A survey of one medical school's graduates examined their perspectives on the design and benefits of their community health center training, including how their time was spent in the program, goals of the experience, program strengths and weaknesses, and how the program prepared them for residency training. (MSE)

Experience with the Computer Stored Ambulatory Record (COSTAR), a computerized medical records system, installed at a large primary care clinic at a university medical center is reported. Use of the system was terminated because clinic revenues could not cover operating costs. (Author/MLW)

A modified Delphi survey technique was used to delineate diagnoses, management techniques, and procedural skills in seven subspecialty areas necessary for house officers in a primary care internal medicine training program. The self-evaluation approach provided a longitudinal assessment of changes in the confidence of house officers. (Author/MLW)

A community-based educational network was established to improve the deployment of physicians's assistants away from the original site of training in California's San Francisco Bay Area. The graduates' practice locations for a 7-year period was compared before and after the decentralization of the program. (Author/MLW)

Discusses the need for alternate delivery systems in continuing medical education (CME), the benefits of using computers to deliver CME, and ways to increase the efficiency and cost effectiveness of computer based education. Current and future applications of computer techniques to CME are also examined. (Author/MER)

A survey of student characteristics and attitudes toward nonspecialist general practice was undertaken in order to supply an input into the teaching strategies of the Department of Community Health at the University of Melbourne. The results include an indication that students interested in general practice need stronger training in the importance…

A continuing medical education program is discussed that addresses chronic obstructive pulmonary disease and that links primary care physicians to a source of needed clinical knowledge at a relatively low cost. The educational methods, evaluation design, diagnosis of educational needs, selection of program content and behavioral outcomes are…

Students in nursing, allied health, social work, and medicine at the University of Maryland are offered clinical experiences on Smith Island in Chesapeake Bay. The program exposes them to the special health care needs and problems of an isolated, economically disadvantaged, rural community. (SK)

Rural areas have difficulty attracting physicians, and they also send fewer students to medical schools than do urban areas. A program at the University of Washington's medical school known as WAMI--for Washington, Alaska, Montana, and Idaho--is trying to combat that problem. (MLW)

A study investigated graduate medical students' perceptions of the effectiveness of financial incentives in recruitment to primary care residencies. Results indicated that a wide range of incentives is available, the trend is growing, and students find such incentives effective. Concern is voiced about diversion of funds needed for improvement of…

Health care reforms will dramatically change the culture of medical schools in areas of patient care, research, and education programs. Academic medical centers must construct mutually beneficial partnerships that will position them to take advantage of the opportunities rather than leave them without the diversity of resources needed to make…

This paper presents medical residents' opinions regarding barriers to producing more generalist physicians, such as lack of appropriate training in ambulatory generalist practice and the increased prestige given to specialists. Recommendations are offered to medical schools, residency programs, the community, and the culture of medicine to…

This document contains information about the medical transition of youth with disabilities from child-centered to adult health care. The generic characteristics and needs of young people with long-term illnesses and disabilities are especially emphasized. Guidance is provided for appropriate health care of the adolescent during the transition…

Designed to shorten the overall length of training and to restore a broad-based clinical experience to the period of intermediate patient care responsibilities, students in the program described observe and practice in a primary care setting. Analysis of their performance indicates they perform on a level comparable with first-year house officers.…

This report was written in response to quesions from the Subcommittee on Health and the Environment concerning the implementation by the National Institutes of Health (NIH) of National Research Service Awards (NRSAs) in each of the fiscal years 1986, 1987, and 1988 made available for research in primary medical care. Discussions in this report…