Some of the programs in general internal medicine are now reaching the point at which surveys of graduates can help assess program strengths and weaknesses. A survey of graduates from the University of Colorado School of Medicine is described. (MLW)

Joseph Dorsey describes the development of the Harvard Medical School service program now serving 40,000 members in two health centers. Planning considerations for developing the primary care residency are included. Arnold Relman discusses the role of internal medicine and pediatrics in training primary care physicians noting subspecialization…

In response to the need to assure physician competence, a rating scale was developed at the University of Minnesota Medical School for use in evaluating clinical competence in pediatric cardiology. It was tested on first- and second-year specialists. Development and testing procedures are described. (JT)

A detailed analysis of geriatric education at the undergraduate, graduate, and fellowship levels is reported. Data on the type of training sites, educational activities, and clinical interaction at different levels of training are presented. The results suggest that there is a need for high-quality geriatric programs at all levels. (Author/MLW)

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)

A study examined the relationship between undergraduate and medical school achievement, as indicated by a variety of measures, and competence in 18 medical care tasks during early residency. (MSE)

The fourth-year courses selected by the classes of 1982 and 1986 in the Brown University Program in Medicine were compared. The data support the contention that medical students' perception that residency positions were more difficult to obtain led to changes in selecting courses in the fourth year of medical school. (Author/MLW)

In science education and in clinical education, there now exists strong evidence of an imbalance between the theoretical and the practical. Schools and teaching hospitals must emphasize scholarship in their programs, and the educational value of the inpatient units of teaching hospitals must be studied. (MLW)

It is important that nutrition education be made part of the regular and postgraduate curriculum in all medical schools. The medical student should be provided training in nutrition and dietetics, both as part of the basic science syllabus and of the clinical aspects as they apply to disease states. (MSE)

Noting that family practice is increasingly accepted as part of the academic system, the author discusses its philosophy, overviews undergraduate programs and residency programs, presenting a sample curriculum outline for a 3-year family practice residency and emphasizing the need for continuity of care and a family practice office or center as a…

Eugene Farley describes the University of Rochester and Highland Hospital Family Medicine Program for teaching of primary care internists, primary care pediatricians, and family doctors. Thomas Piemme presents the George Washington University School of Medicine alternative, a 2-year program in an ambulatory setting leading to broad eligibility in…

Pharmacological education is presented as a continuous undertaking of preclinical students, clerks, and physicians and surgeons in training and practice. Goals are listed for the preclinical, clerkship, and residency stages of training, and the various actions which candidates should actually perform at each stage are defined. (Editor/JT)

Approximately 300 English- and foreign-language references are cited in this MED LARS bibliography on these topics: accreditation and certification, computers, continuing medical education, curriculum, educational measurement, faculty, graduate education, internship and residency, minority groups, medical schools, specialization, students,…

Information on the backgrounds of about 3,000 certified dermatologists listed in the Directory of Medical Specialists was cross-tabulated by computer during 1976. Among the four variables studied--state of birth, medical education, internship, and residency occurred--the strongest influence on location was residency training. (LBH)

Three options are discussed: (1) recognize graduate medical education as an extension of undergraduate medical education and finance it as an education expense; (2) develop a mechanism for equitable distribution such as New York's 10/90 percent scheme; and (3) recognize GME as part of the health care delivery system financed as such. (LBH)