The University of Missouri-Kansas City medical school, which offers a combined bachelor's-medical degree, created a first-year support program to help first-year students meet significant academic and developmental challenges. The program includes academic advising, learning skills assessment, peer and individual tutoring, career counseling, and…

Community-based medical education is key to training physicians to work in needy fields such as outpatient care and health care for the medically underserved. Describes the disadvantages of traditional medical school curricula and presents sample community health curricula now being used. Suggests ways to increase medical students' awareness of…

A survey of 555 second-year medical students from 7 schools found academic stress related to general satisfaction with life, gender, physical activity, alcohol use, sleep patterns, and recent losses and misfortunes. Personal stress was related to general satisfaction with life, gender, drug use, sensation-seeking sports, and recent losses and…

A study compared medical students' self-assessments of patient interview behavior with external ratings of actual interviews. Focus was on behaviors reflecting empathy. Results suggest the self-report questionnaire is not an adequate measure of actual interviewing skills. (MSE)

A study compared the performance of six cohorts of family physicians (711 practice-qualified physicians certified in 1971, 1972, 1973 and 1,233 residency-trained physicians certified in 1977, 1978, 1979) recertified in 1977-1991. Results indicate declines in performance on each recertification examination and better performance by…

A study investigated the clinical preparedness of 144 Stanford University (California) medical school graduates in 11 areas, comparing it with peers from graded medical schools and rating the accuracy of the dean's letter in representing graduates' capabilities. Results indicate that graduates from Stanford's two-interval, pass/fail system…

Provides background for developing policies to help protect medical students and residents taking overseas electives from the human immunodeficiency virus (HIV). A key element is communication among the student, advisor, and overseas faculty. Issues discussed include availability of appropriate equipment and medication, sexual contact, emergency…

Compares the academic achievement of students from two Dutch medical schools, one employing problem-based learning (PBL) and one using non-PBL methods. No systematic differences were found on total test scores. Differences were demonstrated only at the level of individual questions. Results indicate that PBL and non-PBL instructional methods have…

A study of 71 Michigan State University medical school students in their first semester of a problem-based curriculum found that students' initial dependence on tutors progressed to an emphasis on learning resources. This result was congruent with the theoretical model of the dynamics of problem-based learning. (Author/MSE)

When physicians ascribe errors to systemic causes, they may be less likely to modify future behaviors and more likely to repeat past errors. Academic medical centers should balance protecting patients from errors that a systems approach can identify against providing optimal education for house officers by teaching them to focus also on personal…

Discusses the medical student characteristics associated with graduates' entering generalist careers, including initial specialty preference, geographic background, gender, age, ethnicity, economic/lifestyle factors, attitudes and personal values, service orientation, and premedical academic performance. Presents strategies medical schools can use…

Purpose: To determine knowledge of a national sample of medical students about substance withdrawal, screening and early intervention, medical and psychiatric complications of addiction, and treatment options. Methods: Based on learning objectives developed by medical faculty, twenty-two questions on addictions were included in the 1998 Canadian…

Medical students will influence future health care considerably. Their professional orientation while at medical school will be related to their future professional development. Therefore, it is important to study this group's view of the role of medical doctors, especially because Swedish health care is currently undergoing major changes and…

Objective: This article discusses how formative feedback to medical students during their clinical rotations facilitates their successfully meeting the rotation's educational objectives. To help students initiate mid-rotation feedback and to help preceptors structure that feedback, the authors designed the Instant Feedback Card (IFc). The goal of…

Objective: This study surveyed residents' experiences learning an emerging area of demand in psychiatry at a time when there is a lag in training resources. Unexpectedly, the data generated useful evidence in support of adult learning theory. The result is a post hoc examination of learner attitudes and activities during the spread of a new…