The pattern of use of psychiatry over a 12-month period in a university-based primary care center is reported. Interest in pursuing careers in family practice and amount of time spent in the center were related to seeking consultation. Differences in use by nurse practitioners, social workers, and patients are cited. ( Author/LBH)

The success of present and future immunization programs is endangered by public and physician complacency and by complex legal and ethical problems related to informed consent and responsibility for rare, vaccine-related injury. (BB)

A "free" comprehensive health assessment pilot study was conducted in an elementary school district in northern New Hampshire to improve the quality of the school health examination, introduce continuity of the medical record, and involve students in the health care delivery system. (SK)

Exploding medical delivery costs and monopolistic practices have brought wide public disenchantment with the American way of healing. Medical school admission practices, more than any other single factor, influence the demography and therefore the availability of health care in the U.S. (Editor/LBH)

The resident population of large mental hospitals has been reduced by two-thirds in 20 years, but chronic patients are being discharged to a lonely existence in hostile communities without adequate care. (Author/BB)

Interpersonal and emotional problems are best explained as learning phenomena. It is necessary to reject the clinical treatment component of the medical model in favor of the mass teaching component of the educational model. Developments which might take place as the educational model takes firmer hold among professionals are discussed. (Author)

The "working poor" community of Boston has secured for itself a bilingual community health center. This article describes the background of and services provided by the center. Any national health insurance program must include provisions to ensure the continuing existence of primary care facilities that serve the poor and minorities.…

The author replies to the article titled "Controversial Medical Treatments of Learning Disabilities" (R. Sieben), and reviews the treatment of hyperactive disorders with special diets and nutrition supplements. (IM)

The author replies to the article titled "Controversial Medical Treatments of Learning Disabilities" (R. Sieben), and provides support for his own views on the relationship between allergic disorders and learning disabilities in children. (IM)

In order to improve patient care, provide better teaching in an ambulatory setting, and establish research opportunities for faculty staff, the medical clinic of the Children's Hospital of Philadelphia has been developed into a group practice. Benefits and difficulties are discussed. (Author/LBH)

An updated report is offered of the successes and failures of the quality assurance program at the Medical College of Ohio during 1975-76. Students were used as auditors, submitting written evaluations of patient charts. (LBH)

This study examined response bias in 108 female adolescents randomly assigned to one of three groups: (1) interactive computer interview; (2) face-to-face interview, or (3) self-administered questionnaire. Results showed no significant group differences on reports of sexual behavior, substance use or symptomatology. (Author/BS)