The experiences of baccalaureate student nurses, from layperson to novice nurse, was studied. Paradigm cases of five senior and five sophomore baccalaureate students were transcribed and analyzed for common meanings and themes. The paradigms concern touching patients, giving shots/creating pain, caring for and being intimate with young patients,…

This paper is intended to familiarize professionals involved in the treatment of the elderly with the role of the Psychologist Clinician as a member of the primary care health team. The paper provides a description of the care facility and its programmes, and of the areas of involvement of the Clinical Psychologist. Data regarding the number of…

The pattern of use of psychiatry over a 12-month period in a university-based primary care center is reported. Interest in pursuing careers in family practice and amount of time spent in the center were related to seeking consultation. Differences in use by nurse practitioners, social workers, and patients are cited. ( Author/LBH)

The ways to increase the funding base of a family medicine residency program through the appropriate use of procedures related to patient care and the provisions of service are discussed. Areas for potential expansion in training programs and financial staffing strategies to increase revenues are described. (Author/MLW)

Medication noncompliance is seen as an obstacle to successful clinical outcomes of many diseases. An exercise for preclinical medical students at Stanford University is described. Objectives include sensitizing students to the consequences of medication noncompliance, illustrating problems, and evaluating a number of compliance-related issues.…

The initial phase of the Primary Care Education Program, a course of instruction for a limited number of students at the University of Rochester School of Medicine and Dentistry, is described. It was designed to increase knowledge of primary care and doctor-patient relationship, and knowledge of a variety of modes of structuring health care…

This article describes the early experience of an Information Officer appointed within a newly formed primary health care team in the new township of Cambourne, west of Cambridge. The post was jointly defined and funded through a partnership between Cambridgeshire Libraries, the Primary Care Trust and Monkfield Medical Practice. The article…

A system of data recording and retrieval which defines a family practice population of patients is described. The costs of this recording process in nonteaching practices, the use of such data as an educational resource for the training of primary care physicians, and the evaluations of health care delivered are discussed. (Editor/JT)

The audit of medical care in primary care practices has proven to be a valuable tool for teaching the essentials of efficient health care delivery to medical students at the University of Vermont. Practice standards and methods are continually revised based on the audit of the providers of care and the curriculum is updated based on student…

There has been an increase in teaching aimed at improving the physician-patient relationship in conjunction with teaching the medical interview. Unconscious, unrecognized responses of a trainee to a patient may explain failure of the trainee to use newly acquired knowledge on interviewing. (Author/MLW)

The variables affecting ratings of the importance of biopsychosocial versus biomedical assessments are examined. It was hypothesized that students would perceive the relative importance of biomedical and biopsychosocial assessments differentially based on the diagnoses of the patients and the students' level of training. (MLW)

How can the dignity or well being of people in the terminal phase of their lives be fostered? A short-term educational program model was developed to assist a group of personnel (N=83) in a hospital for the chronically ill to become more responsive to this challenge. (Author)

Predicated on the knowledge that effective communication among medical personnel and patients is fundamental to the achievement of successful health care delivery, this paper addresses the practice of chaplain intervention on behalf of the patient in primary care to enhance physician-patient interaction. First the paper defines culture (in the…

Behavioral scientists are becoming increasingly involved in the field of medicine. This paper describes some of the issues that can arise when the behavioral scientist collaborates with the medical practitioner. Recommendations are offered for the behavioral scientist considering such collaboration. (Author/VG)

The process of resident education in an internal medicine practice was examined through interviews with 14 residents, who discussed their educational experience while caring for ten patients. Study results suggest that resident education in this setting depends upon feedback during patient care, reviewing cases, and reading. (Author/LBH)