Objective: Evidence indicates disparities in the number of psychiatrists practicing in rural America compared to urban areas suggesting the need for a greater emphasis on rural psychiatry in residency training programs. The authors offer suggestions for integrating a rural focus in psychiatry residency training to foster greater competency and…

The study of conceptual change traces its heritage to the notions of paradigm (networks of shared beliefs, concepts, practices) and paradigm shift made famous by Thomas Kuhn in his book, "The Structure of Scientific Revolutions". Kuhn's work was quickly linked to developmental psychology (how knowledge develops) and to science education (teaching…

This paper proposes a new bipartisan initiative to strengthen the effectiveness of U.S. social programs by focusing funds within each program on research-proven projects, practices, and strategies ("interventions"). The proposal seeks neither an increase nor decrease in overall program funding; rather, its central aim is to maximize the…

Almost 22 million children are injured in the United States each year, and an estimated 10 to 25% of these injuries occur in and around schools. However, the problem of injuries in the school environment is often unrecognized and preventive measures are often ignored. The Children's Safety Network has designed this packet to inform school…

The second in a series of African-American bibliographies, this bibliography was issued in honor of both Black History Month and Inventors Day in February 1991. It focuses on the contributions of black Americans in the areas of science, technology, medicine, and allied fields such as dentistry and nursing. The materials cited emphasize the…

Joseph Dorsey describes the development of the Harvard Medical School service program now serving 40,000 members in two health centers. Planning considerations for developing the primary care residency are included. Arnold Relman discusses the role of internal medicine and pediatrics in training primary care physicians noting subspecialization…

Assesses the values of high school and college students relative to human genetic engineering and recommends that biology educators explore instructional strategies merging human genetic information with value clarification techniques. (LS)

This paper describes an experiment in which Family Medicine residents composed, read, and discussed their poems as a way of bringing to life their often complex relationships with patients. It argues that this approach mobilizes the physicians' own creativity in the service of reflective practice and improved doctor-patient relationships. This…

Explains experiments now being conducted involving the use of advanced telecommunications techniques to deliver health care and medical education to populations where these commodities are scarce. (Author/GS)

This report summarizes the latest edition of national guidelines that have been a cornerstone of nutrition policies and programs in Canada for almost 50 years. The guidelines for healthy eating are as follows: enjoy a variety of foods; emphasize cereals, breads, other grain products, vegetables, and fruits; choose low-fat dairy products, lean…

This document contains a glossary which defines 275 basic terms frequently used by gerontologists. The glossary is designed for use by a general population, including older persons and their families, students in the field of aging, librarians, medical reporters, health care providers, and others interested in older persons. It was developed to…

This document presents witnesses' testimonies and additional information from the Senate hearing held in Miami, Florida to examine the issue of preventive health services, focusing on risk reduction and health promotion programs for the elderly. The goal of the hearing was to examine efforts to identify people with high risks of developing a…

Part I of this kit provides information for program planners and health professionals on ways to overcome barriers to health care among the medically underserved, promote high blood pressure control through the media and other community channels, and improve adherence to treatment among hypertensive patients. It lists additional resources for…

Patient education is recognized by health care providers and patients themselves as an important component of adequate health care for hospital patients. Through this informational process, patients receive information about specific health problems, learn the necessary competencies to deal with them, and develop accepting attitudes toward the…

The properties of three critical elements in the human diet are discussed. In the first section, the functions of sodium in the body and in the diet are considered. The relationship between sodium and hypertension is explored, and recommendations from professional health groups on the sodium consumption are presented. In the second section, the…