Reports a study comparing Educational Commission for Foreign Medical Graduates (ECFMG) examination results with measures of the different levels of cognitive skills in the Pahlavi University seventh-year comprehensive exam (required to practice medicine in Iran). Results for 41 students are interpreted and questions raised regarding the validity…

In 1971 the Department of Pediatrics at the University of Florida initiated an elective rotation in a private pediatric office. Practitioners remained with the resident in the office and reimbursed the university for the house officer's salary and expenses. The program proved satisfactory to all groups involved. (JT)

A model educational program for third-year pediatric clinical clerkss and pediatric level I and II house officers is presented. Learning is defined in three areas: patient management, behavioral care needs, and hospital and community health care needs. Information on goals, objectives, learning experiences, and evaluation methods is provided.…

A Clinical Experience Worksheet (CEW) system developed for recording and monitoring overall clinical experience in the psychiatric residency program at the University of California at Los Angeles (UCLA) is described. Methods for using the monthly hand-tallied form are discussed along with its advantages for individual and program evaluation. (JT)

An update and extension of EURO Reports and Studies No. 77 ("Graduate Medical Education in the European Region"), this publication provides information in the form of narrative descriptions and tabular data of graduate medical education in 30 European nations. Information is presented on functions of internship, content of training,…

The role of contextual information in the generation of early hypotheses during the clinical interview was studied with expert and novice medical diagnosticians: 18 experienced family physicians versus 5 new physicians and 12 final-year medical students. The 18 experts and 17 novices were presented with 32 short case histories each presented on…

The relationships between medical school academic achievement and first year residency performance were investigated for the 1983 and 1984 graduates of the Medical College of Wisconsin. The analyses were designed to control for suspected differential resident expectations among the directors of various medical specialties, and were replicated to…

Ratings of clinical competence during residency were undertaken for graduates of two medical schools. Near the end of the first year of residency, supervisor ratings were made of 13 variables for 320 graduates in seven classes at Southern Illinois University School of Medicine and one class at the University of Iowa College of Medicine. Principal…

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)