The organization and curricula of internal medicine residencies programs that emphasize primary care are described and compared with traditional residencies in internal medicine. It is noted that primary care residents spend more time in ambulatory care and are allowed more electives in specialties outside of internal medicine. Out-of-hospital…

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.…

The history, status, problems, and prospects of postgraduate medical training for primary care practice in the United Kingdom are reviewed in order to provide insight for American medical educators. The British emphasis on hospital-based training is questioned, but is seen as less of a problem for Americans. (Author/JMD)