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…

A survey of 794 program directors in 14 specialties assessed actual and projected changes in the selection process for medical residents and determined the relative weights the directors assigned to personal and academic criteria. Results indicate significant changes in the selection process, including a continuing decrease in residency positions…

The Wayne State University (Michigan) medical school program of videotaping resident interviews with patients and reviewing them with faculty is described and evaluated. Topics discussed include the program's structure and process, recurrent themes in the review sessions, residents' perspectives on the process, potential barriers to a successful…

A successful approach to improving a residency training program in internal medicine had residents, attending physicians, and administrators use a consensus-building method to develop problem lists ranked by two criteria (high importance and high potential for solution), for which short- and long-term management interventions were created. (MSE)

An orientation program for 110 incoming housestaff was implemented at the School of Medicine and Biomedical Sciences at the State University of New York at Buffalo. Residents received instruction in large-group teaching skills, bedside teaching, small-group discussion, and student evaluation. The program was rated positively by residents.…

Development of a comprehensive medical ethics teaching program for four years and residency, and of an ethics consultation service, are described. Potentials and significant difficulties in program establishment and maintenance are discussed, including long-term funding, negative faculty and student attitudes, and instructional approaches.…

A three-year curriculum in medical ethics operates at Rhode Island Hospital and Brown University as part of the general internal medicine residency program. The six major topics covered are co-taught as seminars by one or more members of the multidisciplinary ethics faculty (philosopher, internist, and communications specialist) and experienced…

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)