Analysis of 61 successful grant applications for the federal Establishment of Departments of Family Medicine grants program identified three dimensions for classifying supported developmental activities: (1) the functional area of the activity; (2) the objectives of the activity; and (3) the strategies to be used to attain the objectives.…

Three medical curriculum database prototypes have been developed by the University of North Carolina at Chapel Hill, the University of Maryland, and the University of Miami. Generic characteristics of the hardware and software systems are noted, and issues in further development (such as a controlled vocabulary and collaborative activities) are…

The medical humanities program has 50 contact hours with medical students in the required curriculum, well-subscribed fourth-year electives, and programs for residents, fellows, and faculty. Course content is summarized by year. Several crucial decisions in the program's first year have affected its nature and development. (Author/MSE)

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)

The University of Pittsburgh School of Medicine's Division of General Internal Medicine is described, focusing on personnel and organization, educational programs, clinical and research activities, special programs, finances, and related issues and pressures. The program is proposed as a model for other institutions. (MSE)

Comparison of the origins and histories of three early university hospitals--University of Michigan, University of Pennsylvania, and Johns Hopkins University (Maryland)--illustrates how each created a different mission. The meaning of "university hospital" has always been ambiguous, which can provide a useful flexibility, but university…

Describes a model international program for educating physicians about alcohol-related problems, focusing on the initiative's "trainer-development" approach and critical issues in implementing the program in other countries. Also describes the successful implementation of the program in Poland. (MDM)

The development of medical ethics education at the University of California, San Francisco, is chronicled and its contributions to bioethics literature are noted. Emphasis is placed on the importance of using medical cases in such instruction. The University of Washington's ethics program and its potential for innovation are then described.…

The University of Chicago Pritzker School of Medicine has developed a teaching program in clinical ethics which utilizes the clinical knowledge and teaching skills of housestaff and clinical faculty. A detailed table summarizes the four-year curriculum including number of hours each year, teaching methods, sample topics, and principal faculty.…

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…

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.…

Ambulatory care undergraduate medical education from 1979-91 is examined and two major problems are found: (1) difficulties in transfer of educational techniques from hospital to ambulatory care setting; and (2) problems in definition of ambulatory care, primary care, and community-oriented primary care. A framework for planning education and…

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)