To prevent deficiencies typical of non-university-affiliated community residency programs, five hospitals were included in the city-wide Phoenix Hospitals Affiliated Pediatric Program (PHAPP). Trainees have been enthusiastic and directors feel all individual programs have been significantly strengthened, overcoming problems inherent in…

The experiences of three family medicine residency programs in developing and implementing half- to full-day teaching sessions are described. Each program has multiple training locations, including rural sites, and releases residents from clinical duties for sessions on behavior issues, procedures, training, and other topics. Program success…

The Emory University (Georgia) Center for Clinical Evaluation Sciences is designed as an analytical resource for the university's health care delivery system and to promote health services research across the university. It also has potential as a resource for training medical students, house staff, and faculty in the evaluative clinical sciences.…

Stanford Medical Group, a model group practice in internal medicine, was established at Stanford University (California) within the academic medical center. Clinical faculty status was raised by developing a separate faculty track for the practice. The approach has been well-received and successful in attaining training and patient care goals.…

Describes a New Britain General Hospital (Connecticut) program that uses mid-level practitioners, including physician assistants (PAs), to augment diminished staffs of residents in surgical residencies. Topics discussed include program structure, efforts to reduce the potential for PA/resident conflict, protection of residency program integrity,…

A five-year project of postgraduate training in dentistry for patients with severe disabilities resulted in significant cognitive and confidence gains for the participating dentists, dental hygienists, and assistants. Over 75 percent of the graduates were found to actively apply their training, especially in academic dentistry. (MSE)

The Columbia-Presbyterian Medical Center (New York City) program of preemployment urine toxicology examinations for beginning housestaff physicians has resulted in treatment for two physicians testing positive for illegal drugs. The program's primary purpose is to focus on substance abuse issues in graduate medical education. (Author/MSE)

The University of Maryland at Baltimore's 12-month graduate program in general dentistry focuses on comprehensive care and treatment planning in a simulated group practice environment. To achieve its goal of self-support, the program solicits training grants from international corporations, generates income from clinical facilities, encourages…

A University of Washington program that integrates medical residents' roles as teachers and team supervisors is described. Residents develop leadership and problem-solving skills by discussing sample cases and videotaped vignettes of typical situations. Emphasis is also given to communication with attending physicians and ways to increase…

The University of Minnesota internal medicine residency program of ambulatory general medicine rotations in rural communities and urban managed care settings is described. Development and structure of rotations, objectives, teaching strategies, faculty development, evaluation system, and elements of successful implementation are discussed.…

A study of Dalhousie University (Nova Scotia) medical school primary care residency graduates (n=200) and other specialty graduates (n=371) suggests that the institution's policy of requiring first-year residencies in small community health services may cause more graduates, both primary care and specialists, to choose rural practice locations.…

The history and finance of the University of Texas (San Antonio) postdoctoral general practice program in dentistry, including the general practice residency and an advanced education in general dentistry program, is chronicled. Financial tactics include developing diversified funding avenues that have minimal impact on program objectives;…

The University of North Carolina's postdoctoral advanced education in general dentistry program relies heavily on clinic productivity and effective management to meet the challenges of a diminishing state budget appropriation and lack of financial flexibility in the state university system. External funding is also sought actively but has not yet…

A University of Wisconsin program for pediatric residents included participation in a community-based alcohol and other drug abuse assessment and intervention program for adolescents, didactic sessions, role playing, and interview skills training. Participating students (n=25) showed significant gains in knowledge, use of screening techniques, and…

The design, curricula, and financing of four existing medical schools' rural training track programs (University of Washington, University of Nebraska, State University of New York/Buffalo, University of Kentucky) are described. The programs are seen as having potential to decrease the shortage of physicians choosing careers in rural areas.…