Describes a traditional hospital-based subspeciality training program and a hospital-based primary care teaching unit and then describes two new programs which are working reasonably well. Discusses opportunities such programs represent, problems they face, and some possible solutions, including the need for involving all participants in planning…

Edward Kowalewski discusses involving the community in medical education emphasizing the need for models to be flexible in light of different community environments. Harold B. Wise focuses discussion of training in the new setting on the development of a practitioner to assist patients and families in their normal development. (JT)

Describes and evaluates the School Health Programs of the University of Rochester School of Medicine and Dentistry's pediatric training: first-year lectures, second-year electives, clinical consultation for house officers, and a year-long experience as a local school consulting pediatrician for associate residents and fellows. (JT)

Emery School of Medicine's freshman behavioral science course, which includes units on medical care, psychiatry, and epidemiology, is directed toward attitude formation as well as intellectual development. Units and field experiences are described and evaluated and the course impact over a 4-year period found to be positive. (JT)

Community health screening as a preceptorship experience is reported from the Department of Family Practice at the University of California-Davis. Second-year medical students improve their skills and knowledge in medical interviewing and screening physical examination, enhance school-community relationships, and learn the problems of a medically…

The University of California, San Diego, School of Medicine has established a campus-based ambulatory clinic to encourage university faculty and staff to seek care from medical school physicians and to use its teaching hospital several miles away. Planning and construction, staffing, operations, and student and resident education are described.…

The primary care pediatric residency program at the Dartmouth-Hitchcock Medical Center has developed a training program in rural primary care. Residents experience the many facets of rural practice and are introduced to community-oriented approaches to child health care. (Author/MLW)

Long-term economic forecasts and public opinion polls suggest that health will consume a growing share of the national resources. New competitive forces and revised reimbursement mechanisms will lead to a redistribution of the health dollar. A model developed by Georgetown University is discussed. (Author/MLW)

Significant improvements in general health and health care services in the U.S. are noted, although many have been obscured by worsening environmental conditions. Remaining problems due to inflation and distribution of physicians are discussed briefly, along with governmental policy and national health insurance. (LBH)

A three-stage plan was conceived by a multidisciplinary, multiprofessional staff that encompassed behaviorally oriented educational objectives, instructional methodologies for the objectives, and evaluation instruments. The resulting curriculum focused on issues important to team delivery of primary care. (LBH)

In paper presented at 81st Annual Meeting of the Association of American Medical Colleges in Los Angeles from October 29 through November 2, 1970, author suggests a new health services delivery system. (IR)

Issues are discussed involved in the application of the "oft-quoted Flexnerian model" to the community base of medical education and care, the singular set of structural problems characterizing a medical school's interface with the community, and the relationship of changes in medical care over the past 30 years to primary care medical education…

Four years of experience with an undergraduate program in a new community-based medical school are described in which students are involved over a two-and-a-half year period in the delivery of primary care in rural and semi-rural community health centers. The program appears to represent a viable new model for medical education. (Author/LBH)

A survey of one medical school's graduates examined their perspectives on the design and benefits of their community health center training, including how their time was spent in the program, goals of the experience, program strengths and weaknesses, and how the program prepared them for residency training. (MSE)

The results of a survey of patients at three community health centers operated by the University of Illinois College of Medicine at Rockford are presented and discussed. The research was designed to obtain a better understanding of the patient's views on the quality of care and medical students. (Author/MLW)