A nationwide network of clinics to educate health care providers about clinical aspects of sexually transmitted diseases has succeeded and led to development of a 13-clinic network for training in the clinical, epidemiological, psychological, and social aspects of Acquired Immune Deficiency Syndrome (AIDS), drawing on the earlier clinic…

Efforts of the Health Resources and Services Administration to combat and ultimately prevent domestic violence are discussed. In collaboration with states and communities, the agency has programs to strengthen the health care infrastructure, support direct community-based service delivery, and educate health care providers. A comprehensive…

Describes three approaches to designing and implementing women's health curricula: (1) adding courses to existing curricula; (2) delegating parts of the curriculum to existing courses; and (3) creating new interdisciplinary curricula. Discusses how each might be applied to the topic of domestic violence. Emphasizes the importance of collaborative…

The University of Illinois College of Medicine at Rockford was established to provide community-based medical education. Students have extensive clinical training at community health centers, and 48% of graduates eventually practice primary care. To support generalist education, faculty changes in attitudes, behavior, and knowledge and curriculum…

An autobiographical account by the army's chief logistical adviser to the surgeon general during World War II calls attention to the challenges of medical service planning and three postwar changes in medicine: demand for access to care; bigger federal biomedical research expenditures; and the rise of specialization. (Author/MSE)

The policy and procedures for evaluation of clinical faculty at the University of Toronto's Faculty of Medicine are outlined, focusing on the institution's response to faculty perceptions of discrepancies between policy and practice especially in the area of promotion on the basis of teaching excellence. (MSE)

Dartmouth Medical School (New Hampshire) was one of 16 institutions receiving Generalist Physician Initiative grants, enabling it to accelerate institutional changes. Principles successful in achieving change included capitalizing on a sense of urgency for change, creating and empowering a guiding coalition, developing and communicating the…

The University of Illinois at Chicago's College of Medicine has implemented a pilot interdisciplinary generalist program. This paper discusses the program's setting, management, curriculum, instruction, and student and program evaluation. The difficulties and procedures in making room for an interdisciplinary primary care program in a traditional…

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 comprehensive medical school faculty-development program should include four elements (professional socialization, particularly for new faculty; instructional development skill-building; leadership development; and organizational development) to empower faculty to excel as educators and to create vibrant academic communities that value teaching…

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…

A study examined 634 medical students' ratings of 126 attending and 152 resident physicians' teaching to prioritize specific skills needing focused faculty development. Results indicated students can discriminate between more- and less-effective teaching behaviors. Attending physicians were less effective at communicating goals than other teaching…

Because of declining participation, the National Health Service Corps' role in improving rural access to primary health care has shifted from placement of scholarship-obligated professionals to recruitment of volunteers and increased emphasis on retention of current providers. Successful care systems include group practices, community-oriented…

A primary care preceptorship was successfully incorporated into the University of Michigan medical school's third-year curriculum. Key components included agreement across primary care specialties on goals and objectives, involvement of community practitioners, frequent communication with preceptors, active feedback to preceptors, and thorough…

Describes the faculty development efforts at eight medical schools participating in a large-scale medical curriculum development project, exploring faculty-development topics and the methods and ways the institutions motivated faculty to participate. Outcome measures used to gauge program effectiveness are also discussed. Concludes that approaches…