Evidence is presented to support the development of the nursing home as a required clinical educational site. Analogies and differences between the nursing home and the hospital in medical education are explored as a means of understanding the potential and limits of the nursing home's role in medical education. (Author/MLW)

Three proposals developed from concerns in the 1960s about the effectiveness of continuing medical education are discussed: a national plan, a process program model based on identified physician needs, and use of mandatory continuing education in relicensing/recertification. Problems are considered, and recommendations for changes are summarized.…