Problems of teaching and learning community medicine are discussed. Community medicine curricula must include experiential learning, with real patients and problems, in order to prove that health is affected by culture, politics, the environment, and individual behavior. (Author/LBH)

Romania's program is described in terms of: general information; medical studies and practical medical education; practical work in the first and second years; the third year; externships; and internships. (LBH)

A year-long interdisciplinary continuity-of-care elective for second-year, preclinical students in a medically underserved inner-city neighborhood is described. Students were able to learn the skills needed to implement and evaluate long-term health care and to assess the cost effectiveness of various approaches to such care. (MLW)

This essay is based on a series of roundtables convened through the Knight Collaborative National Medical Education Roundtable. It reports that the challenges and transformations experienced in recent years by community-based medical schools and clinical campuses offer a lens to the whole higher education enterprise, and asks the fundamental…

A three-year effort to develop a university health maintenance organization (HMO) into an effective clinical teaching site for the team practice of primary care is described. Initial resistance to team practice and teaching, assessment of HMO team development, and the effectiveness of the HMO as a primary care teaching site are discussed.…

Evaluating a person's physical and psychological make-up along with physical and cultural environment are skills that must be learned by physicians-in-training. The faculty of the Boston City Hospital Primary Care Training Program uses the home visit to help residents develop these skills. (Author/MLW)

A program to prepare future physicians to treat the milder emotional problems often encountered in primary care settings is described. Also reported are the ability of third-year medical students to function successfully in an outpatient setting, the performance of these trainees as compared with that of students in inpatient settings, and an…

Two household surveys (n=629, n=544) of a community served by the Columbia-Presbyterian Medical Center (New York) found that despite a rapid rise in services provided, unmet needs continued to be great. In the survey report, a model for service provision in underserved communities is examined. (Author/MSE)

A national study investigated whether four factors in medical school admission (generalist-admission committee chair, greater representation of generalists on admission committee, offering preferential admission to likely generalists, premedical recruitment activity targeting generalists) affected matriculation of underrepresented minorities and…

This paper describes the impact of early clinical contact (ECC) on medical students. The concepts emerged from a grounded theory analysis of interviews with students and faculty in the ECC program at Ohio University College of Osteopathic Medicine, which places first-year and second-year students in a variety of clinical settings in ambulatory…

The Senate Committee on Finance met to hear testimony on and discuss the preparation of medical doctors and how the Clinton Administration's proposed health care reform would influence medical education and the supply of health care professionals. Peter P. Budetti, director of the Center for Health Policy Research at George Washington University…

A report on a 1981 seminar on continuing education for primary health care, sponsored by the World Health Organization's Regional Office for Europe is presented. The main purpose of the seminar was to determine the characteristics of continuing education as a support measure for primary health care provision, based on an analysis of the…

At the SUNY at Buffalo School of Medicine the curriculum of the Department of Family Medicine requires that all sophomores spend eight half-days working with a family physician preceptor in his private practice and eight half-days in seminars. Program implementation, requirements, and evaluation are described. (LBH)

At the University of California, Davis, family nurse practitioners who are faculty members in the Department of Family Practice have proven to be effective teachers of medical students and family practice residents. (Author/LBH)

Students at the University of Arizona College of Medicine participated in an exercise in community-oriented primary care. They learned basic principles of health risk analysis and community-oriented care and then designed hypothetical, comprehensive health care services for medical students by using knowledge of health risks specific to their…