Analysis of direct costs to teach a 10-week Introduction to Clinical Medicine course to 26 students in the spring of 1995 found that attending physicians worked a total of 736.5 hours, for a cost of $37,303; residents worked 314 hours, at a cost of $4,396; and miscellaneous costs totaled $2,019. The per-student cost was $1,681. (Author/MSE)

Summarizes the theoretical underpinnings, substantive contents, and limitations of comprehensive social-influences-based drug abuse prevention programming. Reveals that different types of programming work well tailored to different populations and situations. Warns against the ad hoc dissemination of lessons that may not be effective. (MJP)

Discussion of managed health care looks at its evolution and characteristics, implications for medical education, and the competencies needed by physicians in this new environment, including epidemiological thinking, understanding of human and organizational behavior, familiarity with information technology, quality control skills, knowledge of…

Academic medical centers, threatened by erosion of infrastructure, declining academic workforce, marketplace forces diminishing quality and access, and shrinking funds, must not rely on managed care, the pharmaceutical industry, or foundations to provide necessary support. They must communicate the dangers they face and persuade government to…

Examined main and interactive effects of multiple social risk factors and preschool IQ and mental health on students' academic trajectories from first to twelfth grade. Found that high-risk students had lower grades and more absences from first to twelfth grade than low-risk students. Higher IQ and better mental health improved the grade point…

This article examines federal, state, and local initiatives that have influenced child welfare policy and practice on a national scale, with particular emphasis on those policies that offer opportunities for better coordination of services between mental health and child welfare agencies. The special circumstances of child welfare clients are…

Although child mortality rates have significantly improved in recent decades, most children in Latin America and the Caribbean are still living in poverty and are poorly educated. Investing in education has beneficial effects on birth rates, health, income equality, and the environment. Includes tables describing economic, educational, and infant…

The problem of dental student indebtedness is examined, including trends and patterns in cost of dental education, the relationship between tuition and level of indebtedness, and effects of student debt on enrollment and attrition. Strategies for use by students and institutions to reduce student indebtedness are offered, and the role of…

Discusses the current environment in which health information is disseminated. Topics addressed include health information versus patient education; a model for examining delivery of consumer health information; the role of library professional associations; national libraries; public libraries; hospital libraries; academic health sciences…

A University of Toronto (Canada) fourth-year pharmacy course on drug abuse and dependence focuses on pharmacists' role in detection and prevention and on student knowledge of assessment and treatment. The course is case or problem based and uses a combination of self, peer, and instructor evaluation on aspects of student performance. (MSE)

Reviews common financing strategies for school-linked services, and suggests that the fiscal strategy for building integrated school-linked services involves supplementing new core program funding with redirected existing sources and increasing use of Medicaid funds. There is no single approach to financing these services. (SLD)

A family medicine faculty professional association designed a 5-day intensive curriculum in addiction medicine taught to 165 graduate family practice faculty at 10 sites in 1990. Pre- and postsurveys showed significant increases in participants teaching addiction medicine in 8 of 11 clinical situations. The model is seen as applicable to other…

Presents evaluation of state-certified asbestos abatement training program to evaluate appropriateness and effectiveness of training against actual work experiences. Survey administered to trainees (n=114) indicates most (78 percent) passed retest on course content, the course received an average effectiveness rating of 92 percent, and actual work…

Describes the coordination of health and human services from sites within schools. Discusses funding trends and the following proposed strategies: (1) case management; (2) networking; (3) "one-stop" services; and (4) administrative consolidation. Discusses steps for advocacy, leadership, participation, and funding at the policy and local…

Discusses the changing nature of our world, particularly in regard to the technical revolution. Considers the effects of the changing world on primary education. Maintains that young students in our changing world share basic curricular needs regardless of where they live. (BB)