Described is a method requiring modification of patient records to include not only what was done but also the recommendations of more junior members before consultation with superiors. (Editor)

The teaching of the pelvic examination is seen as having undergone a dramatic change since the introduction of trained professional patient-instructors. The results of a study using two groups, the professional patient-instructor method in one group and a control group using gynecologists and clinic patients, is presented. (MLW)

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…

The training procedures used in teaching senior year pharmacy students the skills necessary to perform a medication history are described. The training involves videotaping medication histories with actual patients and evaluating the videotapes in small groups. (LBH)

Medical students' (N=18) were interviewed as part of the evaluation of an innovative Longitudinal Introduction of Clinical Medicine program. Three themes emerged: the importance of experiences with patients; the differences in the effect of patient contact in the first versus the second year; and the educational structure that makes patient…

The process of students' evaluation in medical schools has changed from a tutor-led evaluation system based on students' performance to a student-based evaluation that involves self-reflection and their level of change in skills and attitudes. At the McGill University Division of Geriatric Medicine, we developed an innovative system of evaluation…

The safety of dyslexic nurses, and whether they are a danger to their patients, has been widely discussed. This empirical study sought to discover the impact of the dyslexic profile on clinical practice for nursing students. Two focus groups of third-year nursing students in higher education were set up: a control group and a dyslexic group. The…

Reports a study of consultants' critiques on the records of patients treated by house officers which indicates that they provide a convenient tool for evaluation of clinical performance by house officers and an indirect measurement of the quality of teaching and patient care within a medical training program. (JT)

A project to analyze and improve clinical teaching on four general pediatric wards of the Montreal Children's Hospital, the major pediatric teaching hospital affiliated with the Faculty of Medicine at McGill University, is reported. Problems that interfere with effective clinical teaching on the wards are documented. (LBH)

Considered were attitudes toward (1) the patient's inner resources to cope with a serious illness such as cancer, (2) the value of early diagnosis, and (3) the value of aggressive treatment, as well as the belief in immortality and preparation for and acceptance of death. Changes occurred throughout medical school, especially during the clinical…

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…

In the behavioral science course for medical students at the University of Adelaide, students observe behavior in different treatment settings and then write an essay applying behavioral science concepts to what they have observed. Student reaction has been positive and the program is successful in providing students with an unbiased view of…

Results of the Patient Encounter Project are reported, which documented all clinical experiences of 36 medical students for seven months in the Rural Physician Associate Program and compared these experiences with those of a control group of 26 third-year students in the regular curriculum at the University of Minnesota.

Dental schools are facing budgetary constraints, decreasing clinic patient populations, and increasing competition. The Dental Practice Systems (DPS) Program of the University of Maryland, a partially self-supported student-faculty group practice, is described. (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)