A monthly journal club for residents uses detailed discussions and analyses of clinical research articles to teach the important concepts and principles of medical research in a manner useful to the practicing physician. Discussion is structured by a guide for presenting the articles to the group. (Author/MLW)

The Association of American Medical Colleges' statement defines misconduct in research, discusses its prevention, and outlines suggested processes and policy for handling allegations of misconduct, appeal and final review, and disciplinary action. (MSE)

Incidents of scientists allowing personal or outside interests to cloud their professional judgment in conducting research are alarming and unacceptable. The Association of American Medical Colleges' Ad Hoc Committee on Misconduct and Conflict of Interest in Research offers a conceptual framework and defines institutional and individual…

Current problems in health care delivery, including inadequate access to care and high costs, and potential solutions are examined. Additional emphasis on health promotion and disease prevention, increased biomedical research, the dissemination and implementation of findings, and better physician preparation to deal with the problems are…

An autobiographical account by the army's chief logistical adviser to the surgeon general during World War II calls attention to the challenges of medical service planning and three postwar changes in medicine: demand for access to care; bigger federal biomedical research expenditures; and the rise of specialization. (Author/MSE)

An analysis of the state of medical informatics, the application of computer and information technology to biomedicine, looks at trends and concerns, including integration of traditionally distinct enterprises (clinical information systems, financial information, scholarly support activities, infrastructures); informatics career choice and…

This paper proposes that physicians' use of computerized medical information systems in the practice of medicine can assist delivery of cost-effective, high-quality patient care and help expand clinical research. However, benefits can be realized only if clinicians participate in system development and implementation and if senior institutional…

Among six conclusions of a study on computerized literature retrieval by medical students at the University of Missouri were that many students easily became independent users of MEDLINE, that previous computer use was not related to effective MEDLINE use, and that effectively trained students used the MeSH vocabulary as easily as faculty. (DB)

Clinical trials and access to therapeutic drugs pose dilemmas for researchers, physicians, and AIDS patients. The National Institute of Allergy and Infectious Diseases, recognizing the need for greater access to drugs by a broader spectrum of the infected population, is establishing the Community Programs for Clinical Research on AIDS. (Author/MLW)

This discussion of traditional academic medicine's resistance to changes in practice, technology, and finances looks at three current problems in medical education and two in biomedical research. Solutions are proposed, based on redefinition of the relationship between universities and medical schools and expansion of the conventional narrow focus…

Two conference presentations are summarized: (1) the Human Genome Project and other genetic discoveries and technologies, that offer improvements in diagnosis, disease prevention, and treatment, and that change the relationship between the academic medical center (AMC) and the pharmaceutical industry; and (2) new emphases on health-care outcomes…

Three principal aspects of capital needs in biomedical research are discussed: the significant and growing need for capital; sources; and the role of federal policy. Important assumptions, questions, and possible future trends are discussed. Consolidated thinking and effort are encouraged. (MSE)

Students (n=143) at the Indiana University School of Medicine were surveyed--before and after pharmacology laboratory experiences using dogs--for their assessments of educational and moral aspects of animal laboratories. Most students indicated that the laboratory experiences did not involve immoral use of animals and were preferable to…

Reports the findings of the Working Group on Capturing the Promise of Medical Research, which addressed questions concerning the direction of biomedical research, academia-industry relations, and the integration of scientific developments in medical education and practice. A dominant theme emerged: the central importance of an environment of…

The National Institutes of Health has developed innovative programs to help students, mostly medical school graduates, to repay or to forgive student loans, including physician participation in AIDS research, general research, and contraception and fertility, and plans for graduates from disadvantaged backgrounds. The program also provides…