In many low-income communities, children are not properly immunized and are left vulnerable to completely preventable illnesses. This report provides information gained as a result of a 1-year funding project in the Chicago area to determine why so many children were not being immunized and how to increase immunization rates. The project tested 5…

Community-based medical education is key to training physicians to work in needy fields such as outpatient care and health care for the medically underserved. Describes the disadvantages of traditional medical school curricula and presents sample community health curricula now being used. Suggests ways to increase medical students' awareness of…

A practicum was conducted to address the problem of medical exclusion of kindergarteners in a Chicago elementary school serving black, low income children. In order to comply with the state health law, all students entering school for the first time must show evidence of a current physical examination and up-to-date immunizations. Students not in…

Instead of increasing institutionalization of the elderly, the author suggests increasing life enhancing programs with preventive health care. She discusses various health and social services in New York City, including outreach projects, day care programs for the elderly, and the value of senior center-hospital cooperative services. (MF)

Traces academic medicine's historical opposition to community medicine and its emphasis on traditional hospital-cased curricula subspecialties, to the neglect of primary and preventive care, community-oriented medicine, and public health. Calls for reducing barriers to basic medical services for all, and for training physicians equipped to respond…