The Graduate Medical Education National Advisory Committee's (GMENAC) report on the present and future supply and requirements of physicians by specialty and geographic location is provided. Part I presents a listing of Panel recommendations and options for addressing the problem, while Part II presents an introduction to this report. Part III…

Over a 4-year period moral reasoning and performance data were studied on 350 resident pediatricians, internists, and practitioners of family medicine from seven different institutions. Clinical performance was measured by faculty ratings, and integrity (moral reasoning) was measured by Kohlberg's Standard of Moral Judgement Interview and Rest's…

Recording booklets guide the student in his study of the development, presentation, and future prognosis of patients with chronic and complicated disease in the community. Student abilities and the teaching were assessed using case histories in a system of computer-assisted learning. (Author/LBH)

Family practice residents were studied to test the hypotheses that a higher incidence and greater severity of personal or emotional problems are associated with a higher incidence of maladaptive coping behaviors among women than men students. Implications for resident program design are discussed. (MSE)

The ways in which residents fulfill their teaching responsibilities were examined. First- and second-year internal medicine residents were observed as they reviewed cases during work rounds. The most frequently observed teaching behaviors were associated with patient care: providing a role model. (Author/MLW)

Residency programs in six medical specialties were surveyed to examine the frequency and kinds of psychosocial support offered to residents. Family practice and psychiatry programs are more likely to offer the 10 types of support surveyed, including counseling, seminars, support groups, child care, and part-time programs. (Author/JMD)

A biopsychosocial model used in an attempt to integrate physical, psychological, and social data into a matrix that facilitates clinical problem solving is described. The purpose of the training was to expand the resident's understanding of the emotional aspects of patients' problems and his/her own difficulties in using such understanding. (MLW)

A study designed to collect data on the daily activities of trainees on a medical ward and to test the diary method of obtaining data is described. The data were compared with findings from a faculty survey to establish whether the training program conformed to desired standards. (Author/MLW)

A cost containment program initiated in 1975 on the medical teaching service of Charlotte Memorial Hospital, a University of North Carolina affiliated hospital, has led to a significant improvement in hospital house staff utilization of facilities and procedures. In the outpatient setting an actual reduction in patient-encounter cost was realized…

The inpatient (ward/intensive care unit) performance of primary care medical residents was compared with that of their peers in the standard internal medicine residency program. Nearly identical performances of the two groups suggests that substantial time in the first two years of residency can be devoted successfully to ambulatory training.…

Perceptions of students who would have elected a preceptorship rotation had it not been required were compared with those of students who participated only to fulfill the requirement. Both groups perceived an increase in knowledge of primary care practices and confidence in relevant clinical skills. (Author/LBH)

A survey of 580 senior medical students in 10 schools investigated perceptions of mistreatment during undergraduate medical education; a follow-up survey of 571 subjects examined perceptions of mistreatment during the first year of residency. Similar results from the two surveys is seen as providing compelling evidence that the perceived level of…

A study of the workload of nine medical interns and seven residents in a neonatal intensive care nursery investigated the number of X-rays, arterial blood gas analyses (ABGs), and electrolyte determinations ordered for 321 infants over 5 months. Results show that as the workload increased, interns ordered ABGs more often than residents, especially…

A study in the Queen's University (Canada) medical school's family residency program found that in 70,805 patient encounters with residents, 65.1% were with women patients. While mean number of patients seen by male and female residents did not differ, proportions of women patients seen (58.6% for male residents, 68.4% for females) did vary. Male…

Logs completed by 201 medical students in third-year clerkships at nine community-based hospitals indicated students received 6.5 hours of teaching with an instructor daily, spending 4.9 more hours in clerkship-related learning. Most teaching was by full-time faculty and residents. In half their educational activities, students participated with…