This report examines performance evaluations of state loan/scholarship programs and direct support for medical education reform programs for the education and training of health care professionals. It is based on a survey of all administrators of state scholarship and loan repayment programs and a mail survey of officials in the 34 states which have massed medical education reform laws. Part 1 examines efforts to evaluate state scholarship and loan repayment programs and Part 2 reports on evaluations of state medical education reforms. Overall, the study found that most scholarship and loan repayment programs and other medical education reforms enacted by state legislatures have not been evaluated to determine their effectiveness. Concerning scholarship and loan repayment programs, the study found only 20 percent of programs have some kind of report that documents program effectiveness although another 20 percent are planning evaluations. Concerning medical education reforms, only 10 of the 34 states have produced acceptable evaluations of recent state-directed or multi-institutional medical education reform initiatives. Most state laws carry no appropriation to evaluate, nor do they contain measures to enforce a new program's effectiveness. It is urged that some measure of accountability be demanded of programs, to help state legislators as they set priorities for short- and long-term issues, solutions, and allocation of funds. Supporting data appear in tables and figures. Appendices include: the survey questionnaire, a directory of programs, National Health Service Corps (NHSC) reporting requirements, legislation, and other compilations. (BF)