A program combining pediatrics and internal medicine is described. The four-year program, focusing on ambulatory care, alternates six-month rotations in each field and includes clinic training. Success factors include comparison of outpatient and inpatient care, developing an ambulatory practice to support resident salaries, and preparation for…

Stanford Medical Group, a model group practice in internal medicine, was established at Stanford University (California) within the academic medical center. Clinical faculty status was raised by developing a separate faculty track for the practice. The approach has been well-received and successful in attaining training and patient care goals.…

The ambulatory care segment of the Southern Illinois University internal medicine clerkship provides extensive clinical exposure in a variety of settings and includes formal educational activities in seminars and workshops. Despite problems, educational quality has improved. Planned expansion includes a longitudinal experience for students.…

The experience of two combined residency programs in internal medicine and pediatrics is reviewed. The difficulty for residents of achieving competence in two disciplines is compounded by a lack of faculty role models. Success will depend on the ability of graduates to offer special talents to academic and clinical settings. (Author/MLW)

The characteristics of the mental health components of residency training in traditional internal medicine, primary care internal medicine, and family practice were examined. Internal medicine programs relied on the consultation method and in-patient facilities, and used the psychiatrist as the primary teacher. Evaluation of the outcome of…

A series of workshops demonstrating technical skills and practical procedures in internal medicine was conducted for fourth-year medical students. The workshops provided the students the chance to observe and in some situations to perform the technical procedures under supervision before beginning their residencies. (Author/MLW)

A program using role-playing to model humanistic attitudes and encourage humanistic behavior in internal medicine residents is described. Resident attitudes and key features relating to the program's success are noted. (MSE)

The University of Minnesota internal medicine residency program of ambulatory general medicine rotations in rural communities and urban managed care settings is described. Development and structure of rotations, objectives, teaching strategies, faculty development, evaluation system, and elements of successful implementation are discussed.…

The ways in which residents fulfill their teaching responsibilities were examined. First- and second-year internal medicine residents were observed as they reviewed cases during work rounds. The most frequently observed teaching behaviors were associated with patient care: providing a role model. (Author/MLW)

The implementation of a continuity of a care clinic in a highly subspecialized Veterans Administration internal medicine training program for postgraduate medical students is described, with focus on resolving problems created by the idiosyncratic administrative features and resource limitations of the hospital. (Author/JMD)

The creation and evolution of an internal medicine clerkship in three large teaching hospitals undergoing transition from affiliated hospitals to the university hospitals of a new medical school, the Uniformed Services University of the Health Sciences, is summarized. (Author/MLW)

The primary objective of a training program based within an internal medicine department at the University of Texas Medical Branch was to increase the interviewing skills of medicine residents, especially regarding the psychosocial aspects of patients. The program, evaluation methods, and results are described. (JMD)

The University of Rochester has developed a third-year medical school clerkship in which students spend the second half of the clerkship in the offices of practicing internists. Participating faculty are carefully chosen and trained. Experience indicates the approach is feasible, academically effective, and acceptable to students and faculty.…

A 12-week primary care elective for third-year medical students at Boston University School of Medicine is described. Clinical sites at three Boston community health centers are coordinated to provide a longitudinal, integrated experience in ambulatory pediatrics and medicine. (Author/MLW)

The Wayne State University (Michigan) medical school program of videotaping resident interviews with patients and reviewing them with faculty is described and evaluated. Topics discussed include the program's structure and process, recurrent themes in the review sessions, residents' perspectives on the process, potential barriers to a successful…