While other universities are selling, privatizing, or downsizing hospitals, Marshall University (West Virginia) has joined with a local hospital to construct a rural health center and library, ambulatory care center, and cancer center. The arrangement will achieve efficiency for the medical school and other laboratory users, integrate education…

A study of 16 years of records of a general internal medicine faculty at a university hospital and its affiliated Veterans Administration medical center suggests the faculty involved in subspecialties and who have protected research time can improve their research productivity. (Author/MSE)

Examines nineteenth-century psychiatric institutions in the Netherlands, focusing on institutions for difficult and neglected children. Considers these areas: (1) background and character of committals; (2) scientific, professional, legal, and financial contexts; and (3) the scope and course of reformatory schooling and healing. (DB)

The paper discusses issues of concern to early childhood special educators serving on hospital ethics committees to assist families with seriously ill and handicapped infants in neonatal intensive care units. Issues include infant euthanasia and the right to life, child abuse legislation, and possible effects on families. (Author/JDD)

The cycles of growth of the nursing profession depict subordination of nursing to hospital administration and medicine. Nursing is ready to move into an integrative, collaborative stage of development that places nurses directly responsible to patients, and this would facilitate nursing's response to clients' health concerns wherever they occur.…

The Chronically Ill Infant Intervention Project at Georgetown University (Washington, D.C.) initiates treatment in the special care nursery for chronically ill infants and infants with multiple health problems. The project's interdisciplinary team provides developmental evaluations, direct intervention in the hospital and in the home, and parent…

Procedural due process issues concerning the suspension or dismissal of medical and dental residents are outlined, and related court litigation is discussed. It is concluded that courts generally follow the faculty due process model. (Author/MSE)

Describes research exploring links between commitment laws and homelessness among mentally ill. Shows treatment differences in rural and metropolitan areas. Suggests narrow urban interpretation of laws leads to homelessness while rural overreaction leads to more unwarranted commitments. Identifies continuum-of-care needs. Suggests topics for…

Computerized workstations at a teaching hospital were developed so that physicians in training could integrate and automate some of their information management tasks. The project is part of the National Library of Medicine's Integrated Academic Information Management Systems program at Georgetown University School of Medicine. (Author/MLW)

A survey of larger Canadian hospitals, pharmaceutical manufacturers, and recent pharmacy graduates employed in Ontario hospitals investigated the demand for a doctoral program in pharmacy in Canada, particularly at the University of Toronto. Results clearly demonstrate the need for such a program. (Author/MSE)

Describes the development of a consumer health information service, InfoHealth, which is operated by the Kingston Public Library (Ontario). Cooperative planning between public, academic, and hospital libraries and community health organizations is described; acquisition of materials is explained; and staffing and promotion of the service are…

Costs for caring for severely mentally disabled persons receiving housing subsidies and/or case management services or who were in a state hospital were compared in two Ohio counties. Comparisons for 82 persons found differences among community-based group settings, but the state hospital costs at least 3 times higher. (SLD)

The Columbia-Presbyterian Medical Center (New York City) program of preemployment urine toxicology examinations for beginning housestaff physicians has resulted in treatment for two physicians testing positive for illegal drugs. The program's primary purpose is to focus on substance abuse issues in graduate medical education. (Author/MSE)

A discussion of management issues at teaching hospitals reviews their history and examines specific challenges in this context, including the ill-defined middle management level, the relative roles of the manager and department heads, separation and integration of managerial, academic, and medical responsibilities, and financing from more than one…

Consequences for medical education and teaching hospitals of a 1958 policy ruling in France include considerable benefits to regional hospitals resulting from their status as teaching hospitals; improved doctor training; improved general staff quality; underdeveloped research capabilities; and slow integration of new disciplines and technologies.…