Survey data (1993-94) from 264 fourth-year medical students and 500 clinical faculty members at 59 medical schools found that schools that have primary care missions and have historically produced more generalists transmit higher levels of encouragement to their students about primary care. However, even at schools with strong primary care…

The Veterans' Administration new Primary Ambulatory Care and Education (PACE) program at the Sepulveda (California) VA Medical Center, departs from traditional VA medical education models by shifting focus of care from inpatient to outpatient settings. The program uses an interdisciplinary team approach and stresses managed primary care. Aspects…

A study evaluated the impact of the reorganization of the academic Sepulveda (California) Veterans' Administration medical center toward primary and ambulatory care. Surveys of several thousand patients were linked to computerized utilization and mortality data and related to the center's strategic plan and goals. Substantial improvement in…

A collaborative summer program by the University of Washington medical school, a professional association, and regional and state agencies provides students with an early introduction to community medicine in rural and urban underserved areas. Students (n=74) have been extremely satisfied. Suggestions are made for identifying potential program…

Medical, nursing, pharmacy, and dental education in West Virginia's state universities has undergone substantial changes since 1991, becoming more responsive to community needs. A primary-care, community-based academic system now involves students, faculty, health professionals, and lay community members in identifying and serving needs in…

A study assessed the extent to which the City University of New York medical school's innovative integrated baccalaureate/preclinical degree program has met its objectives of expanding access to medical careers among inner-city youth, especially minorities, and encouraging pursuit of primary care specialties among graduates. Results suggest…

This study identified factors in graduating medical students' choice of primary versus nonprimary care specialty. Subjects were 509 students at the Medical College of Georgia in 1988-90. Students could be classified by such factors as desire for longitudinal patient care opportunities, monetary rewards, perception of lifestyle, and perception of…

The process of change at the academic Sepulveda (California) Veterans' Administration hospital during implementation of a new ambulatory primary care program was examined through individual or focus group interviews with 63 managers, house officers, and patients. Major problems included administrative integration of in- and outpatient services;…

Describes the University of Florida medical school's curriculum-development efforts, including introduction of early clinical experience in primary-care settings, enhancement of small-group active learning, development of computer-based interactive materials, increased clinical teaching in ambulatory care, effective course and faculty evaluation,…