Describes "Instant Experience," a simulation and game method in which students are given information about a promising new drug and asked to design a protocol for a clinical trial of the drug. Evaluation of a trial workshop showed positive response to the method. Educational goals to be achieved through its use are noted. (JT)

Considerations to be made in designing an optometry curriculum for treating patients with eye diseases are reviewed, including the scope of practice and specific areas of instruction in the biomedical, basic vision, and clinical vision sciences. (MSE)

The use of student health centers at California higher education institutions as medical student training sites in 1988 is documented. Directors of the 28 residency programs using student health centers for their residents reported satisfaction with the association, and health center directors with residents on rotation also reported overall…

A study investigated the relationships among nine instruments designed to measure clinical knowledge and performance in a third-year surgery clerkship. Results suggest that various types of measures are necessary for broad evaluation of clinical performance. Instruments clustered into two groups: measures of medical knowledge and clinical…

An innovative internal medicine clerkship provides a one-month ambulatory care component followed by two months of traditional inpatient experience. Assessment of the changes in student ability to diagnose in a variety of brief cases found knowledge gains in the shorter ambulatory care segment were double those in the longer segment. (MSE)

Supervision of the counselor trainee by a supervisor during an actual counseling session is the topic of this presentation. The first page, presented in outline form, lists six types of live supervision: bug-in-the-ear, monitoring, in vivo, phone-in, consultation, and walk-in. Also listed are differences between individual and family live…

Programs in emergency medicine are expected to become increasingly organized with the development of emergency medicine teaching faculties. A clerkship design with clinical instruction, classroom instruction, and evaluation is described. (Author/MLW)

Dental and dental hygiene faculty should maintain their clinical skills through regular practice, to improve their ability to relate to students through instruction, provide an additional source of income, and improve their image in the community. Institutional policies fostering and regulating faculty practice plans are suggested. (Author/MSE)

Interrater reliability in numerical ratings of clerkship performance (n=1,482 students) in five surgery programs was studied. Raters were classified as accurate or moderately or significantly stringent or lenient. Results indicate that increasing the proportion of accurate raters would substantially improve the precision of class rankings. (MSE)

Six senior dental students participated in a preprosthetic surgery clinic and then performed implant surgery on patients. Patient reactions were highly favorable. Students and faculty found the prosthodontic phase more difficult than the surgical. Program continuation at the predoctoral level is anticipated. (MSE)

Suggestions for organizing the objective structured clinical examination for medical students and physicians address selection of competencies to be evaluated, number, type, and duration of examination stations, use of examiners, clarity of instructions, test administration, resource requirements, interstation signals, and recordkeeping. (MSE)

A remedial program was designed for Oregon Health Sciences University clerkship students demonstrating adequate clinical skills but inadequate knowledge. In two years, six students were enrolled in the tutorial program. The experience was highly successful for all but one. Participants saw it as one of their best medical school experiences.…

Analysis of the first- and fifth-week clerkship activities of six doctoral pharmacy students focused on student-instructor contact time and the significance of student contributions to patient care. Results indicate both costs and benefits to clerkship instruction and provide a framework for future studies evaluating such instruction. (Author/MSE)

Analysis of data from an annual graduating medical students' survey revealed that a required third-year family medicine clerkship of at least four weeks is associated with a higher percentage of students choosing training and specialty certification in family practice. Whether clerkship inspires or reinforces preexisting choices is not indicated.…

A study found that (1) undergraduate pharmacy students' attitudes toward mental illness were not significantly associated with demographic or socioeconomic factors; and (2) although clinical rotations, in general, do not affect attitudes toward mental illness, a psychiatry rotation increases students orientation toward the medical model.…