Questionnaires were sent to the directors of combined residency programs in internal medicine and pediatrics. All the programs emphasized training in primary care and included the use of outpatient clinics where residents often work with nonphysician health care providers. (Author/MLW)

Interdisciplinary health care training is advocated by numerous government and philanthropic organizations. Educators in the health professions are increasingly offering training in interdisciplinary health care in a variety of contexts, including ambulatory settings. This paper describes a three-year program to teach skills in interdisciplinary…

All U.S. internal medicine residency programs were surveyed in 1981-82 to obtain quantitative information on specific program features, formal teaching conferences, supervision of residents, and evaluation of residents in ambulatory care. (Author/MLW)

A study to determine whether general internal medicine and traditional track medicine residents differed in their outpatient management of essential hypertension is discussed. General internal medicine residents seem to do better in the areas of assessment of drug side effects and patient education. (MLW)

A four-week geriatric rotation in a nursing home that emphasized rehabilitation for stroke victims, patients with fractured hips, and amputees, and the team approach in care for the elderly is described. Student response was very positive, student sensitivity was improved, and all students felt the team approach could be applied to later practice.…

A monthly journal club for residents uses detailed discussions and analyses of clinical research articles to teach the important concepts and principles of medical research in a manner useful to the practicing physician. Discussion is structured by a guide for presenting the articles to the group. (Author/MLW)

A program in personal and professional development for interns was developed at the University of Connecticut Affiliated Hospitals to reduce maladaptive responses to the stresses of medical training. The goals of the program are to provide a supportive atmosphere, build trust, and promote deeper self-understanding and sensitivity. (Author/MLW)

The structure and the development of an internal medicine clerkship designed to promote proficiency in the process of clinical reasoning is described. A "student ward" offers a structured environment where the emphasis is on in-depth clinical exposure and the acquisition of clinical knowledge. (Author/MLW)

A survey of 1960-75 graduates of the Medical Residency Program of Strong Memorial Hospital, Rochester, N.Y., to obtain opinions concerning the strengths and weaknesses of their training and their opinions on curricular changes designed to prepare residents better for roles as general internists is discussed. (Author/MLW)

The curriculum of the General Internal Medicine Residency at the University of California, San Diego, has been designed to prepare graduates for the practice of general as opposed to subspecialty internal medicine. Relevant psychobehavioral topics are incorporated and residents are exposed to long-term management of psychiatric patients. (LBH)

A two-week elective to introduce medical students to primary care internal medicine was developed and evaluated. Course time is divided between conference sessions and office experience. Evaluations by students consisted of a questionnaire of conference topics, the student's ability to carry out course objectives, and the preceptor's teaching…

The Medical College of Georgia's third-year medicine clerkship includes a one-month ambulatory care block rotation in internal medicine, medicine, and dermatology. Students present topics and participate in case discussions in daily and weekly conferences. Program success is resulting in expansion. (MSE)

A program during clerkships in internal medicine, pediatrics, and surgery at Ben-Gurion University emphasizes psychosocial conferences teaching to include tutorial guidance throughout the student's preparation of a case presentation in which psychological, sociological, and anthropological aspects of the patients' coping with illness and the…

To address problems of geographic and specialty distribution of physicians in the states of Washington, Alaska, Montana, and Idaho, the University of Washington School of Medicine developed a regional program of graduate medical education. The program is centrally coordinated by the school's associate dean for clinical affairs. (Author/MLW)

The University of Hawaii developed an assessment and testing program for qualifying internal medicine residents in basic procedural skills: an observation period, a multiple-choice examination, and a slide-identification examination. The mean scores of both examinations were analyzed to assess whether curriculum changes were effective. (Author/MLW)