Instead of increasing institutionalization of the elderly, the author suggests increasing life enhancing programs with preventive health care. She discusses various health and social services in New York City, including outreach projects, day care programs for the elderly, and the value of senior center-hospital cooperative services. (MF)

To determine the effectiveness of teaching interpersonal skills in a general internal medicine residency, a program was developed utilizing videotape feedback of hospital house-staff/patient interactions. Fifty-one randomly selected house officers were included in a controlled pre- and post-test study design. The results suggest that such a…

The history, status, problems, and prospects of postgraduate medical training for primary care practice in the United Kingdom are reviewed in order to provide insight for American medical educators. The British emphasis on hospital-based training is questioned, but is seen as less of a problem for Americans. (Author/JMD)

A survey examined the continuing education needs of 706 rural general practitioners (GPs) across Australia. An inability to generalize findings across location indicates that regional identification by local service providers would be more effective. However, a set of topics broader than the traditional continuing medical education topics for…

Three effective strategies for case-based teaching in clinical medicine are described: case-bedside teaching involving case discussion and bedside demonstration; a combination of quick case reviews with more formal presentations on relevant topics; and discovery learning using complex cases. Five general principles of experiential learning in…

This paper outlines forces that are intensifying change in health care delivery and describes institutional obstacles preventing medical schools' adjustment of their educational offerings. Health professions education institutions are urged to develop centers for determining regional and local workforce needs and subsequently establish regionally…

Examines cultural factors associated with pregnancy among Hispanic adolescents, highlighting policy areas within the health care delivery system that must be addressed. The paper discusses migratory patterns and service needs, acculturation and pregnancy, valuing of children, access to health services, the role of the health practitioner, and…

Study of 24 University of Western Ontario graduate medical students investigated changes in clinical confidence among those starting in a family practice center and those starting in a hospital. No difference was found in overall confidence levels at any time, although some topic-related confidence levels differed at some stages. (Author/MSE)

Described is a wide variety of community and national organizations that have developed summer programs for students interested in a science career. A list of addresses for these organizations and programs is provided. (KR)

The American Association of Dental Schools' policy statement concerning expansion of postdoctoral general dentistry (PGD) training looks at the association's history, purpose, impact, kinds and quantity of student openings available, demand for training, models for expansion, mandatory training in Europe, accreditation, and finance.…

This study examined self-assessments of 40 medical residents and competence expectations of 4 primary care internal medicine faculty and 10 medical specialty faculty. Specialty faculty members reported higher expectations for diagnostic performance than did faculty in primary care. Involvement of residents and faculty members in developing…

A survey of 182 doctors, nurses, and allied professionals examined health professionals' awareness of evidence-based medicine (EBM). Results show most health professionals wanted workplace access to resources, that doctors preferred to do their own searching, and that health professionals doubted librarians could find relevant articles, suggesting…

Lists ten ways in which having medical students in the community physician's office can be of value to preceptors, including providing valuable but time-consuming patient services, following up on phone calls, providing computer skills, performing minor office procedures, reviewing medical records, helping with paperwork, stimulating preceptor…

Describes the Greenhouse Project, a joint effort to reintroduce medicinal plants to the Blackfeet Indian population in Montana. Reports that Wilbert Fish, son of a prominent tribal healer, and his staff produce more than 5,000 species of plants, both for medicinal purposes and for restoration projects in Glacier National Park. (NB)

Analysis of students' mean scores on two internal medicine clerkship tests at Wright State University investigated test sensitivity and specificity for identifying students with insufficient knowledge, and compared final examination pass rates of counseled and noncounseled students. Results indicate that in-clerkship tests can identify at-risk…