A survey of residents and residency supervisors at three Veterans' Administration hospitals affiliated with one school of optometry investigated attitudes toward core optometry curriculum activities. Activities were generally rated well for content and effectiveness of presentation, and the study also provided information for program improvement.…

A survey of medical schools and residency programs in four specialties (family practice, internal medicine, pediatrics, and psychiatry) sought information on the number and type of curriculum units on substance abuse offered by them. Considerable variation in offerings was found among the specialties. (MSE)

A three-year curriculum in medical ethics operates at Rhode Island Hospital and Brown University as part of the general internal medicine residency program. The six major topics covered are co-taught as seminars by one or more members of the multidisciplinary ethics faculty (philosopher, internist, and communications specialist) and experienced…

A survey of residents (N=323) in 6 internal medicine programs investigated the topics students wanted included in the medical ethics curriculum and by which of 17 methods they would prefer to be taught. About three-fourths had previous medical ethics instruction, and most wanted more on specific topics, especially legal and end-of-life issues.…

Results of an annual survey include the numbers and percentages of all medical school graduates obtaining or not obtaining residencies, by gender and ethnic/racial background and their current activities, by residency specialty or other activity (including research, non-medical activity, and year off). (MSE)

A program combining pediatrics and internal medicine is described. The four-year program, focusing on ambulatory care, alternates six-month rotations in each field and includes clinic training. Success factors include comparison of outpatient and inpatient care, developing an ambulatory practice to support resident salaries, and preparation for…

Abraham Flexner's educational philosophy serves as the basis for an examination of medical education. It is concluded that physicians would be better equipped to face the future complexities of medical practice if upper division undergraduate study, medical school, and graduate medical education were better articulated and treated as a continuum.…

Stanford Medical Group, a model group practice in internal medicine, was established at Stanford University (California) within the academic medical center. Clinical faculty status was raised by developing a separate faculty track for the practice. The approach has been well-received and successful in attaining training and patient care goals.…

A study compared student evaluations made by residency directors and deans in 2 medical schools, using 3 standard methods of ranking 20 students per school. Ordinal ranking showed substantial agreement for 15 of 16 residency directors. Two methods of clustering into fixed groups gave high agreement only for top students. (Author/MSE)

Analysis of medical residents' clinical performances in five teaching hospital anesthesiology departments revealed that noncognitive performance in some areas was a powerful predictor of overall clinical performance and was related to the occurrence of critical incidents. Noncognitive predictors included conscientiousness, management, confidence,…

The following essential elements of programs that prepare physicians to care for at-risk children effectively are described: (1) active participation in children's care; (2) effective service programs for learning; (3) comprehensive, multidisciplinary, flexible, and intensive programs; and (4) program evaluation. The policy implications in…

A seminar designed to teach the principles of psychiatric history-taking, diagnosis, and management to first-year residents was found to be an effective format. Further research into the effectiveness of current educational models is recommended. (Author/MSE)

A study assessed the effectiveness of medical resident training programs during 1983-88 by evaluating students' certification scores and comparing them to the program's evaluation of students' clinical competence. Results are reported and analyzed for top-rated, university-affiliated, and non-university-affiliated programs, focusing on trends over…

A survey of 129 medical residents in an urban teaching hospital revealed a general lack of knowledge about computers, although most had used a microcomputer. Students were most likely to be able to use word processing (73%) and bibliographic retrieval (71%) programs. Better access to and training for computer use are recommended. (Author/MSE)

Describes a New Britain General Hospital (Connecticut) program that uses mid-level practitioners, including physician assistants (PAs), to augment diminished staffs of residents in surgical residencies. Topics discussed include program structure, efforts to reduce the potential for PA/resident conflict, protection of residency program integrity,…