Students from four health professions--medicine, nursing, occupational therapy, and physical therapy--initiated a course designed to improve their knowledge of one another's training and skills, with the larger aim of preparing themselves to work in health care teams. The nine weekly meetings are described in terms of their content and students'…

Twenty-one members of graduate internal medicine training program were studied to determine whether feedback of simple ambulatory practice profiles would prove valuable in their training program. Results suggest that attention to style of practice during training could be extremely cost effective. (Author/LBH)

This European view of medical education emphasizes its role as a partner with health services and other forms of sociopolitical action to achieve societal health goals. Prevalent organizational structures and concepts of medical education are inadequate for this purpose. (LBH)

Describes reportedly successful treatment of deaf-mutes in China by acupuncture, and suggests that the disorders might have been more psychological than physical. The author comments that interpretation of poorly documented reports from unfamiliar cultures is extremely difficult. (AV)

Argues that facilities managers, used to thinking of their work in terms of services, must begin to look at it in terms of specific products, and offers examples. Describes the application process (product identification, customer identification, organizational design, and implementation) and results of product-based management at the University…

Previously used for process notations, global assessment, and treatment planning, the clinical record is increasingly used to demonstrate accountability to third-party payers and to the legal system. This article discusses the documentation of accountability in the case of potential client suicide or violence toward others. (Author/RB)

The articles of this special issue report on studies of the outcomes of treatment of adolescent anorexia nervosa. These studies leave no doubt about the mortality risk and debilitating nature of chronic anorexia nervosa, but they do suggest that the prognosis, given expert treatment, is favorable for the most part. (SLD)

Discusses problem of low rates of immunization for African American children and identifies ways social workers can play a role in ensuring more immunizations. Improving access to existing public programs, facilitating community organization efforts, assisting communities through self-help and mutual-aid initiatives, and supporting national…

Reviews research on the treatment of adolescents with anorexia nervosa, including the general approach, treatment setting, treatment of medical complications, nutritional management, psychopharmacotherapy, psychotherapy, treatment efficacy and outcome studies, comparison studies, and prevention programs. (EV)

The development of the medical examination as a tool in diagnosing child sexual abuse is discussed. The role of the medical professional in promoting conservative and appropriate diagnosis and treatment and in providing a scientific base for the recognition of child sexual abuse is reviewed. (CR)

The University of Texas is one of a number of universities entering the managed-care business to hold on to their teaching hospitals' niche in a radically-altered health-care market. The process is expensive, and observers worry that the institutions are underestimating the risks involved. Some have been relatively successful, and feel medical…

Four hataalii (Navajo medicine men) discuss why they chose and how they studied their profession, how ceremonies correct spiritual imbalance, why ceremonies cannot be done for non-Indians (differences in Navajo and non-Navajo belief systems), and how the Native American Church was founded to allow legal use of peyote and was commercialized by…

A survey of 167 nurses (41 percent response) and 53 nurse executives (32 percent) classified proficiency levels expected of beginning nurses. Comparison with six associate degree programs found gaps between techniques being taught the on-the-job expectations for nurses in a technologically advanced health care system. (SK)

The current prominence of the issue of access to medical care in the public policy arena is examined, and the use of this issue for studying the financing of uncompensated care for indigent patients is discussed. Different approaches based on this issue are outlined. (MSE)

This study was designed to determine whether opportunities exist to reduce patient morbidity and health care costs by utilizing health care services before diseases progress to advanced stages. Hospital admissions were categorized based on the timing of the initial hospitalizations of patients admitted with any of 14 diagnoses. (Author/MLW)