program (beginning in the senior year of medical school and sponsored by the departments of internal medicine and family medicine) offered at the University of Nebraska Medical Center College of Medicine. Preliminary evidence indicates that the seven students and residents enrolled are…

To determine the effectiveness of teaching interpersonal skills in a general internal medicine residency, a program was developed utilizing videotape feedback of hospital house-staff/patient interactions. Fifty-one randomly selected house officers were included in a controlled pre- and post-test study design. The results suggest that such a…

The purpose of this study was to assess the effect of organizational changes in the general medicine clinic on residents' and patients' satisfaction, including their perceptions of the quality of care. Questionnaires to assess satisfaction were administered to the residents (N=80) and patients (N=577) using a pre- and posttesting design. (MLW)

The Wayne State University (Michigan) medical school program of videotaping resident interviews with patients and reviewing them with faculty is described and evaluated. Topics discussed include the program's structure and process, recurrent themes in the review sessions, residents' perspectives on the process, potential barriers to a successful…