Data on 180 pediatrics and 302 internal medicine residency training programs concerning vacation, leave of absence, extension of training because of absence, and related policy suggest wide variation depending on postgraduate year of training, discipline, program size, and program type. Implications for accreditation, testing, and certification…

A review of the literature on medical school curriculum and primary care specialty choice suggests that three types of curricular experiences may increase interest in primary care: third-year required family medicine clerkships, especially longer clerkships; continuity experiences in primary care settings; and primary care tracks. (Author/MSE)

Using an 18-item form, residency program directors rated residency performance of graduates (n=401) of a 3- and a 4-year medical school program at Loyola University of Chicago. Three-year program graduates showed less strength in background medical knowledge and experience using research data. The only marked differences were in surgery and…

A University of South Florida program giving medical students four years of primary care training was found to have little effect on specialty choice of its graduates (n=93 students), when compared to students who volunteered for the program but did not enter it or who did not volunteer. (MSE)

The National Heart, Lung, and Blood Institute (NHLBI) has begun funding longer research award terms, limiting the number of projects to be funded. A model was developed to assess alternative research funding policies that might allow NHLBI to support more competing awards. Findings and implications for research stability are reported. (Author/MSE)

In constant dollars, the average indebtedness of medical students has increased by over 59% between 1985 and 1995, while the proportion bringing debt with them to medical school declined. Public school graduates accrued debt averaging more than their tuition. Private school indebtedness varied. Little effect is seen on time to graduation, racial…

A study of 217 Stanford University (California) Medical School graduates found clerkship experience lengths from 12 to 23 months; the median was 18 months. A highly significant correlation was found between longer clinical training and higher scores on Step 2 of the United States Medical Licensing Examination. Results suggest that decreasing…

A study compared the generalizability of 36 medical students' performance scores under systematically varied station times in 2 surgery end-of-clerkship performance-based examinations. Results indicated longer station length decreased generalizability of scores by decreasing variability among students' performances. Testing time was also affected.…

Areas of proposed reform in medical education are discussed, with attention to implementation, financing, obstacles, needed resources, and pedagogy. The trade-off between students' need for time off and perceived need for instruction time is noted. It is argued that costs of reform in time and resources are often ignored. (Author/MSE)