This paper focuses on the mental health consequences of the disaster in Armero, Colombia which resulted from a volcanic eruption and mudslide, and highlights the role of the primary care worker in delivering mental health care to disaster victims. Eight characteristics of disasters that are closely related to their psychopathogenetic potential…

A description is presented of a course, "Patient and Family Education," designed to provide second-year baccalaureate nursing students with the skills and knowledge necessary to educate patients about health care and treatment. Following a rationale for and general information about the course, a glossary of terms and a list of instructional…

This issue of the "Carnegie Quarterly" describes three projects that are being conducted by the African Medical and Research Foundation (AMREF). The projects are the following: (1) building community participation in health care at Lake Kenyatta; (2) the role of community education in disease control among the Turkana people at…

This report was written in response to quesions from the Subcommittee on Health and the Environment concerning the implementation by the National Institutes of Health (NIH) of National Research Service Awards (NRSAs) in each of the fiscal years 1986, 1987, and 1988 made available for research in primary medical care. Discussions in this report…

Despite an explosion in scientific knowledge and the capacity of medicine to diagnose, treat, and cure diseases, blacks and other minorities have not benefitted fully or equitably from these advances. The systems which are responsible for implementing health technologies do not work in favor of minority groups. An amendment to the Public Health…

Medical specialty choice and reasons for change among those Wright State University students who switched their choice between entry and graduation were studied, based on questionnaire findings. For the class of 1982, 35 of the 70 students chose as their eventual specialty their preference at entry to medical school. Primary care specialties…

The work and findings of the Southern Regional Education Board's Nursing Curriculum Project (NCP) for baccalaureate programs, which included faculty development programs for primary nursing care and clinical electives, are discussed. The historical background of primary care in the baccalaureate nursing program is traced, and characteristics of…

This report: (1) identifies the main policies, objectives, and thrusts in the health manpower development (HMD) program of the World Health Organization (WHO); (2) identifies factors influencing or determining these policies, and examines how they have shaped the HMD program; (3) investigates how policy changes and achievements in health manpower…

This report of Senate hearings on health assistance for low income children presents the testimony of administration and public witnesses concerning Senate Bill S. 1204. The purpose of the bill is to broaden medical eligibility for children and pregnant women and to improve the delivery of preventive and other health care services to children…

A summary of a study of interdisciplinary education in the health sciences, conducted to identify the conditions and experiences needed to achieve specified objectives, is presented. Ten research questions were used to guide the direction of the research and the Delphi inquiry was used as a data-gathering technique. An expert panel of l5 vice…

The large inflow of Foreign Medical Graduates (FMGs) into the U.S. is cited and four issues discussed. They are: (1) the belief that the FMG is less qualified than the U.S. medical graduate and thus contributes to the decline in quality of medical care; (2) the loss of scarce manpower from less developed countries that have greater needs than the…

In an effort to mitigate the maldistribution of U.S. physicians, a rural satellite clinic was established in 1973 to serve the 1,239 citizens of Yale, Oklahoma. The clinic was manned by a graduate of the two year Physician's Associate program at the University of Oklahoma who was under the supervision and employ of a pediatrician located 20 miles…

The Program in Medical Sciences (PIMS) is designed to combine the selection of a heterogeneous class without significant change in the educational environment as designed for a homogeneous class. The program is an attempt to equalize the allocation of resources of the medical profession and to provide primary care physicians to underserved areas.…

Harvard medical students in a psychiatric rotation at the Massachusetts Mental Health Center may elect to do part of their work in a neighborhood comprehensive health center in which primary care services are offered. Students are exposed to a multiprofessional and mixed professional-paraprofessional staff, as well as to special patient problems.…

A survey of learning styles of 108 family practice residents and faculty was conducted to determine correlations between learning style and career choice and to examine possible implications for resident-faculty interaction, especially in instructional activities. Learning style preferences tended toward the concrete and active modes