Paracognitive evaluation of medical training recognizes the linkage between training and specific maturational trends. After administering the Paracognitive Evaluation Form to assess medical students' performance in seminars and clinical teaching situations, hierarchical cluster analysis suggested that maturational trends were measured and that…

A cost containment program initiated in 1975 on the medical teaching service of Charlotte Memorial Hospital, a University of North Carolina affiliated hospital, has led to a significant improvement in hospital house staff utilization of facilities and procedures. In the outpatient setting an actual reduction in patient-encounter cost was realized…

The inpatient (ward/intensive care unit) performance of primary care medical residents was compared with that of their peers in the standard internal medicine residency program. Nearly identical performances of the two groups suggests that substantial time in the first two years of residency can be devoted successfully to ambulatory training.…

A group of community hospitals has been linked to the University of Southern California School of Medicine in a continuing medical education network. An educational development team based at the school helps community hospital physicians identify educational needs and develop responses using local and medical school experts as faculty. (Author/JMD)

A longitudinal study of 133 medical students at the University of Illinois used multiple clinical encounters with standardized patients to test student interpersonal and communication skills after the second and during the fourth year. Mean patient satisfaction improved from first to second encounter, and female students performed better than…

Efforts of the Health Resources and Services Administration to combat and ultimately prevent domestic violence are discussed. In collaboration with states and communities, the agency has programs to strengthen the health care infrastructure, support direct community-based service delivery, and educate health care providers. A comprehensive…

This paper argues that medical ethics education relies too much on strategies that target ethical thinking and should focus more on students as ethical actors in specific clinical contexts, responding to ethical dilemmas. Traditional approaches may not offer the skills students need to learn norms of ethical behavior. Strategies for encouraging…

A study in the Queen's University (Canada) medical school's family residency program found that in 70,805 patient encounters with residents, 65.1% were with women patients. While mean number of patients seen by male and female residents did not differ, proportions of women patients seen (58.6% for male residents, 68.4% for females) did vary. Male…

A week-long program sponsored by the Association of American Indian Physicians brings American Indian high school students to Washington DC to introduce them to careers in health, biomedical research, and policy development. Visits with American Indian government agency personnel, congressional leaders, and physicians show students available…

The profession of medicine has a central role to play in ushering in the new paradigm of a health care system that will invest its efforts in health promotion and disease prevention on the one hand and in treatment and rehabilitation of the sick and injured on the other. (MLW)

Maintains that social and political values embedded within health care delivery systems influence what is studied in health communication, and how results are used. Examines political and social functions of communication in health care delivery systems. Describes the consequences of those functions on a six-year investigation of epilepsy in the…

Discusses the effects of trends in health care services, including an emphasis on primary health care and patient involvement, on the information needs of health care professionals and managers. A proposed information network that would provide point of use access to sources of health care information is described. (three references) (CLB)

A 2-year study investigated the attitudes of 63 Saudi medical residents and their 74 Western clinical teachers concerning the teacher-student relationship. Conflicts in perceptions in the first year were found to be largely resolved in the second year, possibly because of the study itself. (MSE)

Among 4,931 young physicians, those most likely to question career choice had higher proportions of white women, African Americans, and Hispanics. These had lower incomes, higher educational debt, more hours and patient visits, and were more likely to report inappropriate use of tests and procedures and lack of autonomy. Implications are…

Using information drawn from a study of six distinguished clinical medical teachers, six domains of knowledge essential to quality clinical teaching were identified and incorporated in a model: knowledge of clinical medicine, patients, the context of teaching rounds, learners, general principles of teaching and learning, and case-based teaching…