A review of 287 patient visits to a teaching hospital polyclinic shows that most patients had multiple problems that required the help of subspecialists. However, the patients' needs for accessibility, comprehensiveness, coordination, and continuity are as great as those of patients receiving primary care. Implications for academic internal…

A study of 16 years of records of a general internal medicine faculty at a university hospital and its affiliated Veterans Administration medical center suggests the faculty involved in subspecialties and who have protected research time can improve their research productivity. (Author/MSE)

A study of house officers' performance of a complete medical history assessed interview content, questioning technique, and interview style. Frequent deficiencies included inadequate social, psychiatric, and drug reaction histories and an overly direct style. Use of detailed checklist for student evaluation is recommended to provide feedback and…

This study attempted to establish the validity of an essay test of clinical judgment by defining the domain of clinical judgment and operationalizing this definition in a 12-item essay examination administered to 98 residents in internal medicine. The relationship between essay scores and other measures of competence was then examined and the…

Objective: To compare the effects of active and didactic teaching strategies on learning- and process-oriented outcomes. Design: Controlled trial. Setting: After-hours residents' teaching session. Participants: Family and Community Medicine, Internal Medicine, and Pediatrics residents at two academic medical institutions. Interventions: We…

Brief descriptions are presented of 12 model curriculum projects which are part of a program to develop and demonstrate effective models for integrating alcohol and other drug abuse teaching into the medical and nurse education curriculum. The models are based upon discipline-specific knowledge and skill objectives and address undergraduate,…

A study of stress during residency training involved data analysis of questionnaires completed by residents and fellows in internal medicine. The results suggest that scheduling and structural changes in residencies are necessary to reduce stress in residents. (Author/MLW)

Physicians who completed residencies in internal medicine at major teaching hospitals in 1982 evaluated their residency training in ambulatory care. Their recommendations were similar to those reported in evaluation studies published over the past 25 years, indicating that training programs have not been successful in restructuring their…

The unique research methodology of a series of 24 specialty surveys of the professional activities of over 10,000 respondent physicians is described. Illustrative data are presented from five specialties (cardiology, family practice, general internal medicine, orthopedic surgery, and psychiatry), and the study's relevance and implications for…

Groups of medical students were compared with respect to ward-performance scores and scores on identical examinations to determine whether students with previous clerkships are likely to perform better in their internal medicine clerkships. It is concluded that previous experience apparently does not have a beneficial effect on student performance…

A review of current trends in primary care career choice is reported. Questions addressed include whether students choosing the primary care specialties share similar attitudes toward their medical role, and whether student attitudes have changed during the last few years as the result of the national focus on primary care. (JMD)

A study of rotating interns' images of medical practitioners focuses on what images the interns have of obstetrician-gynecologists, pediatricians, internists, psychiatrists, and surgeons, and seeks to determine whether these images differ according to choice of specialty for postgraduate work. (JMD)

All 378 family practice and 420 internal medicine training programs in the United States were surveyed to determine how well geriatrics has been integrated into residency programs. Results indicated geriatric training integration is not universal, largely because of shortages of faculty and clinical training sites. (Author/GLR)

Item response theory's (IRT) suitability for medical examination data was examined, using data on 2,000 candidates who took the 1980 and 1982 American Board of Internal Medicine Certifying Examinations. Focus was on determining whether the tests met IRT assumptions and applying one-parameter and three-parameter IRT models to the data. (TJH)

A study investigated performance of 51 second-year internal medicine residents on an objective structured clinical examination and analyzed the test's role in evaluating clinical competence. The examination included nine physical diagnoses and several test-interpretation stations. Performance was analyzed statistically and correlated with…