This article reviews societal demands for increased accountability and social responsibility by academic medicine. The Association of American Medical Colleges is urged to prepare more generalist physicians and assure better access to health care services. A "National System of Regional Medical Care" is proposed. (Author/DB)

This study examined self-assessments of 40 medical residents and competence expectations of 4 primary care internal medicine faculty and 10 medical specialty faculty. Specialty faculty members reported higher expectations for diagnostic performance than did faculty in primary care. Involvement of residents and faculty members in developing…

Reviews community-based research on the effects of homelessness on children. Homeless children face threats to their future well-being resulting from health problems, hunger, poor nutrition, developmental delays, anxiety, depression, behavioral problems, and educational underachievement. Contributing factors may include inadequate shelter,…

Studies the prevalence of self-reported drug use behavior related to human immunodeficiency virus (HIV) and the effects of school-based HIV instruction and HIV knowledge on these behaviors in a probability sample of 8,098 high school students. HIV knowledge and instruction may help sustain low drug use. (SLD)

Dimensions of Type A behavior were studied in 990 healthy Finnish adolescents; and conceptualization was clarified in terms of achievement striving, self-concept, and sense of control. The two independent dimensions identified are discussed in terms of healthy adjustment and social maladjustment. (SLD)

Peer counselors and staff members describe the "I Have a Future" Program at Meharry Medical College in Nashville (Tennessee). This program focuses on pregnancy prevention by providing education, health care, and increased life options; social skills training; an entrepreneurial program; and separate classes for African-American youth.…

The complexity of perceived control is illustrated through the Life Events and Aging Project (LEAP), a 12-occasion assessment of predictors and correlates of the mental health of 246 older adults over nearly 5 years. Constructs of perceived control, internality, and personal mastery should be placed in a transactional framework. (SLD)

Cites statistics (illustrated in charts) that show overwhelming evidence that the status of children in the United States is threatened by social and economic forces including a changing family structure. Child advocacy groups recommend school-based services to help minimize adverse situations for children. (MLF)

Thirty-seven secondary students with learning disabilities were taught health facts and concepts, which they then applied to problem-solving exercises presented through computer simulation games. Students who were taught an explicit strategy for solving problems performed better on two transfer measures than students given supportive feedback and…

Provides six fully developed library media activities that are designed to be used with specific curriculum units in health and social studies, industrial arts, reading and language arts, science, and social studies. Library media skills objectives, curriculum objectives, grade levels, resources, instructional roles, evaluation, and follow-up are…

This study interviewed 263 persons to examine the organization, functions, activities, and effects of the national Area Health Education Center (AHEC) program. The findings describe a national network of school and community partnerships engaged in planning and implementing educational activities responsive to changing health care needs.…

The article reviews special education in Norway, including the general education system, health and welfare services for persons with disabilities, the organization of special education, integration, qualifications of special education teachers, national plans for development, and problems and progress. It is recommended that advocacy for those…

The Department of Community Health and Family Medicine at the University of Florida College of Medicine developed a curriculum component integrating epidemiologic concepts into a third year family medicine clerkship through a small-group project on a specific condition likely to be encountered by primary care physicians in community practice. (MSE)

Black, White, and Hispanic medical students are compared in terms of their social supports and personality resources and mental health status when they entered medical school and after a year of training. When entering school, minority students reported greater social supports, higher self-esteem, lower anxiety, and more internal locus of control.…

Proposes steps to address the broad developmental needs of children at risk. Discusses implementation of the President and Governors' Education Summit national performance goals to reform the schools and improve education, especially the goal involving readiness to start school. (BB)