This article uses the case study of 3-year-old Anna and her parents to illustrate how a child development specialist can be integrated into a private pediatric practice. First, pediatrician Hamburger describes how she and other members of her practice integrated a child development specialist into their pediatric practice. Second, Anna's parents…

A series of evening supper-seminars, launched as a voluntary extracurricular educational experience, were used to teach one aspect of community medicine in an informal setting at the University of Arizona. The area addressed was community medicine as an interface between medical practitioners and community activities and organizations concerned…

A study in a medical center investigated the feasibility of primary care practices combining internal medicine and pediatrics residencies. Equally divided among children and adults, the patients had sought specialists and were highly satisfied. The physicians had appeal particularly to young upper-middle class patients. (Author/MSE)

A study using microcomputer algorithms for more efficient management of six common pediatric care problems found improvements in all performance measures with computer algorithm use. However, use was discontinued after five weeks because the six physicians perceived the algorithms as too tedious for routine care. (Author/MSE)

In three decades, the osteopathic profession has moved from primarily manipulative therapy to full-service health care, replacing primary care emphasis with specialization. The profession should return to its original mission of primary care, establish links with allopathic medicine, and support new national policy for primary health care.…

This manual was developed to train primary health care facilitators and health educators in the construction and use of low-cost supplementary learning materials that are both socially relevant and participatory in nature. The curriculum is organized to provide the facilitator with a course outline and syllabus, suggested list of supplies,…

One reason medical students favor specialization over generalist medicine (primary care) is a perception of generalist medicine as nonrigorous. Chaos science, a new field, reveals an intellectual basis for generalist medicine. The history, strengths, and limits of reductionist thinking in medicine and aspects of chaos theory illuminate this…

A description is provided of a course, "Nursing in the Pediatric Intensive Care Unit," offered for senior-level baccalaureate degree nursing students. The first section provides information on the place of the course within the curriculum, the allotment of class time, and target student populations. The next section looks at course content in…

Describes the use of integrated modular teaching of the human biology component of the Health Associate Program at Johns Hopkins University, where the goal is to develop an understanding of the sciences as applied to primary care. Discussion covers the module sequence, the human biology faculty, goals of the human biology faculty, laboratory…

This paper summarizes a lecture given to pharmacy students that emphasizes the pathophysiologic mechanisms causing congestive heart failure and the effects of drugs on these mechanisms. The approach shows the importance of drug therapy in this disorder and how this knowledge can improve patient care. An appendix provides a case study. (GLR)

The Teenage Health Teaching Modules (THTM) program is a health education curriculum for adolescents. Each THTM module frames an adolescent health task emphasizing development of self-assessment, communication, decision making, health advocacy, and self-management. This module offers information on how young people may avail themselves of community…

In the University of South Dakota's medical school clerkship program, students may choose one of three ambulatory-care settings. In one, the curriculum is problem based and student centered to enhance student interest in primary care. The new program has been successful and well received and is being further developed. (MSE)

A study evaluated the effects of a required ambulatory care clerkship on students' (n=776) knowledge of primary care medicine and subsequent career choices. Results suggest that exposure to outpatient medicine during medical school facilitates student knowledge of primary care medicine and influences career choice. (Author/MSE)

A study of the distances between physicians' (n=2,612) residency program locations and first practice locations indicates that most moved less than 75 miles. Primary care physicians moved significantly shorter distances than did other specialists. This pattern has changed little over the last few decades. (Author/MSE)

A potential generalizable approach for assessing, eliciting, and codifying criteria to select candidates for positions in the Hennepin County Medical Center primary care internal medicine residency program is described. The approach involves a faculty questionnaire designed to examine the importance of various types of criteria. (JMD)