Performed an analysis of the root causes of events involving graduate medical trainees that were recorded in hospital-based near-miss reporting systems. Classified root causes using the Eindhoven Classification Model, medical version. Found lack of knowledge and organizational causes at root of near-miss incidents. Concluded that root cause…

The study compared resident-patient encounters with 107 family practice residents over a 10-year period. Although the mean number of encounters were similar, 70.5 percent of the women residents' encounters were with female patients, compared with 63.1 percent of men residents' encounters. (Author/DB)

Three issues directly influence the relationship between nurses and physicians: the nature of nursing practice, the education of registered nurses, and the American Medical Association proposal for registered care technicians. Nursing education programs should focus their programs and objectives so as to prepare their graduates for different…

A study of changes in hospital care suggests that for medical students and residents to be exposed to the same case mix of clinical disorders seen in the hospital in 1980, they must have experience in the ambulatory setting. (Author/MSE)

The University of Cincinnati's comprehensive emergency medicine residency curriculum provides significant practical training in ground and aeromedical transport, disaster work, telemetry communications, and administrative matters. Initial program feedback has been very positive. (MSE)

The article analyzes three challenges confronting academic medical centers in the areas of education, patient care, and research. Encouraged are: (1) an expanded role by medical centers in training primary care physicians; (2) modification of physician reimbursement policies; and (3) resolution of conflicts of interest for biomedical scientists in…

A study investigated the attitudes of 255 medical residents at a large public hospital concerning factors that justify strikes. The study followed a housestaff work action. Residents' attitudes varied depending on issues involved and the extent of risk to patients. (Author/MSE)

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)

Surveyed 297 matriculating medical students at 3 Chicago medical schools concerning their willingness to treat HIV-infected patients. Found that 92% of the students agreed that patients with HIV would be welcome in their medical practices. Fear of infection and homophobia were associated with decreased willingness to treat. (MDM)

The paper considers the current health care crisis in rural and inner city areas and proposes changes in physician education including changes in premedical education and medical school admissions criteria. Changed criteria could encourage more broadly educated students to enter the medical profession thus maintaining high standards while meeting…

Third-year medical students prepared case studies involving ethical issues, drawn from clinical experience. A study of the quality of the projects, the types of ethical issues raised, and attitudes expressed in them revealed limited student understanding of the range of ethical issues and widespread disagreement with physician handling of cases.…

In response to stresses, the Johns Hopkins School of Medicine and the Johns Hopkins Hospital developed and expanded a system of medical care. A health maintenance organization was initiated and other hospitals were acquired or affiliated. The realignment of resources and patients shifted the focus to an ambulatory care setting. (Author/MLW)

Technological and social changes have left the medical profession without theory and content needed to adapt, making it essential to upgrade teaching of behavioral sciences in medical education. Despite their breadth and lack of definition relative to medical science, behavioral sciences provide a functional area that mediates between the patient…

The newly incorporated Computer-Based Patient Record Institute (CPRI) is discussed in the context of the history of medical records, the need for change (mainly because of health care reimbursement and regulation), and the need for involvement by all medical professionals in the development of standards of data collection which reflect public…

A study using microcomputer algorithms for more efficient management of six common pediatric care problems found improvements in all performance measures with computer algorithm use. However, use was discontinued after five weeks because the six physicians perceived the algorithms as too tedious for routine care. (Author/MSE)