Despite evidence of increased interest among medical students in entering family practice, concern for the needs of the chronically ill and aged still seems to be largely absent in medical schools and students have negative attitudes toward them. Restructuring of medical education is necessary to promote more concern. (LBH)

A case-based, problem-oriented, modular curriculum in geriatrics for medical students was evaluated to investigate whether: students would demonstrate cognitive knowledge gain, students' attitudes toward the elderly would change favorably, suggested activities would influence students' ratings, and which institutional characteristics facilitate…

Students at the Mount Sinai School of Medicine of the City University of New York taking a required clinical clerkship in geriatrics were surveyed before and after the clerkship on their knowledge of geriatrics, attitudes toward the elderly, and evaluation of the rotation. (Author/MLW)

A study of internal medicine residents' attitudes toward specific older patients' health status, adjustment to medical care, and expected benefits of health education activities found that residents' attitudes correlated with their satisfaction and that patients tended to express greater satisfaction than residents. (Author/MSE)

Forces acting on medical education and compelling a reexamination of current approaches include cost containment, competition and price sensitivity, new technologies, the physician surplus, and a rapidly expanding, politically assertive aging population. (MSE)

Certain historical aspects of the biology of elderly people may be obscure to the medical observer and must be incorporated in medical case histories. History forms from 10 facilities and interview techniques were evaluated. Results from the Boston study show medical education is incomplete in this area. (Author/MSE)

The University of Maryland School of Medicine, in cooperation with the five other campus professional schools, has developed a comprehensive, interdisciplinary geriatrics training program for students entering the health care professions. A model is offered for medical educators interested in geriatric curriculum design. (Author/MLW)

The challenge of geriatric medicine in an era of limited resources is addressed. Focus is on containing the costs of health care in several neglected areas of geriatrics: stroke, long-term care, patient and family counseling, and death. (JMD)

A required eight-week rotation in ambulatory medicine at three clinics that included house calls by medical students is described. The students' evaluation of the curriculum provided information on the effectiveness to teaching strategies and the success of transmitting knowledge about the homebound elderly. (Author/MLW)

A format was devised for nursing home rounds that provides for discussion among staff members and specialists and is aimed at teaching and the resolution of specific patient-care and administrative issues. Many complex medical problems were handled without transferring the patients to an acute-care facility. (Author/MLW)

Research findings have demonstrated the relevance of a home care experience for teaching the interactions of the social, psychological, environmental, and biological factors that characterize chronic illness. Research was conducted in the Home Care Program at the University of California, San Francisco. (Author/MLW)

Evidence is presented to support the development of the nursing home as a required clinical educational site. Analogies and differences between the nursing home and the hospital in medical education are explored as a means of understanding the potential and limits of the nursing home's role in medical education. (Author/MLW)

A study describing demographic, residential, health, and utilization characteristics of patients over 70 years of age followed in a hospital-based teaching group practice is presented. It is concluded that physicians' training should include management--for an extended period of time--a cohort of elderly, independent, ambulatory patients.…

A geriatric health maintenance program, started as a community medicine elective and now an innovative model in humanistic health care, is described. Junior and senior medical students act as live-in facilitators of comprehensive health care for the elderly tenants in publicly subsidized housing units. (Author/MLW)

A national survey of family medicine programs and residency training in geriatrics found almost half using home care services as teaching sites. In the program design preferred by residents, the resident followed the patient long-term and discussed management with a multidisciplinary team. An alternative combined rotation is discussed. (Author/MSE)