Problems created by noninternal medicine residents rotating on internal medicine services, development of a curriculum which would adequately prepare residents for practice, and recruitment of more competent house officers are discussed. Strategies for improving teaching in the ambulatory environment are suggested. (MLW)

A survey of 1960-75 graduates of the Medical Residency Program of Strong Memorial Hospital, Rochester, N.Y., to obtain opinions concerning the strengths and weaknesses of their training and their opinions on curricular changes designed to prepare residents better for roles as general internists is discussed. (Author/MLW)

A project to improve hospital house officers' recognition of important behavioral, psychological, and social aspects involved in medical care of chronically ill ambulatory patients and an evaluation of its effectiveness are reported. The procedure involved the use of feedback from patient interviews regarding patient satisfaction, medication…

Twenty-one members of graduate internal medicine training program were studied to determine whether feedback of simple ambulatory practice profiles would prove valuable in their training program. Results suggest that attention to style of practice during training could be extremely cost effective. (Author/LBH)

Analysis of the internal medicine clinical rotations of 43 University of Michigan medical students revealed that students saw many kinds of medical problems but few instances of each and that there were wide gaps in exposure to some typical ambulatory care problems. Student skill gains did not correlate with problem types encountered. (MSE)

In a survey, 1,851 registered nurses evaluated 232 internists' humanistic qualities, communication skills, and selected aspects of their clinical skills. Their ratings corresponded moderately with peer physician evaluations and had a common structure but were lower for several humanistic qualities. A reliable assessment required 11-15 nurses'…

A study with two graduate medical student cohorts (n=18, n=20) supports use of a structured protocol for student credentialing that includes stringent monitoring of the entire process and formal, regular feedback to housestaff regarding progress. Students credentialed with the revised monitoring showed significant improvement in results.…

The curriculum of the General Internal Medicine Residency at the University of California, San Diego, has been designed to prepare graduates for the practice of general as opposed to subspecialty internal medicine. Relevant psychobehavioral topics are incorporated and residents are exposed to long-term management of psychiatric patients. (LBH)

A study of the correlation between certification test results and ratings of clinical competence for graduate medical students in internal medicine during a six-year period found strong correlations on both individual and general indicators of competence. (MSE)

An ambulatory medicine program for university hospital clinic residents was found to be effective in improving students' knowledge, enhancing attitudes toward the clinic, and improving performance of influenza vaccinations. No adverse program effects were found. (MSE)

Unexpected absences from work among residents cause scheduling difficulties and stress among residents. University of Rochester internal medicine and pediatric residents recorded the days they had been absent from work and provided their opinions regarding the stress these absences caused and the effectiveness for the sick-call system. (Author/MLW)

A two-week elective to introduce medical students to primary care internal medicine was developed and evaluated. Course time is divided between conference sessions and office experience. Evaluations by students consisted of a questionnaire of conference topics, the student's ability to carry out course objectives, and the preceptor's teaching…

A study of cancer screening by internal medicine residents in an inner-city clinic revealed that screening was more frequent for male patients, and breast examinations and Pap smears were performed on less than a third of female patients, suggesting a need for more intensive early-detection education of residents. (MSE)

A survey on the teaching of liberal arts in internal medicine residency programs and the importance of liberal arts to the practice of medicine is discussed. Law and organization of the health care system as well as economics and bioethics were rated as essential to medical practice. (Author/MLW)

The evaluation processes of 75 internal medicine residencies visited by the American Board of Internal Medicine (ABIM) in 1978-82 are reviewed. The methods of evaluation used by the residencies are described and compared with the findings from an earlier cycle of visits in 1972-75. (Author/MLW)