The implementation of a continuity of a care clinic in a highly subspecialized Veterans Administration internal medicine training program for postgraduate medical students is described, with focus on resolving problems created by the idiosyncratic administrative features and resource limitations of the hospital. (Author/JMD)

At quarterly intervals in 1986-87, attribution of control and subjective symptom ratings were assessed among general psychiatry residents in the University of Cincinnati's training program. Differences were significant for ratings of internal locus of control, but the external locus of control ratings showed no corresponding fluctuation.…

Using data on 3,569 women and 15,582 men trained in internal medicine, this study investigated gender differences in choice of primary care practice and their possible relationship to training program type, traditional or primary care. Results indicate women pursued primary care more often than did men, regardless of training program completed.…

A study investigated possible differences in standardized patient examination scores for three groups of undergraduate (n=176) and graduate (n=221) medical students assessed at different sites over two years. Results show no systematic change in scores over testing dates, suggesting no problems with breach of test security. (MSE)

The development, validation, and use of a multiple-choice test to assess physicians' knowledge of current approaches to diabetes management is outlined, and the test's current use among family practice and internal medicine physicians, residents, and medical students is described. (MSE)

A problem-based continuing medical education program to improve the diagnosis and treatment of alcoholism by primary care physicians used a computer-simulated patient, individualized feedback, and a follow-up reading. Participating physicians felt the program improved their performance, but the results could not be substantiated. (MSE)

The effectiveness of chart audit with written feedback as a tool for encouraging residents to obtain and record occupational information during history-taking is evaluated. (Author/MLW)

To determine compliance with the guidelines of the U.S. government and the Joint Committee on Accreditation of Hospitals pertaining to informed consent, hospital administrators, medical school department chairpersons, and medical school deans were surveyed about policies on student involvement in patient care. (Author/MLW)

The creation and evolution of an internal medicine clerkship in three large teaching hospitals undergoing transition from affiliated hospitals to the university hospitals of a new medical school, the Uniformed Services University of the Health Sciences, is summarized. (Author/MLW)

The implementation of a clinical clerkship in internal medicine that was flexible in time required that a new evaluation program be developed to assess the progress of students. The progress of the classes of 1979 and 1980 toward achievement of predetermined levels of mastery is presented. (Author/MLW)

The need for medical school leadership in continuing medical education is discussed and a program at the University of California at Los Angeles is described. Designed to provide community primary care physicians with a dependable source of high quality courses, the program provides a total review of medicine if regularly attended over a…

The primary objective of a training program based within an internal medicine department at the University of Texas Medical Branch was to increase the interviewing skills of medicine residents, especially regarding the psychosocial aspects of patients. The program, evaluation methods, and results are described. (JMD)

The Department of Medicine at Cleveland Metropolitan General Hospital fosters general internal medicine in a graduate training program with a "medical firm" system of medical care. The firm system consists of four medical teams that care for distinct patient populations, closely integrating outpatient and inpatient care. (Author/JMD)

A four-year study found that, between internships and the end of residencies at the Oregon Health Sciences University, physicians' attitudes about their careers and residency experiences improved significantly, suggesting that, although internships may be dysphoric, normalization of emotional states and attitudes occurs during residency.…

A follow-up study of 148 medical school graduates investigated the predictive value of medical college admissions data for choice of a generalist career (family practice, general internal medicine, general pediatrics). Factors indicating a high orientation toward community service before medical school were found predictive of generalist choices.…