Regulations instituted by the Department of Health, Education, and Welfare effective in 1976 require skilled nursing facilities (SNF) to provide either a physician serving as medical director, or to have an organized medical staff. This report describes how SNFs responded, and what the effects were on their operations. Descriptive data were…

Objective: The author describes child and adolescent psychiatry (CAP) undergraduate teaching in American and Canadian medical schools. Methods: A survey asking for information on CAP teaching, student interest in CAP, and opinions about the CAP importance was sent to the medical student psychiatry director at 142 accredited medical schools in the…

The medical director of a child guidance center is starting a new treatment program. The director has paid for three social work therapists to attend a cognitive-behavioral therapy (CBT) workshop to the population of poor, Spanish-speaking teens. However, the medical director struggles with how to bring the principles of evidence-based practice…

A Professor of Medical Ethics and a theatre director, also mother and daughter, talk about health, illness, suffering, performance and practice. Using the lenses of ethical and performance theory, they explore what it means to be a patient, a spectator and a practitioner and cover many plays, texts and productions: Samuel Beckett's "Not…

Objective: A new Child and Adolescent Psychiatry in Medical Education (CAPME) Task Force, sponsored by the Association for Directors of Medical Student Education in Psychiatry (ADMSEP), has created an inter-organizational partnership between child and adolescent psychiatry (CAP) educators and medical student educators in psychiatry. This paper…

Introduction: The rapid increase in the use of the Internet for continuing education by physicians suggests the need to define quality criteria for accredited online modules. Methods: Continuing medical education (CME) directors from Canadian medical schools and academic researchers participated in a consensus process, Modified Nominal Group…

Health maintenance organizations (HMOs) medical directors and academics (N=450) explored the barriers to and incentives for cooperation between academic medical centers (AMCs) and HMOs in clinical education. AMCs need to be prepared to offer meaningful academic and financial inducements to attract HMOs to participate in teaching. (Author/MLW)

The medical director of the Kibbutz Child and Family Clinic (Tel Aviv, Israel) reviews developmental patterns as well as the incidence and nature of emotional disorders of 3,000 3-to 18-year-old Kibbutz children referred to the clinic during 20 years. (MC)

An action learning process in which medical directors planned and reflected on their own actions worked best when specific, time-limited actions were involved. Despite overlap between action research and action learning, they are clearly different. Action learning helps clinicians gain insights into their own work behavior. (SK)

The medical director of a child protection center reflects on the unique problems of the therapist involved in court litigation and how these cases have changed the definition of the role. Therapists need to work with others involved in the case to minimize the harmful effects of such cases. (JPS)

A hospital, school district, and pediatrician collaboration ensured all elementary students access to health care. School nurses referred students without health insurance needing health care to hospital-provided nurse practitioners for primary care. The hospital provided pharmacy, radiology, laboratory, and emergency services. The pediatrician…

This supplement to the final report presents raw data from the survey for a project to describe the current and future roles of professional administrators, medical directors, and governing bodies of fee for service and prepay medical group practices of various sizes in such a way as to be potentially useful to health care delivery educators in…

This paper describes a lay course on general relativity (GR) given at the Osher Lifelong Learning Institute at Florida International University. It is presented in six hour-and-a-half weekly sessions. Other courses offered by the author include special relativity (which precedes the course described here), quantum theory, and cosmology. Students…

As the health care system changes, new opportunities for physician executives include chief medical officer, director of medical education, health insurance compliance officer, utilization review officer, chief medical information officer, and chief executive officer of the physician-hospital organization. (JOW)

Objective: Residency programs compete for applicants and commit extensive resources to the recruitment process. After failing to fill in the match for 5 years (1999-2004), this program decided to make changes in its recruitment process. The authors describe one program's experience in improving recruitment outcomes. Methods: The new training…