Using a system dynamics simulation model, the long-term economic impacts of federally funded research cutbacks on an academic medical center are analyzed. The significant negative multiplier effects, due to the required diversion of institutional funds, are indicative of those that any research-oriented university would experience. (Author/MLW)

The academic medical center is being affected by changes in the national health care delivery system, including the rapid growth in prepaid health plans, the emerging surplus of physicians, and the continued escalation of health care costs. (Author/MLW)

Three articles spotlight three groups of service-producing industries. "Health: Crossroads over the Horizon?" (Kahl and Clark) examines health occupations, patient care, paying for health care, and the impact of these changes on occupations. Hecker and Murphy look at "Retail Trade" with special attention to part-time and temporary jobs. Levine…

Presents results of a 1982 descriptive study of female farmworkers receiving prenatal care at Tri-County Community Health Center in North Carolina. Recommends patient advocacy, minimum wage ensurance, improved housing, access to tax-supported public assistance, and social service programs to improve health status. (SA)

Discusses Cuban medical facilities, biological research (focusing on sugarcane tissue culture, interferon, hybrid cattle, tropical fruits, and yeast biosynthetic pathways), science education programs at all levels, and institutions of higher education. Also examines such concerns as the Cuban literacy rate and efforts to improve the environment.…

The teaching performance of faculty who taught a 63-hour family medicine review course providing continuing medical education credit was evaluated, along with syllabus material. The relationship between the quality of teaching and subsequent changes in the physicians' patient-management plans was assessed. (SW)

A self-report questionnaire of graduates of a family practice residency program obtained information on their practices, professional and emergency medicine experiences, and attitudes toward the practice of emergency medicine by family practioners. (Author/MLW)

Analyzed television programing to determine how recent medical research trends are covered on network television. Found, for example, that the portrayal of illnesses did not reflect today's medical problems. Comments on implications for the general public who receive the bulk of their knowledge about medical trends from television. (PD)

If major changes are made in the financing of health care to control costs, teaching hospitals are particularly vulnerable and will have to be as innovative in management and organizational approaches as clinically, using both short- and long-term survival strategies. (MSE)

Identifying, explaining, and changing the ordering habits of physicians who order many ancillary services are becoming important cost containment goals. Written patient management problems to simulate real life clinical situations were used to calculate the cost of physician decisions. (MLW)

This article provides insight, through the author's personal experience, into the life of the chronically ill child. Problems encountered by these children and their families due to inadequacies in the educational system, medical profession, and insurance companies are discussed. (DF)

Several forms of hyperkinesis and their symptoms are discussed along with suggested treatment of the hyperkinetic syndrome. (SK)

Future usage patterns for mind altering drugs, especially medical and recreational uses, are explored. (GW)

Three recent government initiatives that impinge on the ability of the medical and scientific community to provide high quality medical care and to advance knowledge in the biological sciences are addressed at the AAMC meeting. They are categorized as (1) medicine, science, and civil rights; (2) no-risk medical care; and (3) technology and…