It is felt that the failing of previous continuing medical education projects is the lack of a theoretical construct through which the diverse data can be logically integrated. Suggestions are offered for using television in a supplemental manner. (LBH)

The author reviews the historical use of effort measure in cost allocation studies, examines criticism of the effort technique, and reports on several recent attempts by academic health centers to achieve a more valid measure of faculty activities. (Editor)

The development of an adviser program at Rush Medical College is described that utilizes faculty members and provides comprehensive counseling with continuity of contact between adviser and student through medical school. Evaluations used to determine its efficacy are also discussed. (Author/MLW)

This paper presents a historical review of applications of effort-reporting in medical education, comments on key methodological issues and describes a revised methodology of a 2-step estimating process that is flexible enough to accommodate a multidisciplinary medical education. (Editor/PG)

Physicians are likely to encounter a wide gamut of disorders related to drug and alcohol abuse and will need specialized knowledge and skills to treat the affected population effectively. The development and implementation of a program to meet these needs at the Medical College of Virginia is described. (MLW)

Case studies are presented of the development of primary health care programs at Columbia-Presbyterian Medical Center, New York City, by John Roglieri, and at Dartmouth Medical School by Thomas Almy. (JT)

The development of a one-day preenrollment program for early acceptees at the University of Medicine and Dentistry of New Jersey Rutgers Medical School that informs the acceptees about the educational program is described. An increase of 40 percent of the acceptees appears to be related directly to the program. (Author/MLW)

Joseph Dorsey describes the development of the Harvard Medical School service program now serving 40,000 members in two health centers. Planning considerations for developing the primary care residency are included. Arnold Relman discusses the role of internal medicine and pediatrics in training primary care physicians noting subspecialization…

Adversarial relationships existing among medical students, nurses, and hospital staff members were recognized at Hermann Hospital, a private, nonprofit teaching hospital in Houston, Texas, to be potentially detrimental to patient care. A joint communications committee identified ways to improve relations between medical students and hospital…

A program designed to help first-year medical students understand basic medical ethical issues and view these issues as a essential component of their knowledge base in clinical medicine is described. (Author/MLW)

A summer fellowship program is described that was initiated at Jefferson Medical College of Thomas Jefferson University to provide an opportunity for interested faculty to interact with selected students who had used computers before entering medical school. (MLW)