A method of estimating resident staffing needs is evaluated, including discussion of (1) methodological changes needed to estimate needs for service care and assisting attending physicians with private cases; (2) data collection; (3) representative findings; (4) using cost, ease of use, understandability, communicability, and validity as…

Suggestions for alleviating the critical shortage of competent faculty training programs for the allied health professions. (IR)

Examples of social concerns in health care delivery, such as the foreign medical graduate situation and physician distribution, are used to illustrate the author's suggestion that there are discrepancies between the underlying situations and the subjective perception of the social concerns involved. This causes inadequate or inappropriate reforms.…

A survey of residents at a county medical center concerning their education before and after a new faculty practice plan found improved ratings on three of nine characteristics: quality of staff, quality of supervision, and heterogeneity of patients. Some commented on increased time needed for rounds due to faculty responsibilities. (Author/MSE)

An AAMC survey of American medical schools indicates that 34 percent have specific programs underway or planned to teach health care cost containment. The majority were introduced during the last two years; the costs are fairly modest. Further activities might be enhanced by development of a program primer and the organization of workshops.…

The implementation of a psychiatric outpatient experience for a first class of junior medical students in a nonmedical model community mental health clinic is presented. Advantages and disadvantages of exposing students to a community-oriented, rather than a medical center-oriented, treatment system are detailed, including differences in patient…

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)

A program designed to introduce residents and medical students to community resources for children and increase their knowledge of the factors affecting children's development is described. Trainees spend approximately one-third of their time in program activities that involve 25 community agencies. (Author/MLW)

The medical care system is undergoing widespread and significant changes. Individual hospitals may be disappearing as mergers, acquisitions, and a variety of multi-institutional arrangements become the dominant form and as a host of free-standing medical enterprises spread out into the community. (MLW)

An experimental health-care delivery and teaching model, the health department-medical school affiliation, is described. Its conceptual basis and the affiliation agreement are reviewed and its impact is likened to that of the medical school-teaching hospital affiliation. The affiliation between the Lexington-Fayette County Health Department and…

The role of the university in medical education, specifically, the education of the medical practitioner is discussed. The challenge is to connect better the practicing physician to the evolving knowledge base and the scientific agenda to the world of practice. (MLW)

The required first-year clerkship in family and community medicine at the University of Massachusetts Medical School is discussed. The goals and objectives and the teaching methods used to implement the program are described. It is suggested that community medicine clerkships belong in the first year of the curriculum. (Author/MLW)

Economic trends in health care delivery and medical education in the United States are examined. It is noted that the market for physician services is being more extensively socialized due to insurance practices and it is suggested that there is a trend toward desocializing medical education and transferring a greater share of the cost to the…

Pediatric residents from Children's Hospital National Medical Center in the District of Columbia rotate through Holy Cross Hospital in Maryland to experience pediatrics at the community level. A structured rotation in pediatricians' offices is part of the resident training program. (JMD)

Students at the University of Arizona College of Medicine participated in an exercise in community-oriented primary care. They learned basic principles of health risk analysis and community-oriented care and then designed hypothetical, comprehensive health care services for medical students by using knowledge of health risks specific to their…