A study examined the relationship between (1) internal medicine patients' total charges and lengths of stay and (2) the degree of autonomy that attending physicians (n=65) permitted their residents (n=40). Results suggest that internal medicine residents have an inherently conservative practice style valuing low-intensity workups and rapid patient…

Comparison of opinions of residents in two programs providing different amounts of geriatric training concerning management of four geriatric and two traditional internal medicine problems found all had less confidence about geriatric than traditional problems. Students with more training offered more support for nondiscriminatory care of elderly…

A study with two graduate medical student cohorts (n=18, n=20) supports use of a structured protocol for student credentialing that includes stringent monitoring of the entire process and formal, regular feedback to housestaff regarding progress. Students credentialed with the revised monitoring showed significant improvement in results.…

A study assessed the effectiveness of medical resident training programs during 1983-88 by evaluating students' certification scores and comparing them to the program's evaluation of students' clinical competence. Results are reported and analyzed for top-rated, university-affiliated, and non-university-affiliated programs, focusing on trends over…

A study investigated the availability of each of 19 medical school support services offered by 493 residencies in 6 specialties: family practice; internal medicine; obstetrics/gynecology; pediatrics; psychiatry; and surgery. Results show many specialties do not offer common, effective support services. It is suggested that programs move to…

A survey of 1,139 Virginia family practitioners and internal medicine specialists investigated interest in pursuing geriatric education, including such factors as preferred form of education, preferred topics, intent to take the geriatric medicine qualifying examination, geriatric care provided, home visits, prior participation in geriatrics…

A study of six distinguished clinical teachers in internal medicine investigated how they made rapid instructional decisions in response to each case presentation in teaching rounds. Results indicated these characteristics: substantial planning before rounds; quick, simultaneous diagnosis of patient problems and learners' level of understanding;…

A 1990 survey of 102 directors of internal medical residencies with the largest numbers of foreign-born foreign medical graduates revealed the most important performance predictors were performance on the Foreign Medical Graduate Examination or National Board of Medical Examiners test, interviews, and U.S. postgraduate clinical experience.…