A demonstrated model for effective instructional skill improvement in the medical clinical sciences is described. A two-year project was funded by the National Fund for Medical Education to design and implement a program to assist house staff in the improvement of clinical instruction. A total of 148 medical residents were surveyed about their…

Clerks and house officers in a training program in internal medicine were observed during the performance of a history and physical examination. An itemized evaluation form was used to standardize the observations. Results and implications are discussed including the value of simulation in teaching physical diagnosis skills. (Editor/JT)

When the 2,308 residencies obtained by U.S. medical school graduates outside of the National Intern and Resident Matching Program were added to those of the 11,172 students who matched, the distribution of all 1977 graduates among specialties was found to be essentially the same as for those who matched, but regional differences were marked.…

Medical students' and interns' thoroughness in keeping problem-oriented medical records (POMR) was evaluated and compared with standard forms of evaluations. POMR evaluations not surprisingly did not correlate well with standard evaluations, but the study suggests that thoroughness in charting is a minor variable in overall evaluation. (LBH)

This study represents a preliminary effort toward the ultimate goal of identifying some of the major determinants of final career plans of residents in internal medicine. Initial career goal statements indicating future subspecialization are found to be important but the incidence of goal reversal is high. (LBH)

A study of internal medicine residents examined patterns of educational indebtedness, effects on their training and career decisions, frequency with which they begin loan payments during training, extent to which they moonlight and the reasons for doing so, and their opinions about the effects of moonlighting on house staff training. (MSE)

The use of nurses or other health workers to assess residents' humanistic behavior is discussed. Since nurses and other paramedical staff members observe residents interacting with their patients, these professionals may be a valuable but underused resource in the evaluation of physicians' humanistic qualities. (MLW)

The hypothesis that first-year medical residents' evaluate their performance in a more differentiated manner than their supervisors was evaluated. An evaluation form was developed to obtain ratings of performance in 13 specific areas. Results showed that residents were more discriminating than supervisors in evaluating residents performance. (JAZ)

A system developed for more efficient evaluation of graduate medical students' progress uses numerical scoring and a microcomputer database management system as an alternative to manual methods to produce accurate, objective, and meaningful summaries of resident evaluations. (Author/MSE)

A workshop provided graduate medical students and faculty with 30 minutes of instruction and 90 minutes of online experience in formulating and conducting MEDLINE database searches. In subsequent months, many participants conducted searches in increasing numbers and with increasing efficiency, and more indicated intentions of using searching…

A program in personal and professional development for interns was developed at the University of Connecticut Affiliated Hospitals to reduce maladaptive responses to the stresses of medical training. The goals of the program are to provide a supportive atmosphere, build trust, and promote deeper self-understanding and sensitivity. (Author/MLW)

The reliability of a 13-item questionnaire designed to assess the humanistic behaviors of internal medicine residents and the reliability of nurses as raters of those behaviors were examined. Residents were evaluated by nurses on two general medicine services and on cardiology and hematology-oncology services. (Author/MLW)

This study examined the effects of a simulated patient examination administered to applicants for the General Surgical residency program at Southern Illinois University School of Medicine. Results obtained from 29 applicants showed no significant differences in faculty ratings between applicants provided practical exam results and those using…

The relationship of career choice to academic performance is examined by using the National Board of Medical Examiners examinations as the measure of academic performance. It was hypothesized that the examination subtest scores of students selecting various specialty residency programs would demonstrate profiles that were unique for each specialty…

Factors that contributed to successful residency performance by anesthesiology residents were examined in order to assist the program's selection committee in developing selection criteria. The best predictor of a resident's academic average in the anethesiology program was the number of years the resident had spent in other specialities.…