The experience of two combined residency programs in internal medicine and pediatrics is reviewed. The difficulty for residents of achieving competence in two disciplines is compounded by a lack of faculty role models. Success will depend on the ability of graduates to offer special talents to academic and clinical settings. (Author/MLW)

Examines the concept of "pediatric social illness" (child abuse, neglect, accidents, ingestions, and failure to thrive) in a sample of 94 Black families whose children were admitted to Children's Hospital Medical Center (Boston). Explores economic, social, and environmental causes of the phenomenon. (GC)

Although most American infants and young children receive adequate well-child care, they may not receive needed help if developmental problems arise. This report examines primary health care services that promote infant/child development and suggests ways to improve those services as part of routine primary child health care. The report details…

This fact sheet uses a question-and-answer format to summarize what is known about HIV/AIDS (Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome) and pediatric AIDS and applies this information to children in school settings. Questions and answers address the following topics: what the AIDS disease and HIV infection are; estimates…

This final report discusses the activities and outcomes of a 3-year project designed to replicate a uniquely successful training model for involving physicians in community early intervention systems. The Caring for Infants and Toddlers with Disabilities: New Roles for Physicians (CFIT) model includes three replicable components: state planning,…

This study evaluated 102 patients (ages 5 to 13) at the Medical University of South Carolina's Pediatric Neurology Clinic for incidence of psychiatric or language disorders. Parents completed the Pediatric Symptom Checklist (PSC), the Child Behavior Checklist, and the Language Problems Scale; phone interviews were conducted to determine child…

The Healthy Steps for Young Children program is a national initiative developed by pediatricians from Boston University in collaboration with professionals from the Commonwealth Fund. This program for families with young children (birth to 3 years of age) provides developmentally--oriented services within pediatric primary care through addition of…

A study is described that identified a set of measureable skills, evaluated the effects of a simulated patient program on students' observed interview skills, and tested the ability of trained simulators to evaluate interview skills by comparing simulator ratings and faculty ratings of the same interviews. (MLW)

Matrix organization offers a structure that can facilitate coordination and cooperation in health care educational administration. Its application within the health care system is reviewed, the matrix organization of the primary care residency at the University of Pennsylvania is reported, and advantages and disadvantages are discussed.…

Specialty choices for medical school graduates of the University of Sao Paolo (Brazil) in 1975-84 and 1989-94 were analyzed by gender. Results showed women predominating in pediatrics and men in surgery and orthopedics in both periods, with no gender predominance in other specialties. Significant changes occurred in specialty choice patterns…

The Child Development Review (CDR) combines parents' and pediatricians' observations to monitor the development and adjustment of infants and young children. The method includes a questionnaire completed by parents, systematic professional observation, and pediatrician-parent discussion. Research on the CDR in well-child care, a preschool…

Presents a brief history of the medical profession's attention to child sexual abuse; describes the physician's role as reporter and evaluator of medical evidence; and suggests areas where practice may be improved or research is needed. It explains why more detailed guidelines and protocols are needed for medical personnel involved in sexual abuse…

Analysis of data from 53 medical students found a gender-specific correlation between faculty evaluations of clinical clerkships and eventual female student choice of that rotation's specialty and between high mini-Board scores by male students and male selection of that specialty. Substantially more women chose pediatrics residencies than…

Compared dyads of mothers and low-birthweight infants who participated in a comprehensive early intervention program during the infant's first three years with dyads who received pediatric follow-up. Intervention group mothers had higher ratings than follow-up mothers on quality of assistance. Intervention children had higher ratings on…

This article presents a model to guide activity-focused physical therapy and occupational therapy interventions for children with neurological conditions. Activity-focused interventions involve structured practice and repetition of functional actions and are directed toward the learning of motor tasks that will increase independence and…