Results of a survey to document the nature and volume of ambulatory care in the community, based on an assessment of the visit, indicate that nearly four of five ambulatory visits made to physicians are for primary care and that all physicians, even the most specialized, provide a substantial amount of primary care. Implications for medical…

A model program in dentistry for the handicapped offered at the University of Tennessee and supported by a Robert Wood Johnson Foundation grant is described. The program includes didactic instruction, observation and seminar, and clinical practice. (JMF)

The definition of primary care is developed and a way is suggested to measure whether it is being achieved. Evaluative questions are identified that can determine whether a system of care is oriented toward primary care. They include assessing first-contact care, coordination of care, comprehensiveness, and longitudinality. (LBH)

The concurrent validity of Spanish versions of the Minnesota Multiphasic Personality Inventory-2 and the Personality Assessment Inventory (L. Morey, 1991) was studied with 105 Hispanic patients using a revised Spanish version of the Diagnostic Interview Schedule (L. Robins and others, 1981) as the criterion measure. Results suggest that both…

Presents an interview with medical doctor Richard Selzer, author of memoirs, essays, fiction and nonfiction. Discusses how a doctor must suppress and compartmentalize lust and revulsion "for certain ugly facts of the flesh." Addresses Selzer's continuing passion for writing, how he gets his ideas, and what it took for him to give up…

An Alabama initiative aimed to improve access to oral health care for Medicaid-eligible children through four components: improved Medicaid claims processing, increased reimbursement for providers, outreach and educational activities to support providers, and parent and patient education about children's oral health. In the first 3 program years,…

When 197 disadvantaged older medical patients completed the Beck Anxiety Inventory, the instrument demonstrated high internal consistency and no significant differences by sex or race, suggesting that it is appropriate for use with diverse populations. Total instrument scores correlated negatively with age. (SLD)

The social adjustment and academic performance of 15 children hospitalized for depression were compared to 14 children with schizophrenia and 20 normal children, ages 7 to 14. Analyses reveal an association between children's adaptive functioning and both diagnostic status and family transactional processes. (SLD)

Using Giroux's concept of "insurgent multiculturalism," suggests that the critical study of culture might be a bridge to certain aspects of doctors' professional development. Explains that insurgent multiculturalism moves inquiry away from a focus on non-dominant groups to a study of how unequal distributions of power allow some groups but not…

Describes key themes and components of culture in health care for incorporation into undergraduate medical education. These include teaching the rationale for learning about culture in health care; "culture basics"; data on and concepts of health status; tools and skills for productive cross-cultural clinical encounters; characteristics and…

Summarizes the current practice of cultural competency training within medical education and describes the design, implementation, and evaluation of a theoretically based, year-long cultural competency training course for second-year students at Wake Forest University School of Medicine. (EV)

Medical schools were invited to provide written and Web-based materials related to implementing cross-cultural competency in their curricula. A tool was developed to measure teaching methods, skill sets, and eight content areas in cross-cultural education. Most programs emphasized teaching general themes, such as the doctor-patient relationship,…

Examined family networks of 47 geriatric stroke patients for social supports and problems as they related to well-being after hospital discharge. After controlling for patients' medical status at discharge, social supports were not associated with any outcomes examined. Social problems explained additional variance in personal adjustment and…

Michigan State University's College of Human Medicine has added modules on developmental screening to the second-year medical curriculum, teaching students to specialize their basic interviewing and physical assessment skills by considering the patient's developmental stage as well as age-specific risks, issues, and concerns. (MSE)

The New England College of Optometry has developed a clinical curriculum that utilizes external clinical affiliates as a part of the fourth-year training process. Educational opportunities in primary, secondary, and tertiary care settings provide students with a wide range of patient care experiences. (Author/MLW)