The Subcommittee met to examine recent new standards of the Accreditation Council for Graduate Medical Education (ACGME) that require training programs in obstetrics and gynecology to perform and teach abortion techniques, as well as the impact of these standards on program accreditation, and the programs' and students' consequent eligibility for…

Although many battered women seek help from their family physicians as outpatients, rates of current and lifetime victimization among outpatient female patients have not been well studied. This study tested two hypotheses regarding whether battered women presented to the clinic in a different manner than did nonbattered women. First, within the…

Joseph Dorsey describes the development of the Harvard Medical School service program now serving 40,000 members in two health centers. Planning considerations for developing the primary care residency are included. Arnold Relman discusses the role of internal medicine and pediatrics in training primary care physicians noting subspecialization…

Twenty-one recommendations are made to hospitals, medical schools, health-care payers, and government agencies involved in graduate medical education (residency programs) in New Jersey. The recommendations address five areas of concern: program quality; qualifications of trainees; the relationship between graduate medical education (GME) programs…

Effects of changes in a pediatric practice--expansion of the number of pediatricians and incorporation into a university hospital setting--on continuity of care and utilization were examined, results showing a marked decline in the continuity of sick visits. Discussion emphasizes the need for a deliberate plan of continuity in primary care.…

In response to the need to assure physician competence, a rating scale was developed at the University of Minnesota Medical School for use in evaluating clinical competence in pediatric cardiology. It was tested on first- and second-year specialists. Development and testing procedures are described. (JT)

The psychiatric clerkship for medical students is examined with regard to the accompanying educational process of reconciliation of fantasy to clinical reality. Commonly encountered student fantasies are detailed, and questions are raised concerning the suitability of psychiatric clerkships. (Author/DS)

To prevent deficiencies typical of non-university-affiliated community residency programs, five hospitals were included in the city-wide Phoenix Hospitals Affiliated Pediatric Program (PHAPP). Trainees have been enthusiastic and directors feel all individual programs have been significantly strengthened, overcoming problems inherent in…

A survey of patients in one medical center family practice residency looked at patient satisfaction in terms of: adequacy of explanations and time spent with the physician, comfort in expressing concerns about the teaching program, attitudes toward the teaching program, and availability of their physician. (MSE)

Six ways of organizing optometry students' experience in the management of ocular disease are outlined and their advantages and disadvantages are discussed. (MSE)

Introduction of a course on the doctor-patient relationship in the clinically demanding first postgraduate year encountered two problems: student perceptions that the content was not necessary or was too burdensome, and the tendency of residents to feel guilty or inadequate in patient relationships at that stage of training. (MSE)

Using item responses from an in-training examination in diagnostic radiology, the application of a strength of association statistic to the general problem of item analysis is illustrated. Criteria for item selection, general issues of reliability, and error of measurement are discussed. (Author/LMO)

Systems used by the medical schools for evaluation of applicants for 1984-85 pediatric level 1 residency positions at the Duke University Medical Center were studied to determine the relationship between contents of the applications and the rankings of these applicants for the National Resident Matching Program. (Author/MLW)

A three-year course in patient education was introduced in family practice residency at the Valley Medical Center, Fresno, California. A self-assessment questionnaire (SAQ), developed as an educational tool, is a valuable teaching tool that enhances the learner's ability to alter behavior. (Author/MLW)

Some of the differences between in-hospital and ambulatory medicine and their implications for the teaching and practice of ambulatory care are explored. The availability of time, the role of patient cooperation, and the decision-making process differ in the two settings. (MLW)