This article proposes that in order for academic medical centers to compete with successful group practices, health maintenance organizations, and integrated health service networks, they must form clinical faculty into a competitive medical group with more price-competitive and user-friendly services, restructure clinical training to be more…

A primary care preceptorship was successfully incorporated into the University of Michigan medical school's third-year curriculum. Key components included agreement across primary care specialties on goals and objectives, involvement of community practitioners, frequent communication with preceptors, active feedback to preceptors, and thorough…

The West Virginia School of Osteopathic Medicine's success in educating and retaining primary care physicians for practice in rural Appalachia is ascribed to its focused mission; a multistate student exchange program; careful recruitment, admission, and placement; early clinical training in rural sites; and status as a state-supported institution.…

Performance by medical school sophomores (N=106) on higher-order questions in a second year introductory medicine course did not correlate with perceived performance in subsequent clerkships any better than did performance on fact-recall items. The use of multiple clinical simulations may emerge as the only satisfactory controlled assay of…

A study of precepting conversations between 11 pairs of internal medicine interns and faculty preceptors found strategies used to correct the interns consistent with pedagogic norms favoring discovery learning and with societal norms favoring egalitarianism and respect for individuals. However, this raises questions about effects on interns'…

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.…

A study identified seven recurring ethical issues arising in pediatrics clerkships at the State University of New York at Buffalo, then surveyed pediatrics house staff concerning frequency of encountering the topics, levels of comfort in addressing them, role models and resources, and perceived need for training. Residents perceived training to be…

Four professional participants in a well-developed community-based medical education system examine the implications of current change for their various roles, managing a community hospital, directing a local area health education center, teaching family medicine, and as a community preceptor. Some common themes concerning community-based medical…

A 20-year follow-up study of 37 students enrolled in a University of Virginia alternative medical education curriculum found the program was successful in improving students' morale during preclinical instruction, preparing them for clerkships, and increasing sensitivity to patients. It was not effective in inducing students to enter primary care…

A telephone survey of 42 medical schools in areas of high, medium, and low incidence of human immunodeficiency virus (HIV) investigated school policies concerning prevention and reporting of HIV infection, confidentiality, screening, limiting clinical activities, counseling, vaccination, prophylactic drug administration, and disability and health…

A medical school course integrating basic science and clinical issues consists of 13 problem-based learning exercises, each exploring a clinical case. Using networked terminals in specially-designed small-group rooms, students progress through cases with a faculty facilitator. Users cite access to better images, accountability, and juxtaposition…

A year-long third-year medical school course at the University of California, Los Angeles, integrates underrepresented topics into the clinical curriculum. One day every two weeks, students visit community-based clinical sites and engage in small-group sessions, following and managing simulated patients during the year and examining the…

A study of predictors of performance of 123 internal medicine residents at the University of Michigan found the most significant predictors to be internal medicine clerkship grade, honor society status, medical school reputation, and scores on the National Board of Medical Examiners, Part I examination. Results suggest that the intern selection…

A survey of 272 medical school chief residents concerning proposed revisions of internal medicine residency requirements found the most strongly supported changes were: enhanced training in interviewing, interpersonal, and physical examination skills; increased emphasis on residency as an educational experience and on general internal medicine in…