Clinical supervisors play key roles in facilitating trainee learning. Yet combining that role with patient care complicates both roles. So, we need to know how both roles can effectively co-occur. When facilitating their trainees' learning through practice, supervisors draw on their skills - clinical and supervisory - and available opportunities…

The American Board of Internal Medicine's experience with the evaluation of clinical skills from 1971 to 1975 based on visits with the administrators of 166 residency training programs is described. Included are the evaluative methods employed by the programs, minimum standards of performance, and the benefits to training in internal medicine…

Results of McGill University's program to encourage early specialization in medicine, surgery, psychiatry, and family medicine showed that: students chose the medicine specialty with increasing frequency; poor performance on licensing examinations may have resulted; the process did not lead to an early career choice; and students did not use…

A survey of one university's internal medicine residency graduates from 1969-79 showed 30 percent had no change in plans regarding general versus subspecialty practice since medical school, and 41 percent made final decisions during residency. Inpatient care experiences, peer interactions, and faculty role models were most influential. (MSE)

The spectrum of patients seen in a traditional hospital-based training program is compared with patients seen in the University of Minnesota's ambulatory care clinic. Records were kept of the author's primary care experience with 687 patients. (LBH)

Experience on the traditional internal medicine, surgery, pediatrics, obstetrics-gynecology, and psychiatry clerkships was compared with the experience on a family medicine clerkship. The family medicine clerkship offered the most experience with circulatory, respiratory, digestive, neurological, musculoskeletal, and skin problems and with…