These hearings begin with an opening statement by Senator Jeremiah Denton, which highlights the concerns of this hearing and introduces discussion panel participants: the Honorable Gordon J. Humphrey, U.S. Senator from New Hampshire; Herbert Ratner, former public health officer and editor of Child and Family Quarterly; Adele Hofmann, director,…

This study examined the relationship between graduate medical education (GME) and practice profiles in three specialties: family practice, psychiatry, and obstetrics/gynecology. Two analyses were performed, the first assessing the relationship between GME and current practice patterns and the second assessing the relationship between GME and…

This presentation, which is based in part on a cross-cultural survey of East Africans and also on research conducted in Ethiopia, highlights the importance of traditional knowledge of midwifery. Examples of traditional skills in pregancy and birth care, and of child care and child rearing in several East African countries, are offered. It is…

To improve consistency of approach and faculty efficiency while still maintaining the activity of faculty members at remote sites, a "minicourse" at rotating sites was devised for medical students at the State University of New York at Stony Brook. (MLW)

This paper examines the history of midwifery in Appalachia. Throughout history, women in labor have been supported by other women. Midwives learned as apprentices, gaining skills and knowledge from older women. Eventually, formalized training for midwives was developed in Europe, but no professional training existed in the United States until…

A study showed that although female medical students had slightly lower National Board examination scores on part one and lower grade point averages, they performed significantly better in the obstetrics and gynecology clerkship. Possible factors include women students' interest in women's health care and female representation on the house staff.…

A rural southwestern New York hospital that instituted a rural residency track (RTT) in concert with a physician-centered strategy increased its admissions, physicians, employment, and profits. Developing an RTT requires dedicated CEO leadership, a strong on-site chief of service, family physicians who perform cesarean sections, and midlevel…

Outlines the history of and reviews the literature on the care of premature infants. Focuses on the medicalization of birth; early neonatology; the effect of advances in medicine on the survival and safety of neonates; and the importance of early mother-neonate interactions. (BC)

This book was intended to serve as a comprehensive resource volume on birth alternatives. Specific topics covered include: (1) the process of labor; (2) ideas of natural childbirth; (3) drugs, devices, surgeries, and procedures; (4) midwives and other delivery room participants; (5) facilities for giving birth: hospital, home and maternity center;…

The article focuses on one nurse's experience in the nurse-midwife program at a large New York medical center. Terming the learning process a painful transition from academe to reality, the author discusses skills learned, conflicts with physicians' belief systems, rewards and frustrations, and the need for nurse-midwife identity. (Author/MS)

Faculty practice (a clinical practice based in the educational institution and staffed and directed by faculty who participate in that practice) is examined as it applies to nursing educators. Elements discussed include faculty responsibility and group functioning, director role, clinical secretary role, clinical setting, patient characteristics,…

The journal club format offers the resident a unique opportunity to develop specific skills in reading, comprehending, and evaluating medical literature. A course designed for residents in obstetrics and gynecology at the Letterman Army Medical Center and at the University of Cincinnati is described. (MLW)

Over the past eight years the obstetric and gynecology specialty has applied a system model of instructional planning to the continuum of medical education. The systems model of needs identification, preassessment, instructional objectives, instructional materials, learning experiences; and evaluation techniques directly related to objectives was…

Increased academic standards in midwifery education are causing conflict between research-based and traditional knowledge used in clinical assessments. Training of evaluators, frequent changes in clinical placements, and lack of contact between students and evaluators also impinge on the validity and reliability of assessments. (SK)

In a pilot study, two methods of identifying problems in the evaluation of third- and fourth-year medical students' clinical skills were tested. The two types of materials, questionnaires and a problem-case analysis, were found to be complementary, both identifying some of the same problems and each identifying some different problems. (MSE)