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…

Presents the final report of a panel convened by the Association of American Medical College's Mission-based Management Program to examine use of metrics (i.e., measures) in assessing faculty and departmental contributions to clinical mission. Discusses methods of measuring and comparing clinical effort, commonly used metrics, development of…

A study involving volunteer clinical faculty members in a randomized education trial to improve patients' everyday functioning is described. Participants were 76 clinical faculty physicians in office practice of internal medicine, who completed an evaluation questionnaire at the end of the study. (Author/MLW)

Teaching hospitals are caught between two modi operandi of the 1980s--cost containment and competition. The major area of conflict faced by medical school faculty are the demands of clinical practice and research. Medical students originally motivated by idealistic concerns are seduced by the specialties and subspecialties. (MLW)

The impact of pediatric residents on total patient charges generated in the outpatient pediatric practice of a university hospital was evaluated. Average charges for visits to residents were greater than for visits to faculty pediatricians. The difference was attributable to the higher number of hospital laboratory tests ordered by residents.…

The quality of graduate medical education is determined to depend upon many factors including: number of faculty and their teaching and clinical abilities, number and types of patients, the degree of responsibility residents are expected to assume, and the adequacy of their supervision. (MLW)

The evolving concepts and procedures for developing clinical faculty practice plans in a university setting are explored. The objectives of a clinical faculty practice plan are reviewed in the context of the initial planning process, and aspects of organizational schemes, including revenue participation, are discussed. (Author/MLW)

A survey found volunteer faculty members were generally satisfied with their role in medical education, despite problems involving respect and responsibility when working with academic colleagues. Recognition of and indifference to problems are discussed in relation to the erosion of the utilization and authority of volunteer faculty members.…

A study investigated the productivity, measured as patients seen per half-day, of 15 family practice faculty and third-year residents at the University of Kentucky during a 4-month period. Physicians assigned to teach ambulatory care clerkships had productivity levels similar to those without teaching responsibilities. (Author/MSE)

The funding of postgraduate medical education through the "approved educational activities" of teaching hospitals needs to reevaluated. Since it is considered impossible to separate patient case and educational activities, drawing the line for financial purposes between these activities will be controversial and critical for teaching…

A survey of attitudes toward cancer held by faculty and house staff physicians in a teaching hospital is described. Data indicate significant differences between the perceptions of faculty and house staff members as to their counterpart's approach to cancer. Improved interpersonal communication is suggested for improving cancer education.…

A national survey of 69 teaching hospitals (principally affiliated community teaching hospitals) found much variation in direct graduate medical education pass-through costs, supported by Medicare. Analysis suggested variations may be a result of the faculty expenses component, economies of scale, and the contribution of volunteers. Tables and…

The Association of American Medical Colleges identified problems regarding medical school faculty clinical practice in the views of faculty members and administrators in academic medical centers. Balancing faculty time among teaching, research, and service was most frequently mentioned. (Author/MLW)

A study of medical college faculty perceptions of the value of two groups of patients admitted to a teaching hospital 15 years apart suggests that changes in patient populations resulting from economic changes may have diminished the educational value of medical inpatients in academic settings. (MSE)

Evaluation of the clinical competence of medical faculty in teaching hospitals is discussed. Different approaches to clinical assessment and theoretical and practical problems in assessing clinical faculty's performance are discussed. A University of Virginia medical school system for evaluation that combines objective and subjective assessment is…