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…

In response to New York State legislation limiting house staff working hours, a survey of obstetrics and gynecology resident programs (n=26) was conducted. Results were used to construct a prototype call schedule and a hypothetical monthly schedule indicating how a single resident would function without violating any state regulations. (MSE)

At quarterly intervals in 1986-87, attribution of control and subjective symptom ratings were assessed among general psychiatry residents in the University of Cincinnati's training program. Differences were significant for ratings of internal locus of control, but the external locus of control ratings showed no corresponding fluctuation.…

A study of 36 first-year Northwestern University (Illinois) medical residents found that students' medical knowledge was a predictor of increased laboratory test use, that clinical judgment was a predictor of decreased laboratory use, and that level of caring was statistically unrelated to amount of laboratory use. (Author/MSE)

A study assessed the effectiveness of a weekly outpatient clinic for staging and triage of newly identified human-immunodeficiency-virus (HIV)-infected patients on 21 medical residents' attitudes and knowledge regarding HIV patient care, as compared with 20 control students. Results indicated that the experience positively affected student…

A survey of 63 general medical residents found most accepted the psychosocial role of the primary care physician, found it most appropriate in ambulatory care settings, felt ambivalent about their ability to perform it, and assigned it secondary priority in patient care. More attention by training programs to ambulatory care and psychosocial…

A study investigated medical student interest in psychiatry as a specialty at matriculation and first year of residency. Comparisons were made by school, region, and institution type (public vs. private). Increased interest in psychiatry was found in most regions, particularly the southeast. Implications for development of individual specialties…

A 2-year study investigated the attitudes of 63 Saudi medical residents and their 74 Western clinical teachers concerning the teacher-student relationship. Conflicts in perceptions in the first year were found to be largely resolved in the second year, possibly because of the study itself. (MSE)

A survey of 149 entering first-year medical residents concerning experiences with and knowledge of infection control investigated occurrence and patterns of accidental needle-sticking and reporting, student immunization for Hepatitis B, and instruction in universal precautions. It is concluded that students are at risk for needle-sticking, but…