Analysis of the internal medicine clinical rotations of 43 University of Michigan medical students revealed that students saw many kinds of medical problems but few instances of each and that there were wide gaps in exposure to some typical ambulatory care problems. Student skill gains did not correlate with problem types encountered. (MSE)

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'…

Data on 180 pediatrics and 302 internal medicine residency training programs concerning vacation, leave of absence, extension of training because of absence, and related policy suggest wide variation depending on postgraduate year of training, discipline, program size, and program type. Implications for accreditation, testing, and certification…

A study investigated whether internal medicine training program directors found feedback on their students' test performance helpful in understanding where their residents ranked nationally. Results suggest that directors have learned to rank their own candidates against a common standard but may have lowered the standards they used. (MSE)

A study with 21 internal medicine residents at 1 teaching hospital found that the students perceived an even balance between the service and education functions of their night-call activities. No significant difference was found between first-year and senior (second-, third-, and fourth-year) residents. (Author/MSE)

A survey of 121 internal medicine residents at Mount Sinai Hospital (New York) investigated students' career plans and decision timing, the effect on their residency of applying for a fellowship, and the timing of the fellowship process. Results indicate the current medical fellowship application system is generally experienced negatively. A…

A survey of 330 internal medicine residency directors found two-thirds of programs had ongoing academic affiliations. Support for the arrangements was stronger in university programs than in community or other hospitals, where such affiliations were considered less equitable and mutually trusting. Experience with consortia mitigated objections to…

The University of Hawaii developed an assessment and testing program for qualifying internal medicine residents in basic procedural skills: an observation period, a multiple-choice examination, and a slide-identification examination. The mean scores of both examinations were analyzed to assess whether curriculum changes were effective. (Author/MLW)

A three-year curriculum in medical ethics operates at Rhode Island Hospital and Brown University as part of the general internal medicine residency program. The six major topics covered are co-taught as seminars by one or more members of the multidisciplinary ethics faculty (philosopher, internist, and communications specialist) and experienced…

A survey of residents (N=323) in 6 internal medicine programs investigated the topics students wanted included in the medical ethics curriculum and by which of 17 methods they would prefer to be taught. About three-fourths had previous medical ethics instruction, and most wanted more on specific topics, especially legal and end-of-life issues.…

A program combining pediatrics and internal medicine is described. The four-year program, focusing on ambulatory care, alternates six-month rotations in each field and includes clinic training. Success factors include comparison of outpatient and inpatient care, developing an ambulatory practice to support resident salaries, and preparation for…

Stanford Medical Group, a model group practice in internal medicine, was established at Stanford University (California) within the academic medical center. Clinical faculty status was raised by developing a separate faculty track for the practice. The approach has been well-received and successful in attaining training and patient care goals.…

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…

Specialty choices for medical school graduates of the University of Sao Paolo (Brazil) in 1975-84 and 1989-94 were analyzed by gender. Results showed women predominating in pediatrics and men in surgery and orthopedics in both periods, with no gender predominance in other specialties. Significant changes occurred in specialty choice patterns…

A study of medical students' and internal medicine course directors' perceptions of the value of medical case write-ups and the faculty evaluations of those write-ups found broad agreement on the exercise's value but major concerns about variability of criteria and standards of write-up evaluation. (MSE)