David McK. Lawrence discusses the objectives, program components, strengths, and weaknesses of the MEDEX training model, an attempt to bridge the gap between academe and practicing physicians for the new health practitioners. Robert E. Jewet describes background, program highlights, and key issues in the physicians assistant (PA) training…

Joseph Dorsey describes the development of the Harvard Medical School service program now serving 40,000 members in two health centers. Planning considerations for developing the primary care residency are included. Arnold Relman discusses the role of internal medicine and pediatrics in training primary care physicians noting subspecialization…

Investigates the effects of the telemedicine medium on doctor-patient relationships. (MH)

An outreach program for Dartmouth Medical School has been developed which utilizes rural communities in the education and training of medical students and residents in primary care. (Editor)

Contains a summary of the responses to a survey questionnaire which was sent to all academic medical centers in the U.S. in April 1973 concerning programs in health services delivery and primary care education. (Editor)

The study described here demonstrated that students with different learning styles are initially inclined toward careers in different specialities or types of medicine and are influenced by different factors in medical school in making their career decisions. Implications for medical education are included, particularly regarding primary care…

Defines and depicts graphically the relationships between primary, secondary, and tertiary care functions (from least to most intensified phases of medical care); ambulatory care (care of sick or well people not confined to bed); and family medicine (an emerging medical discipline focusing on complete and longterm care of the family). (JT)

Effects of changes in a pediatric practice--expansion of the number of pediatricians and incorporation into a university hospital setting--on continuity of care and utilization were examined, results showing a marked decline in the continuity of sick visits. Discussion emphasizes the need for a deliberate plan of continuity in primary care.…

In order to determine the effectiveness of preceptorship programs in encouraging medical and osteopathic students to choose careers in primary care or rural service, a survey of medical and osteopathic schools, students, residents, and physician preceptors was completed. Questionnaires were completed by 92 schools, 837 students, 462 residents, and…

Several of the reasons frequently offered to support involvement of a medical school in a faculty practice plan are discussed, and related business and tax considerations are described. Aspects of establishing and operating specific types of group practice plans are reported. Benefits to faculty, medical schools, and the public are addressed.…

Methods and results of resident participation in this aspect of a postgraduate pediatric curriculum at the Montefiore Hospital and Medical Center, Bronx, New York, are described. Peer discussion and group problem-solving and exploration are used and evaluations suggest a positive impact on learning and patient care. (LBH)

Nonphysician women instructors from a women's health center taught the pelvic examination to second-year Harvard Medical School students. Demonstrating the procedure and acting as subjects, they also showed how patients can be offered explanations of the procedure and their own health during the examination. (Author/LBH)

The evolution of the family practitioner as a specialist to replace the general practitioner is described. The deficiencies of general practice have been remedied by providing intellectually rigorous postgraduate programs, a unique area of expertise, and specialty status. (Author/LBH)

Sixty-one pediatricians surveyed by questionnaire provided data on training recommendations, education received in behavior management and development, personal evaluation of such training for practice, and the most frequent behavior questions asked by parents across five developmental age categories. (Author/LBH)