Presented is the report made by the Financing Panel of the Graduate Medical Education National Advisory Committee (GMENAC) on the impact of financing issues on graduate medical education medical practice, especially those related to the geographical and specialty distribution of physicians. After an introduction to the study, the following are…

Case law concerning standards of care provided by health care practitioners in training is examined. Currently, medical students and residents are being held to the same standard of conduct as practicing professionals, and supervising faculty have a parallel duty to provide supervision to meet both that standard and legal requirements.…

The Wayne State University (Michigan) medical school program of videotaping resident interviews with patients and reviewing them with faculty is described and evaluated. Topics discussed include the program's structure and process, recurrent themes in the review sessions, residents' perspectives on the process, potential barriers to a successful…

Attitudes of 120 residents from three teaching hospitals about psychosocial aspects of patient care and the feasibility of teaching psychosocial skills to residents were compared to those of 86 practicing internists, 42 psychiatrists, 29 academic general internists, and 63 surgeons. The newly developed scale was seen as useful in evaluating…

This paper identifies issues that underlie student financing of education in the health professions in terms of the interrelationships and interactions between financial aid programs under Title IV of the Higher Education Act and Titles VII and VIII of the Public Health Service Act. Section 1 provides background to the issues by describing…

Part 5 of a seven-volume report made by Graduate Medical Educational Advisory Committee (GMENAC) on the relationship between the education environment and specialty and subspecialty career choices is presented. After background information, Section 2 examines such conceptual and methodological issues as boundaries of the educational environment,…

This Digest is a summary of the principal policy implications from Medical Education Financing: Policy Analyses and Options for the 1980s, comprehensive policy analyses of options for financing both undergraduate and graduate medical education. Five general classes of options are evaluated: (1) reimbursement reforms, (2) loan programs, (3)…

Selections from materials developed for a National Institute of Education two-day workshop to examine workplace perspectives on education and training policy are presented. Participants included employer and trade union representatives, education and training specialists, policy analysts, and government officials. Part I on national perspectives…

In most countries, it is the state that has been taking over the support of universities and of teaching hospitals, a trend that has accelerated rapidly over the past 25 years to meet the expanding needs of higher education and of health care. In medicine the problem of university autonomy is further complicated by the long-standing custom that…

Study of 193 University of Kentucky medical school alumni investigated whether those entering by early decision (ED) would demonstrate geographic preferences in choice of undergraduate institutions, in-state residency sites, and practice locations similar to demonstrated preferences for medical school. ED graduates were significantly more likely…

In an experimental program, problem-based learning was used as the primary instructional method for a one-month primary-care internal medicine rotation on AIDS (Acquired Immune Deficiency Syndrome) patient care. Resident, tutor, and faculty perceptions of the problem-based approach were positive. Despite substantial initial planning, little…

This statistical report, one of a series published every 3 years since 1975, consists of distribution data regarding medical college faculty by sex, ethnicity, degree, department, academic rank, age, tenure status, and year of first faculty appointment. It is organized into three sections, of which the second two constitute the bulk of the…

Financing and cost factors in medical education and the effect of the many missions of a medical school on funding issues are discussed. The teaching mission of medical schools includes undergraduate medical education (preparation for the MD degree), graduate medical education (training of resident physicians), biomedical specialist education,…

Study of 394 physicians graduating in 1989 from six New York medical schools found that certain residency-training factors had sustained effects on physician behavior in caring for AIDS (acquired immune deficiency syndrome) patients, but not on the number of patients treated. Determinants of treatment practice included residency environment,…

A survey concerning 2,449 graduate medical students who withdrew and 887 who took extended leave from residencies in the 1991-92 year investigated the reasons for leaving and patterns among residency years, specialties, men and women, and ethnic groups. Comparisons were also made with osteopathic, foreign, and Canadian programs. (MSE)