The impact of pediatric residents on total patient charges generated in the outpatient pediatric practice of a university hospital was evaluated. Average charges for visits to residents were greater than for visits to faculty pediatricians. The difference was attributable to the higher number of hospital laboratory tests ordered by residents.…

A study assessed (1) the validity of the Bowman Gray School of Medicine evaluation instrument regarding the occurrence of halo effects and (2) possible relationships between the faculty's evaluations of the residents and the residents' cognitive knowledge and productivity. (MLW)

The effect on test scores of changing answers to multiple-choice questions was studied and compared to earlier research. The current setting was a nationally administered, in-training, specialty examination for medical residents in obstetrics and gynecology. Both low and high scorers improved their scores when they changed answers. (SW)

Identifying, explaining, and changing the ordering habits of physicians who order many ancillary services are becoming important cost containment goals. Written patient management problems to simulate real life clinical situations were used to calculate the cost of physician decisions. (MLW)

The law involved in graduate medical education is discussed in several contexts: when applicants are denied admission to residency programs; when residents are dismissed from programs; and when residents, hospitals sponsoring residency programs, or attending physicians are sued for malpractice. (Author/MLW)

In response to the perceived need for primary care physicians, two major changes in internal medicine training have occurred: (1) a third year of general training was required for internal medicine board certification and (2) many hospitals developed primary care internal medicine residencies with an increased emphasis on ambulatory training.…

Since 1972 Michigan State University College of Human Medicine has participated with community hospitals and practicing physicians in a number of cities to provide surgical clerkship experiences for its students. The new role of a full-time community-based university surgeon to facilitate this program is described. (Author/LBH)

Over 100 department chairmen in American and Canadian medical schools participated in this questionnaire study. Most are deeply concerned about increasing federal regulation of medicine, expect more emphasis on the basic science aspects of pathology, and foresee a shift of residency training programs away from small hospitals to larger medical…

Sixty-seven third-year medical students at the University of Ottawa were interviewed at the beginning and end of a month-long clerkship in psychiatry in order to determine the potential for negative postclerkship attitudes and the extent to which they can be modified. The importance of identifying vulnerable students is emphasized. (Author/LBH)

Out of a total of 1396 students at the Medical College from 1949 to 1972, 584 doctors migrated to other countries and only 29 have returned to India. The majority left for better and more comfortable living conditions. (LBH)

Various alternative allocation methods for internship and residency appointments are discussed and examples given. The results of the first five allocations are presented. The percentage of applicants obtaining one of their first three choices varied from 61 to 70 percent; for consultants the range was 72 to 94 percent. (Author/LBH)

In a sample of 101 physicians, 65 retained their original first choice of career, 15 opted for their previous second or third choice, and 21 gave a completely new first choice since their internships. Reappraisal of abilities, additional experience in the new choice, and additional knowledge of promotion prospects were cited as reasons for career…

The role of the medical resident as a teacher of medical students is discussed. Most residents have had little, if any, training or experience in teaching. A Southern Illinois University School of Medicine course called "Preparation for the Teaching Role in Residency" is described and evaluated. (MLW)

A program of videotaping residents interacting with patients is discussed and evaluated at the three levels of participation: teaching faculty, student, and staff. Most found the method beneficial, with the most positive aspects being the suggestions from behavioral and nonbehavioral science faculty and the opportunity to see oneself interacting…

The social process in clinical decision-making in emergency rooms was studied. Data from interviews and direct observation at two large urban general hospitals with busy emergency rooms staffed by medical and surgical residents are presented. Situations call for individual, consultive, or consensual patterns in making decisions. (Author/MSE)