Analysis of the University of Michigan's eight-year-old medical service plan looks at its revenue and expenses, impact on medical school programs of education, research, and patient care, and the environment influencing chairman and faculty recruitment and retention. A survey identified factors important in the plan's success. (Author/MSE)

Selective enrollment of patients at a model family practice unit provides a full range of medical problems for residents. A computerized, problem-oriented medical record is used to help distribute families with selected chronic diseases equitably. Reallocation of families to new residents in cycles is logically planned and workloads are monitored.…

Discusses common misconceptions about the culturally diverse elderly. Reviews basic factors influencing their quality of life including income, health, crime, nutrition, transportation, and housing. Suggests ways school counselors can act as change agents to combat stereotypes and reduce discrimination against the culturally diverse elderly. (RC)

The University of Florida uses a comprehensive care system to teach clinical pedodontics. Several block clinics permit further experience with children. Details of the program are described, and quantitative results of patient treatment are compared with those of other clinical pedodontics programs. (MSE)

The dying and death component of the psychiatry clerkship at Dartmouth Medical School is described. The educational objectives and instructional methods were developed to enhance the student's understanding of what terminal patients experience in psychosocial needs and to explore his role and skill in caring for patients in terminal situations.…

Dental education in the Netherlands is reviewed in terms of dental practice, overall development, structure and functioning of a typical school of dentistry, admissions, student finances, curriculum, certification, postgraduate education, and education for related professions. (MSE)

The veterinary diagnostic laboratory's prime role has been diagnosis and/or laboratory findings to assist a diagnosis. Interpretation and evaluation and more involvement with decision-making in monitoring groups of animals and their health status are seen as future roles for diagnostic laboratories. (MLW)

Economic trends in health care delivery and medical education in the United States are examined. It is noted that the market for physician services is being more extensively socialized due to insurance practices and it is suggested that there is a trend toward desocializing medical education and transferring a greater share of the cost to the…

Participants in the Student Model Utilization Review Committee Project at Jefferson Medical College showed greater knowledge and more positive attitudes about utilization review and cost control in the health care field, and one year later they demonstrated clinical behavior that was more consistent with program objectives than did the controls.…

A cost containment program initiated in 1975 on the medical teaching service of Charlotte Memorial Hospital, a University of North Carolina affiliated hospital, has led to a significant improvement in hospital house staff utilization of facilities and procedures. In the outpatient setting an actual reduction in patient-encounter cost was realized…

The inpatient (ward/intensive care unit) performance of primary care medical residents was compared with that of their peers in the standard internal medicine residency program. Nearly identical performances of the two groups suggests that substantial time in the first two years of residency can be devoted successfully to ambulatory training.…

Disenchantment with and heavy spending on health care has made policymakers more interested in health care research. The federal Agency for Health Care and Policy Research, university consortia for health-services research, and establishment of a national database are elements in a new focus on quality of care. (MSE)

The American Association of Dental Schools' revised guidelines for curriculum on managing medical emergencies give an introduction to the scope of the curriculum, describe educational goals and prerequisites, and outline the course content and structure, specific behavioral objectives, sequencing, needed faculty, and continuing clinical…

Discusses the following topics concerning violence against women: (1) its scope; (2) its impact on women; (3) the community services provided in response to the violence; (4) clinical treatment of victims; and (5) violence prevention. Presents a research agenda that addresses the gaps in existing literature. (JS)

The health of urban America, particularly that of minority citizens who live in urban America, is so poor in comparison to that of the rest of our nation's citizens that it constitutes a national disgrace and an embarrassment. (Author/MW)