To provide medical students in community-based clinical settings with access to the same range of educational resources (medical literature, student colleagues, feedback, faculty) available at the academic medical center, this paper proposes that advancing information technology be applied to create a "virtual clinical campus" in the community…

General practitioners predominate in osteopathic as compared with allopathic medicine, perhaps because of the student selection process, features of osteopathic education, training in osteopathic hospitals, required rotating internship, and more high-quality general practitioner role models. Personality differences may account for differences in…

This report presents a policy- and methodology-oriented discussion of factors involved in developing and analyzing quality assurance in European health care. Data are taken from research literature and interviews with representatives of national health authorities, professional organizations, and research and educational institutions. The first…

An evaluation of free health care for the homeless in Britain showed that it lacks government directive, has biases and overlaps, is disproportionately delivered in emergency rooms, and relies on advocacy from the nonprofit sector. Systems of care in the U. S. must better address the needs of disenfranchised groups. (Author/VM)

Health care professionals were surveyed concerning their use of health education methods and the ease of implementing the stages of the process of lifestyle counseling. Results are discussed for three different provider groups and for specific aspects of the health education process. Recommendations to address problems are included. (Author/EMK)

The current shortage of primary care physicians demands that medical schools implement ameliorative procedures. Two general approaches were evaluated. It was concluded that only the one advocating medical curriculum manipulation offers a viable direction and that focusing on selecting applicants with certain biographical characteristics has…

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)

Selection of family practice residencies in 1981-89 was compared for graduates of State University of New York campuses and all United States medical schools. Compared to other groups, more of the students who had been trained during their third year in a Binghamton primary care clerkship selected family practice residencies. (MSE)

Suggests ways that teams of home economists, integrating information from constituent fields of the discipline, may provide important services to hospices. Suggestions are included from the areas of human development and family relations, foods and nutrition, housing and interior design, clothing and textiles, and financial management and decision…

A preceptorship program design to introduce preclinical students to primary care in both underserved and adequately served communities is described. A preliminary evaluation of the program's first year indicates that it has had an impact on the students' attitudes. (Author/MLW)

Discussion of efforts to improve availability of primary health care in rural areas addresses student selection, curriculum, training environment, and special inducements, and controversial areas such as rural training sites, merging of specialties, and compromise of residency continuity. It is proposed that basic institutional philosophical…

The oral testimony of health professionals recorded in this document questions the Federal government's success at assuring prenatal care for poor women. The concern is that many of the infant deaths that occur in the United States might be prevented if the mother had received adequate prenatal care. Programs have improved the health care delivery…

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…

Rural training tracks (RTT) encourage family medicine residents to enter into rural practice. Studies reveal that 76 percent of RTT graduates are practicing in rural America and that graduates feel prepared for rural practice. However, RTTs produced only 107 graduates during 1989-99. Without significant investment, this model can not supply enough…

Background: Concerns have been raised about the quality of medical care available for people with intellectual disabilities in community-based services. The aims of this study were to evaluate a model of medical care developed during a programme of deinstitutionalization, based on a specialist physician supporting general practitioners (GPs).…