The key element in a clerkship in family practice at Community Hospital, Santa Rosa, California, is the student's General Medical Clinic. Under the supervision of a family physician teacher, senior medical students work as a team with family nurse practitioners caring for patients. (Author/JMD)

A primary care preceptorship was successfully incorporated into the University of Michigan medical school's third-year curriculum. Key components included agreement across primary care specialties on goals and objectives, involvement of community practitioners, frequent communication with preceptors, active feedback to preceptors, and thorough…

The West Virginia School of Osteopathic Medicine's success in educating and retaining primary care physicians for practice in rural Appalachia is ascribed to its focused mission; a multistate student exchange program; careful recruitment, admission, and placement; early clinical training in rural sites; and status as a state-supported institution.…

Traces academic medicine's historical opposition to community medicine and its emphasis on traditional hospital-cased curricula subspecialties, to the neglect of primary and preventive care, community-oriented medicine, and public health. Calls for reducing barriers to basic medical services for all, and for training physicians equipped to respond…

A questionnaire was administered to 339 graduating senior medical students at the Medical College of Georgia to determine different potential sources of influence on career choice. Indebtedness may be associated with the choice of a non-primary care specialty with greater remuneration than primary care specialty. (MLW)

Presents five principles to help communities establish school-based primary care centers linking community health and social services with educational systems. The principles encompass community participation; early assessment of community needs; integration of health and human services with educational services through an interdisciplinary,…

Three models of strategic management for academic health centers are detailed: the traditional model, which will become rare; a revised traditional model that offers "boutique" clinical services, biomedical research, and medical education; and the academic services model, focusing on competitive primary and secondary clinical services, health…

Introduction: Tremendous advances in health care have been made through the development of evidence-based medicine (EBM). Studies show that physicians face barriers in practice, preventing the effective use of the best evidence available. Insight into these barriers should pave the way for an action plan to remove them. The aim of this study was…

This article examines how specialized primary health care is a useful approach in the intervention of adverse health, developmental, educational, and social outcomes for children born to teen parents. The Teen Tot Clinic at Hasbro Children's Hospital in Providence, Rhode Island is an example of such a health care program; it provides services such…

There is an ever present struggle associated with reconciling "primary" care requirements for children and young people living in group care programs with "secondary" organizational demands imposed by external agency expectations and administrative requirements. That struggle finds its expression and potential balance in the daily work of staff.…

Objective: The main objective of this study was to explore patients' perceptions of general practitioner (GP) exercise referral (ER) schemes with a view to providing a better service for future patients. Design: A qualitative focus group methodology. Setting: Meeting rooms or communal areas in leisure centres across North Yorkshire. Method: Thirty…

Community Health Aides and Community Health Practitioners (CHA/Ps), the primary providers of healthcare in rural Alaska, share the importance of story as a culturally respectful way for creating meaning and broadening understanding. Story is woven into the fabric of cancer education courses for CHA/Ps. Between May 2004 and April 2007, 13 week-long…

This report by the Chancellor of the State University of New York (SUNY) discusses SUNY's "greatest challenge"--that is, the goal of becoming "a more significant player" in meeting New York State's needs in five crucial areas, namely, economic development, environmental conservation, health, public elementary and secondary…

This report describes efforts made during 1990 by UNICEF and other organizations on behalf of the world's children. Nations attending the World Summit for Children in September committed themselves to achieving objectives to enhance the development of children by the year 2000. Efforts to benefit children in 1990 included programs dealing with…

Papers presented, workshop discussions, and conference recommendations are collected in this report of a conference intended to review health needs along the United States-Mexico border and focus on what assistance might practically and realistically be given by the Carnegie Corporation and other private and public funders. Topics of discussion…