The general internal medicine program at the University of Colorado has sought to emphasize the psychosocial aspects of care in its training. The performance of traditional track residents with general internal medicine resident performance was compared. (MLW)

A pilot program at the University of California, Davis, that incorporated skilled nursing facility training into the required curriculum of their primary care internal medicine residency is described. The goal was to increase the residents' knowledge in the care of geriatric patients. (MLW)

Two internal medicine residency programs at Baylor College of Medicine are discussed. The traditional program emphasizes experience in the care of acute problems within a hospital inpatient environment. The primary care residency program emphasizes training in the outpatient environment and in noninternal medicine disciplines. (MLW)

A study of medical outpatients indicates high incidence of probable emotional disorder, limited physician diagnosis or record of these problems, limited patient knowledge of diagnosis or management plan, and little inquiry by physicians about personal problems. The results form the basis for a psychiatric education program. (Author/MSE)

Results of a survey to document the nature and volume of ambulatory care in the community, based on an assessment of the visit, indicate that nearly four of five ambulatory visits made to physicians are for primary care and that all physicians, even the most specialized, provide a substantial amount of primary care. Implications for medical…

A survey of 21 internal medicine residencies in New York resulted in identification of 8 essentials of a feasible credentialing protocol, including 5 present in most of the protocols examined. The study produced a master list of procedures with corresponding certification criteria and suggested a uniform credentialing system is possible.…

Responses to questionnaires were compared between 106 students in nursing homes with those of 171 students in hospitals to evaluate interview and physical examination instruction for medical students. The nursing home was assessed as an appropriate alternative site for teaching the medical interview and physical diagnosis. (GLR)

The study compared research activities of men and women from data obtained in a 1982-83 survey of 7,947 medical school faculty in departments of internal medicine. Among findings were that women researchers had significantly fewer National Institutes of Health grants as well as reduced laboratory space. (Author/DB)

Self-care programs and information sources should serve as a catalyst to facilitate appropriate care seeking behavior in college students and improve communication with health professionals. Health professionals in self-care provide proper encouragement, skills, and resources to enable individuals to involve themselves in appropriate self-care…

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)

Information about the consultative practice of nephrology in a community environment was gathered and used to speculate about improvements that could be made in the training of nephrologists in academic medical centers, based on their knowledge of such training. (Author/MLW)

How well internal medical residents understood the four modes of the interpersonal process recall system was investigated after the students had received training in this system. Students were tested before and after the course, that involved extensive use of videotapes of interviews. (Author/MLW)

A trained research assistant used a structured observation form to observe hospital attending rounds, measuring the use of population perspective (risk-factor assessment, prevention, epidemiology, social aspects of illness) during internal medicine case presentations. Results indicated this perspective was raised more frequently when a generalist…

A study investigated the construct validity of three methods for assessing clinical performances of internal medicine clerks: a clinical evaluation form completed by faculty and residents, an objective structured clinical examination, and the National Board of Medical Examiners medicine subject test. Results suggest a significant but…

The University of Cincinnati Department of Internal Medicine instituted a peer review moonlighting committee of residents to design departmental guidelines, document work activities, identify discrepancies, and initiate control policies. Results suggest such a program may help establish mutually acceptable work activity guidelines while…