Physicians affiliated with small community hospitals face numerous barriers to using developmentally oriented best practices in primary care with young children. Saint Anthony Hospital's Developmental Support Project model promotes improved developmental outcomes for children through two complementary strands of services: (a) training and…

Background. Smoking rates are higher among those living at or below poverty and among persons with lower levels of education. We report on a formative research project examining patient perceptions of tobacco cessation strategies among diverse, low socioeconomic, urban smokers cared for in community-based primary care medical offices. Method. We…

Ongoing continuing medical education is an essential component of life-long learning and can have a positive influence on patient outcomes. However, some evidence suggests that continuing medical education has not fulfilled its potential as a performance improvement (PI) tool, in part due to a paradigm of CME that has focused on the quantity of…

This paper is intended to familiarize professionals involved in the treatment of the elderly with the role of the Psychologist Clinician as a member of the primary care health team. The paper provides a description of the care facility and its programmes, and of the areas of involvement of the Clinical Psychologist. Data regarding the number of…

The ways to increase the funding base of a family medicine residency program through the appropriate use of procedures related to patient care and the provisions of service are discussed. Areas for potential expansion in training programs and financial staffing strategies to increase revenues are described. (Author/MLW)

How can the dignity or well being of people in the terminal phase of their lives be fostered? A short-term educational program model was developed to assist a group of personnel (N=83) in a hospital for the chronically ill to become more responsive to this challenge. (Author)

The experience of two combined residency programs in internal medicine and pediatrics is reviewed. The difficulty for residents of achieving competence in two disciplines is compounded by a lack of faculty role models. Success will depend on the ability of graduates to offer special talents to academic and clinical settings. (Author/MLW)

A year-long interdisciplinary continuity-of-care elective for second-year, preclinical students in a medically underserved inner-city neighborhood is described. Students were able to learn the skills needed to implement and evaluate long-term health care and to assess the cost effectiveness of various approaches to such care. (MLW)

The key element in a clerkship in family practice at Community Hospital, Santa Rosa, California, is the student's General Medical Clinic. Under the supervision of a family physician teacher, senior medical students work as a team with family nurse practitioners caring for patients. (Author/JMD)

Data collected as part of the Robert Wood Johnson Foundation study of residency programs for training in primary medicine and pediatrics are analyzed. The seven residencies supported by the federal government and the nine residencies supported by the Foundation are compared. A brief description of the programs as they existed in 1978 are…

The National Assembly on School-Based Health Care conducted the 2004-05 Census, the tenth count of school-based health centers (SBHCs) since 1986, to: (1) provide a better understanding of the role of SBHCs in meeting the needs of underserved children and adolescents; (2) collect up-to-date data on demographics, staffing services, operations,…