This article briefly describes the four-year primary care program (beginning in the senior year of medical school and sponsored by the departments of internal medicine and family medicine) offered at the University of Nebraska Medical Center College of Medicine. Preliminary evidence indicates that the seven students and residents enrolled are…

This publication brings together statements concerning the minimum knowledge and skills objectives in alcohol and other drug abuse determined by the professional organizations of six medical specialties: pediatrics; emergency medicine; obstetrics and gynecology; psychiatry; general internal medicine; and family medicine for undergraduate,…

During a three-month clinical clerkship in medicine 175 medical students were evaluated. A proficiency assessment process was developed that included preceptor evaluation of on-the-job performance as well as oral and written examinations. Data analysis showed small correlations among the three measurements of competence. (Author/LBH)

A method for selecting performance variables to be used in the evaluation of the clinical performance of internal medicine residents is described. Twenty of the highest ranking variables are listed, as determined by the formal sampling of the opinion of full-time and volunteer faculty and residents associated with the University of Nebraska. (JMD)

In an effort to encourage cost-conscious behavior and quality assurance, students in community medicine clerkships at the Medical College of Ohio were required to conduct retrospective reviews of their peers' laboratory usage patterns using information generated by these peers during internal medicine and pediatrics rotations. (Author/JMD)

A study compared scores on identical tests in internal medicine for two groups of graduating University of Toronto (Canada) medical students: those in a traditional, lecture-based curriculum (TC) and those in a redesigned curriculum with less didactic instruction and more clinical experience (NC). All comparisons showed a significantly higher…

The humanistic qualities of 70 University of Michigan first-year internal medicine residents were rated in 1987-88 and 1988-89 by patients, attending physicians, supervisors, and nurses. Results indicate that all four groups had different view of the humanistic attributes of residents in patient interactions. (Author/MSE)

A study of 28 medical residents' skills in evaluating research compared student evaluations of a journal article with 1 developed by means of a Delphi technique utilizing 5 experts. Residents' scores were not significantly associated with residency year or self-assessed critical appraisal skill. The method is proposed as an objective means of…

We have set out to investigate an approach to improve patients' ability to self-manage chronic illness. For effective health care in chronic disease, we believe patients need to work in partnership with their doctor; patient-centred consultations are one way to achieve this. This report describes our experience of training specialists in…

Internal medicine residency programs that put increasing emphasis on outpatient experience and continuity of care place demands on residents that conflict with inpatient responsibilities. The development and implementation at the University of Virginia Hospital of a rotational scheduling system aimed at alleviating the conflict is described.…

To determine the effectiveness of teaching interpersonal skills in a general internal medicine residency, a program was developed utilizing videotape feedback of hospital house-staff/patient interactions. Fifty-one randomly selected house officers were included in a controlled pre- and post-test study design. The results suggest that such a…

Three effective strategies for case-based teaching in clinical medicine are described: case-bedside teaching involving case discussion and bedside demonstration; a combination of quick case reviews with more formal presentations on relevant topics; and discovery learning using complex cases. Five general principles of experiential learning in…

This study examined self-assessments of 40 medical residents and competence expectations of 4 primary care internal medicine faculty and 10 medical specialty faculty. Specialty faculty members reported higher expectations for diagnostic performance than did faculty in primary care. Involvement of residents and faculty members in developing…

The purpose of this study was to assess the effect of organizational changes in the general medicine clinic on residents' and patients' satisfaction, including their perceptions of the quality of care. Questionnaires to assess satisfaction were administered to the residents (N=80) and patients (N=577) using a pre- and posttesting design. (MLW)

Analysis of students' mean scores on two internal medicine clerkship tests at Wright State University investigated test sensitivity and specificity for identifying students with insufficient knowledge, and compared final examination pass rates of counseled and noncounseled students. Results indicate that in-clerkship tests can identify at-risk…