The Department of Medicine at Cleveland Metropolitan General Hospital fosters general internal medicine in a graduate training program with a "medical firm" system of medical care. The firm system consists of four medical teams that care for distinct patient populations, closely integrating outpatient and inpatient care. (Author/JMD)

Development of instructional objectives at the residency level in podiatric medicine is discussed. The Harris County Podiatric Medical Residency Program is outlined including the educational philosophy of the program, general program goals, specific instructional objectives, instructional resources, and evaluation of residents. (MLW)

Pediatric residents from Children's Hospital National Medical Center in the District of Columbia rotate through Holy Cross Hospital in Maryland to experience pediatrics at the community level. A structured rotation in pediatricians' offices is part of the resident training program. (JMD)

Among the approximately 480 references on medical education, the following topics are covered: accreditation and certification, computers, continuing education, curriculum, educational measurement, research and evaluation, foreign graduates, forensic medicine, graduate education, history, internships, foreign education, schools, minority groups,…

Reports the findings of the Working Group on Capturing the Promise of Medical Research, which addressed questions concerning the direction of biomedical research, academia-industry relations, and the integration of scientific developments in medical education and practice. A dominant theme emerged: the central importance of an environment of…

In a survey of 36 residents and 41 medical faculty at the West Virginia University School of Medicine, residents recounted 127 ethical disagreements between attending physicians and housestaff in the previous year; attending physicians reported 19. Students' most troubling disagreements were over treatments they considered futile. Only 11 had…

Many recent changes affecting the general and rural health care system are reviewed. The American Association of Medical Colleges' recommends a task force on rural health and medical education be established to begin active dialogue on how medical education can effectively respond to the challenges of rural health. (Author/MSE)

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…