A study of 187 internists, evaluated by peers they recommended, found the highest rating was for integrity, and lowest was for psychosocial aspects of patient care. Peer raters' response rate and analysis of the ratings suggest this rating process is acceptable to physicians and that it is feasible to obtain reliable, multidimensional peer…

Surveys were mailed to a sample of Michigan internists and family practitioners (N=2060). This study examined influences on (1) how confident physicians feel about treating a particular problem, (2) where they look for assistance and advice, and (3) what level of continued involvement in the patient's care they prefer. (MLW)

A study was conducted to assess the knowledge of nutrition of family practitioners and general internists and first- and second-year medical students before they had received medical school instruction in clinical nutrition. The physicians scored better on topics most heavily researched and worse on less heavily investigated topics. (Author/MLW)

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…

Information about the consultative practice of nephrology in a community environment was gathered and used to speculate about improvements that could be made in the training of nephrologists in academic medical centers, based on their knowledge of such training. (Author/MLW)

A trained research assistant used a structured observation form to observe hospital attending rounds, measuring the use of population perspective (risk-factor assessment, prevention, epidemiology, social aspects of illness) during internal medicine case presentations. Results indicated this perspective was raised more frequently when a generalist…

This study compared the analytic scores on an essay test of clinical judgment generated by nonphysician readers with those of physician readers. Generalizability theory was applied to determine the number of essays and scorers required to reach specified levels of reproducibility. Results suggested that with training nonphysicians could…

Although generalist physicians have traditionally been defined by their specialties (family, internal, pediatric medicine), this approach may not recognize specific competencies and training needed. A new definition based on functional requirements of generalist practice and the central role of the generalist in comprehensive care is proposed.…

In a survey, 1,851 registered nurses evaluated 232 internists' humanistic qualities, communication skills, and selected aspects of their clinical skills. Their ratings corresponded moderately with peer physician evaluations and had a common structure but were lower for several humanistic qualities. A reliable assessment required 11-15 nurses'…

Medical education's current goal of producing 50% generalists, composed of practitioners in internal medicine, family practice, and pediatrics, is examined. Issues include the definition of generalist, the number of generalists needed, changes needed in graduate and undergraduate medical education, changes needed in the practice environment, and…

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…

Using data on 3,569 women and 15,582 men trained in internal medicine, this study investigated gender differences in choice of primary care practice and their possible relationship to training program type, traditional or primary care. Results indicate women pursued primary care more often than did men, regardless of training program completed.…

This article briefly describes the four-year primary care program (beginning in the senior year of medical school and sponsored by the departments of internal medicine and family medicine) offered at the University of Nebraska Medical Center College of Medicine. Preliminary evidence indicates that the seven students and residents enrolled are…

The humanistic qualities of 70 University of Michigan first-year internal medicine residents were rated in 1987-88 and 1988-89 by patients, attending physicians, supervisors, and nurses. Results indicate that all four groups had different view of the humanistic attributes of residents in patient interactions. (Author/MSE)

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;…