A review of 287 patient visits to a teaching hospital polyclinic shows that most patients had multiple problems that required the help of subspecialists. However, the patients' needs for accessibility, comprehensiveness, coordination, and continuity are as great as those of patients receiving primary care. Implications for academic internal…

The performance of psychiatric residents with various lengths of medical primary care internship during their first year of residency training are compared. The results suggest that first-year residents without a traditional 12 months medical internship are not at a substantial disadvantage compared with those with a year's internship. (JMD)

Project Porvenir functions as a manpower resource for primary health care systems developing in rural New Mexico. By providing supervised interdisciplinary teams of students in medicine, nursing, and pharmacy, Porvenir increases the service capabilities of the facilities with which it is affiliated. (LBH)

A solution to the rural health crisis will require not only changes in student selection, curriculum, and training location but also strengthening of the rural economy, improved reimbursement to rural hospitals and primary care physicians, and increased sensitivity among leaders of the medical profession to rural community and practitioner needs.…

The ambulatory care clerkship at the College of Human Medicine of Michigan State University has an extensive database of clerkship experiences including a catalog of students' clinical experiences, assessment of students' performances by the faculty, and students' evaluation of various aspects of the clerkship. (MLW)

The cycles of growth of the nursing profession depict subordination of nursing to hospital administration and medicine. Nursing is ready to move into an integrative, collaborative stage of development that places nurses directly responsible to patients, and this would facilitate nursing's response to clients' health concerns wherever they occur.…

A survey of 246 primary care and 90 academic physicians found that for the former, length of training, direct patient contact, and threats of malpractice suits were significant influences in career choice. For the latter, long-term research participation, intellectual stimulation, specialty content, and mentor or role model were more significant…

Generalist physicians of the future will need new knowledge and skills for continuous improvement of health care. Successful examples can be found in the work of generalist physicians who combine knowledge for improvement with discipline-specific knowledge to improve patient and community health. Curricula can be developed to teach students and…

From 1984-87, 12 pediatrics residents from the Yale University School of Medicine participated in a 3-year program emphasizing well-child care, developmental/behavioral pediatrics, chronic illness, and adolescent medicine. Participants performed better than others on interview skills and management of behavioral problems, but not in other areas.…

A method for training physicians in a simple, efficient, and effective smoking cessation counseling strategy consisted of lunchtime seminar, follow-up reinforcement session, and prompt sheet for use during counseling. The counseling strategy emphasizes individual motivation, assessing and addressing obstacles to quitting, drug therapy, contracting…

The availability of primary health care services is an growing concern of New York's rural citizens. Many rural country doctors are approaching retirement age, while most graduating physicians choose high tech specialties rather than primary care. In November 1989, a statewide conference examined the role of New York State medical schools in…

Conducting research in the field of public health care policy requires the use of many different materials in the library. This guide provides a bibliography of useful tools as well as a basic strategy to follow when researching a topic. The following tools are included in the guide: indexes and abstracts; books; statistics; government documents;…

A World Health Organization report concerning strategies for promoting communication and collaboration between and within the health and educational systems is presented. Changes that are needed to increase communication and collaboration are identified separately for the health services system and the health manpower training system. In addition…

This publication addresses the issues of diverse health care needs and perceptions of the people of Israel based on their ethno-cultural backgrounds. Also studied is the provision of health care services and delivery systems as well as changes in the health care structure with emphasis on regionalization and community oriented primary health care.…

Revisions and extensions of Title VIII of the Public Health Service Act are presented in this conference report of the U.S. House of Representatives. It is proposed that the Act be cited as the "Public Health Service Act Amendments of 1984." The texts of proposed amendments, including revisions of the language of the legislation, are…