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.…

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…

A University of New Mexico pharmacy clerkship in Indian Health Service rural ambulatory clinics is described and its results compared with an urban hospital clerkship. Unique benefits to participants included improved skills in patient counseling and chart screening, more hands-on experience, extensive individual physician consultations, and…

A study investigated the usefulness of a new ambulatory medicine clerkship design by randomly assigning students to it or to an existing traditional general medicine rotation, then comparing student performance on the licensing examination, a laboratory interpretation test, written work, and a problem-solving exam. Performances were the same…

Integrative and separate approaches to education in social work research are considered in eight papers. In "Education of Human Services Practitioners for Clinical Evaluation," Naomi Gottlieb and Cheryl Richey consider clinical research courses offered in conjunction with practice methods courses at the School of Social Work, University…

This report is a collection of ideas presented and discussed at a conference in conjunction with a 7-state effort to strengthen contributions of state departments of education to teacher education at both pre- and inservice levels. The aim was to evaluate and review the Multi-State Teacher Education Project (M-STEP) in relation to the problems and…

The problems and issues related to setting up an office-based program for family medicine residents are described. The role of the family preceptor and his/her need to make alterations to his/her practice to accommodate the resident, and evaluations of a recent program by both residents and preceptors are discussed. (Author/MLW)

Behaviorally disturbed children are treated through the Pediatric/Adolescent Primary Care Unit at Rhode Island Hospital in a program designed to combine the care of children with behavior problems and the training of pediatric residents. The coordination of each child's care becomes the responsibility of a resident or nurse practitioner. (JMD)

Literature relating to continuity of medical care, including efforts to teach it to medical students is reviewed, and a University of Washington family medicine preceptorship for teaching continuity is described. An evaluation of the program, which places students with physicians so they can follow the care of a family, is presented. (Author/JMD)

Funded by the Generalist Physician Initiative, Dartmouth Medical School (New Hampshire), Virginia Commonwealth University, and New York Medical College adopted early community-based training models for longitudinal clinical experiences. The three programs, the methods used to evaluate an aspect of the program, lessons learned about early clinical…

OSCE examinations were held in May and June 2002 for all third and fourth year and some fifth year medical students at the University of Leeds. There has been an arbitrary pass mark of 65% for these examinations. However, we recognise that it is important to adopt a systematic approach towards standard setting in all examinations so held a trial…

A survey of doctoral students who had completed a course in clinical supervision was conducted to assess students' perceptions of the effectiveness of supervision training tasks. Of the 45 surveys mailed, 27 were returned. Results indicated that the majority of respondents agreed or strongly agreed that all training tasks were effective in…

The electives program at the University of Missouri at Kansas City School of Medicine was evaluated. The program provides opportunities for learning in community hospitals, physicians' offices and clinics, the main campus of the university, and other health-resources locations in western Missouri. The School of Medicine emphasizes primary care in…

The University of Michigan Medical School has established a mechanism for cosponsoring educational activities in the University of Michigan Hospital that provides medical faculty and staff with access to continuing medical education credit in the context of medical practice. (Author/JMD)

Reports on a small work group that met to discuss experiences with establishing and conducting dental education programs that had significant affiliation with private practice settings. Five programs in diverse areas were represented. Discussion covered program goals and objectives, support and commitment, practice/practitioner selection,…