A broader definition of quality in medical student residency training is offered to guide development of outcome quality measures. The definition includes the following dimensions of program quality: student characteristics; cost-effectiveness; degree to which it meets society's needs; and fair and ethical selection, assessment, and treatment of…

A University of Wisconsin program for pediatric residents included participation in a community-based alcohol and other drug abuse assessment and intervention program for adolescents, didactic sessions, role playing, and interview skills training. Participating students (n=25) showed significant gains in knowledge, use of screening techniques, and…

This article briefly describes the four-year primary care program (beginning in the senior year of medical school and sponsored by the departments of internal medicine and family medicine) offered at the University of Nebraska Medical Center College of Medicine. Preliminary evidence indicates that the seven students and residents enrolled are…

Common complaints about physicians are that they don't care enough about patients, don't know enough to practice the best medicine, and don't do enough to maintain the public's trust. The best way for graduate medical education (GME) to address these complaints is to improve the educational content of residency programs. (MSE)

This article examines the debate over reform of doctoral education in biomedicine and concludes that the two solutions most advocated are flawed, and that the broad nonscientific education some would like to see in the graduate curriculum is most appropriate in the undergraduate years. More rigorous graduate education, not job-related training, is…

Reviews the rural physician shortage and related policy and research needs. Discusses geographic distribution of physicians, quality of rural care, rural recruitment and retention, rural residency training, factors in medical education affecting entry into rural practice, physician productivity and income, reimbursement, federal and state programs…

When physicians ascribe errors to systemic causes, they may be less likely to modify future behaviors and more likely to repeat past errors. Academic medical centers should balance protecting patients from errors that a systems approach can identify against providing optimal education for house officers by teaching them to focus also on personal…

Objective: This study surveyed residents' experiences learning an emerging area of demand in psychiatry at a time when there is a lag in training resources. Unexpectedly, the data generated useful evidence in support of adult learning theory. The result is a post hoc examination of learner attitudes and activities during the spread of a new…

The Medical College of Wisconsin (MCW) and the Wisconsin Geriatric Education Center (WGEC) are committed to developing educational materials for primary care physicians in training. In response to the opportunity created by the Accreditation Council for Graduate Medical Education (ACGME) competency mandate, an MCW-led interdisciplinary working…

Missions of medical schools include teaching, research, and patient care, but these missions can vary greatly in importance between schools. Schools may also pursue more specific goals in addition to the traditional ones. Additional goals may include production of primary care physicians, recruitment of underrepresented minorities into the medical…

This report describes the development and psychometric qualities of a new instrument to assess clinical teaching effectiveness in medical education. The strength of the instrument is seen to lie in the qualitative development process involving iterative checking with key stakeholders; its high reliability, validity, and feasibility; and its ease…

This publication brings together statements concerning the minimum knowledge and skills objectives in alcohol and other drug abuse determined by the professional organizations of six medical specialties: pediatrics; emergency medicine; obstetrics and gynecology; psychiatry; general internal medicine; and family medicine for undergraduate,…

This volume primarily contains the detailed reports of the subcommittees on physician manpower, foreign medical graduates, financing of graduate medical education, and minority representation in medicine. Detailed background information and considerations used by the subcommittee in developing the conclusions and recommendations are provided.…

An examination of the changes over a ten-year period (from 1972 to 1982) in the number, distribution, and characteristics of Ph.D. faculty of clinical departments of medical schools is provided in this report. Trends in the training and research involvements of this group are stated with special emphasis on an analysis of the factors associated…

Trends in the supply of physicians in the United States and in the South are reviewed, along with physician distribution, retention of medical school graduates, minority physicians, and migration of physicians into the South. During the 1970s and 1980s, the 14 states making up the Southern Regional Education Board (SREB) region experienced…