Using an 18-item form, residency program directors rated residency performance of graduates (n=401) of a 3- and a 4-year medical school program at Loyola University of Chicago. Three-year program graduates showed less strength in background medical knowledge and experience using research data. The only marked differences were in surgery and…

A review of 136 malpractice cases involving residents and resident programs 1950-83 found a substantial increase in cases after 1975. Most concerned vicarious liability, applicable standard of care, and resident supervision. Residents were on the side of the prevailing party in 44 percent of cases. (Author/MSE)

A study with 21 internal medicine residents at 1 teaching hospital found that the students perceived an even balance between the service and education functions of their night-call activities. No significant difference was found between first-year and senior (second-, third-, and fourth-year) residents. (Author/MSE)

Selection of family practice residencies in 1981-89 was compared for graduates of State University of New York campuses and all United States medical schools. Compared to other groups, more of the students who had been trained during their third year in a Binghamton primary care clerkship selected family practice residencies. (MSE)

Literature on general, fellowship, and short-term faculty development activities for family medicine educators is reviewed. Suggestions for future activities include initiation of training during residency, fourth year clinical fellow positions and two-year research fellowships supported by clinic revenue and grants, and more rigorous fellowship…

General practice medical residents (n=18) evaluated their performance in videotaped consultations at the beginning and end of a three-month residency. Results indicate self-awareness was increased. A major benefit of this method, in addition to feedback, may be training in self-evaluation, useful throughout a demanding career. (Author/MSE)

A study of the distances between physicians' (n=2,612) residency program locations and first practice locations indicates that most moved less than 75 miles. Primary care physicians moved significantly shorter distances than did other specialists. This pattern has changed little over the last few decades. (Author/MSE)

A survey of 456 rural physicians identified features of their training that correlated with their self-reported preparedness for rural practice and small-town living, and with how long they stayed in their rural practices. Results suggest residency rotations in rural areas are the best educational experiences to prepare physicians for rural…

Describes the development and implementation of a World Wide Web-based electronic evaluation system for the internal medicine residency program at the University of Minnesota. Features include automatic entry of evaluations by faculty or students into a database, compliance tracking, reminders, extensive reporting capabilities, automatic…

A rural track residency is a collaborative educational entity. Crafting such a residency program involves creating a nurturing relationship between academic, corporate, and community cultures that balances values and risks and focuses on mutual benefits of collaboration. Steps in the process, obstacles encountered, and solutions are described.…

Purpose: To examine the validity of using scores from a clinical evaluation form as an assessment of clinical competence. Method: Investigators collected a longitudinal clinical skills assessment database that included scores reflecting performance on standardized patient interactions, case-based learning performance, scores on multiple-choice…

Objective: The authors discuss the knowledge, attitudes, and skills needed for a resident to be competent in supporting and working with families, as mandated by the residency review committee (RRC) core competencies. Methods: The RRC core competencies, as they relate to patients and their families, are reviewed. The Group for Advancement of…

Objective: Demonstrating psychotherapy competency in trainees will test the resources of psychiatry training programs. The authors outline the phases of team-based learning (TBL). Methods: The University of Oklahoma College of Medicine, Tulsa (OUCM-T), Department of Psychiatry reorganized its psychodynamic psychotherapy didactic course using TBL.…

Objective: To determine that portfolios, useable by any program, can provide needed evidence of resident performance within the ACGME general competencies. Methods: Eighteen residents constructed portfolios with selected entries from thirteen psychiatric skills. Two raters assessed whether entries reflected resident performance within the general…

Objective: Residents are at a higher risk than the general population for the development of stress-related problems, depression, or suicide. The authors describe a curriculum for educating PGY-1s and residency program directors about physician impairment. Methods: A resident wellness program was established with the goals of preventing resident…