Discusses the critical role of the early interventionist in working with young children with Down syndrome and their families. Reviews physical problems that the children may have, including growth and dental problems, medical disorders, and medical problems that need monitoring. (CR)

This study evaluated the effectiveness of a 12-week psychoeducational group therapy program in improving mood and glycemic control in 48 adults with diabetes and visual impairments. Participants made statistically significant gains in glycemic control. There was a significant positive relationship between control and improvement in depression, but…

Discusses the widespread problem of low level lead toxicity and how it affects young children's behavior and learning ability. Discusses what medical and environmental measures can be taken to remedy the problem. Briefly notes what role states have taken. Also suggests actions early childhood teachers can take to remedy the problem. (BB)

Discusses the efforts of tribally controlled colleges to integrate traditional American Indian healing techniques with Western medical practices, indicating that the colleges often find themselves acting as liaisons between the two approaches. Describes approaches of the colleges' medical programs to promote understanding of Indian patients and…

This article reviews societal demands for increased accountability and social responsibility by academic medicine. The Association of American Medical Colleges is urged to prepare more generalist physicians and assure better access to health care services. A "National System of Regional Medical Care" is proposed. (Author/DB)

The purpose of this study was to assess the effect of organizational changes in the general medicine clinic on residents' and patients' satisfaction, including their perceptions of the quality of care. Questionnaires to assess satisfaction were administered to the residents (N=80) and patients (N=577) using a pre- and posttesting design. (MLW)

Summarizes evidence regarding disparities in health status and access to health services across disadvantaged U.S. populations, reviewing major contributing factors to these disparities, highlighting examples of advocacy approaches that have been conceptualized and implemented in health education efforts, and discussing the role of advocacy aimed…

Irrational prescribing originates in undergraduate therapeutics education, where prescribing skills have been overlooked. P-drug, a rational prescribing approach, has been developed in response to poor prescribing. In 2004, the first cohort of PBL final year students at Nelson R. Mandela School of Medicine reported feeling unprepared to prescribe…

Health insurance is one of the essential enabling resources to gain access to medical care and ultimately increase health status. Over 11 million or one quarter of the nation's uninsured individuals are eligible for Medicaid or the State Children's Health Insurance Program (SCHIP), but are not enrolled. Interviews with 368 individuals from 1999…

This report describes a program initiated in 1992 to provide appropriate training for rural physicians and to address the shortage of physicians in rural Australia. Rural medical practice differs dramatically from urban practice in that there is limited access to specialist services in rural areas, thus requiring rural practitioners to be…

This practicum was designed to improve communication and collaboration between health care providers and early childhood intervention educators who provide services to children (ages 7 months to 4 years) who are medically fragile or have other special needs and their families. The lack of communication or collaboration is documented, and a…

This address by the Association's president outlines the role of the Association of American Medical Colleges (AAMC) and the medical education community in responding to the changing nature of the American health care system and medical education. It focuses on: (1) establishing true medical school-community partnerships; (2) elevating prevention…

This packet contains an instructor guide and student workbook detailing 32 activities that hospital workers can use in a classroom setting to improve their vocabulary and spelling skills. The activities encompass the following: (1) different ways to look up words to spell them correctly; (2) pronunciation of words used around the workplace; (3)…

This packet contains four products of a workplace literacy course on numbers and charts for hospital workers. The instructor's manual contains an answer key for the student activities, and a pre- and post-evaluation, along with a syllabus for the 13-week course that provides information on instructional goal, course description, objectives,…

This study examined the status of dental education and oral health in the U.S.; considered future scientific, demographic, economic, organizational, and other developments that may affect oral health status and the system for educating dentists and other dental personnel; developed a statement of how, over the next 25 years, oral health and oral…