The medical school-hospital relationship is examined in terms of graduate medical education, primary care initiatives, classification of patients, financing house staff, hospital referrals, and planning constraints. (LBH)

Three options are discussed: (1) recognize graduate medical education as an extension of undergraduate medical education and finance it as an education expense; (2) develop a mechanism for equitable distribution such as New York's 10/90 percent scheme; and (3) recognize GME as part of the health care delivery system financed as such. (LBH)

The Pediatrics Residency Program of the Mt. Sinai Medical Center in Cleveland, Ohio, instituted a microcomputer-assisted information management system that provides the means for documenting the resident's patient contacts and learning experiences. Its role in meeting requirements of the Accreditation Council for Graduate Medical Education in…

Medical residency programs that offer student support groups and have taken other steps in support of residents' adjustment are reviewed. Options for program development that are flexible and convenient and offer psychological and social support are suggested for programs not already offering them. (MSE)

Graduates of "fifth pathway" programs at medical schools in New York state between 1976-1978 were studied to determine their professional careers and choice of medical specialties. Fifth pathway graduates, 95 percent from Mexican medical schools, were more likely to select nonprimary care than primary care specialties. (Author/MLW)

Residents in pediatrics, internal medicine, and family practice were asked about career goals for the year following their residency and in five years. Information was obtained about their motives for career choices including humanitarian interests; intellectual motivation; service motives; and practical, personal, and financial considerations.…

Information used in a brief lecture that introduces a biomedical ethics curriculum in an obstetrics and gynecology residency is described. Major components include theories of philosophic ethics (formalist and consequentialist) and principles of biomedical ethics (honesty, contract-keeping, nonmaleficence, justice, autonomy, beneficence,…

This paper presents and interprets examiner and participant performance data obtained from an experimental field test of the test item and case simulation libraries of the American Board of Emergency Medicine Specialty Certificate Examination. Subjects were 94 medical students, residents, and emergency physicians. (Author/LMO)

This study identified components in the implicit (what was actually taught) curriculum for clinical instruction at the University of North Dakota School of Medicine. The underlying philosophy, curricular content, implications for teaching strategies, and sequencing of what was taught, were examined. (BS)

The increase in the number of women and the decline in the number of foreign medical graduates in U.S. medicine were studied by comparing the specialty distributions of house officers in the 1973-74 and 1979-80 training years. Implications are discussed in the context that there is a physician surplus. (Author/MLW)

A relationship was found between a surgery clerk's chances of receiving an honor rating and level of student advocacy, number of completed patient interview and physical examination write-ups, and examination scores. Several less relevant variables had no relationship with honor ratings, lending support to the faculty forum evaluation approach.…

The hospital charges of three groups of patients in one hospital were compared. The results of the study indicated that teaching patients with a faculty attending physician had significantly higher hospital charges, while teaching patients with a community attending physician had charges similar to private, nonteaching patients. (Author/MLW)

A four-week geriatric rotation in a nursing home that emphasized rehabilitation for stroke victims, patients with fractured hips, and amputees, and the team approach in care for the elderly is described. Student response was very positive, student sensitivity was improved, and all students felt the team approach could be applied to later practice.…

The general internal medicine program at the University of Colorado has sought to emphasize the psychosocial aspects of care in its training. The performance of traditional track residents with general internal medicine resident performance was compared. (MLW)

Two internal medicine residency programs at Baylor College of Medicine are discussed. The traditional program emphasizes experience in the care of acute problems within a hospital inpatient environment. The primary care residency program emphasizes training in the outpatient environment and in noninternal medicine disciplines. (MLW)