A study of family physicians graduating from Texas residency programs between 1979 and 1987 analyzed patterns of practice location and their relationship to residency location, focusing on size of practice community and distance from the residency program. It is concluded that state policy has effectively distributed physicians in the state. (MSE)

A survey of women physicians elicited 373 responses from women who had experienced pregnancy during residency. Respondents indicated that major sources of stress included frequency of call, fatigue, long hours, and too little time with partner. Women medical staff were perceived as supportive. Maternity leave of less than 6 weeks was felt to be…

Directors (n=469) participating in the National Resident Matching Program and responding to a survey felt the selection process distorted the senior year for medical students. They supported development of a centralized residency application service with electronic transmission of data. (DB)

To investigate the validity of anesthesiologist certification, 146 anesthesiology program directors were asked whether they would permit each of their graduating residents to complete 3 increasingly complex anesthetic regimens to the directors themselves and rate residents on specific skills. Director responses generally correspond to…

Pennsylvania State University College of Medicine conducts an off-campus retreat for medical residents, in which the instructional focus is on the humanities and particularly difficult medical and ethical issues. Students have found the format beneficial both personally and professionally, valuing involvement of senior faculty, the programs'…

An orientation program for 110 incoming housestaff was implemented at the School of Medicine and Biomedical Sciences at the State University of New York at Buffalo. Residents received instruction in large-group teaching skills, bedside teaching, small-group discussion, and student evaluation. The program was rated positively by residents.…

Analysis of 174 reported state and federal adjudication decisions from 1950-89 concerning graduate medical students and their training identified 22 percent of cases as involving programmatic issues. Of these, most addressed problems of academic administration, especially resident dismissals. Recently, programs have accommodated judicial scrutiny…

The University of Cincinnati Department of Internal Medicine instituted a peer review moonlighting committee of residents to design departmental guidelines, document work activities, identify discrepancies, and initiate control policies. Results suggest such a program may help establish mutually acceptable work activity guidelines while…

A Northwestern University (Illinois) medical residency program requires each student to complete a research project. Project goals and structure are specific, but residents may choose any project that is original, ethical, and scientifically sound. So far, one-third of the projects have been published or presented at a regional or national…

Theories of professional knowledge and reflective practice were used to develop a new postgraduate program. Central to the curriculum design was the acknowledgment that a wealth of knowledge creation takes place outside the academic setting. The existing experience of practitioners is an important source of knowledge and the ability to reflect…

Ways in which the proliferation of competitive health care financing and service delivery systems based on managed care affects the financial support available to academic medical centers (AMCs), especially graduate medical education programs, are discussed. Analysis is based on case studies of AMCs. Trends, potential conflicts, and areas for…

Describes and evaluates the reflecting team approach with family practice residents to teach interviewing skills, systems-oriented psychosocial interventions, and patient behavioral health consultations. Questionnaire responses of 18 family practice residents participating in a longitudinal behavioral health program at the University of Arizona…

Education of medical students in the basic and clinical sciences must be integrated into a seamless curriculum over four years, team-taught by both a clinician and a basic scientist. Medical students must be able to perform an initial evaluation of a neurological complaint and know when consultation is needed. (Author/MSE)

Describes and evaluates a teaching initiative in evidence-based medical care in McGill University's family practice residency program. Discusses results of pre- and post-course self-assessments by students, which indicated significant increases in skill at formulating clinical questions and searching for evidence-based answers, appraising reviews,…

The two major continuing medical education (CME) credit systems for allopathic physicians in the United States are administered by the American Medical Association (AMA) and the American Academy of Family Physicians (AAFP). This article explores the history of AMA and AAFP CME credit and its value to physicians and the patients they serve.…