ao<.l:11::(1)

a8o

Q

Association of American Medical Colleges

Annual Meeting

and

Annual Report

1981

Doc

umen

tfr

omth

eco

llect

IOns

oft

heA

AM

CN

otto

bere

prod

uced

wIt

hout

perm

IssI

on

aor.l:11::(1)

a8oQ

Table of Contents

Annual MeetingPlenary Session .Special General Session . .Council of Academic Societies .Council of Deans .Council of Teaching Hospitals .GSA/Minority Affairs Section . .Minority Affairs Program .Organization of Student Representatives .Women in Medicine . .COD/Society of Medical College Directors of Continuing

Medical Education .Faculty Roster Workshop .Group on Business Affairs .Group on Institutional Planning .Group on Medical Education .GME/Society of Medical College Directors of Continuing

Medical Education . . . . . . . . . . . . . . . . . . . . . . .. . .Group on Public Affairs .Group on Student Affairs .Research in Medical Education .

Assembly Minutes .

Annual ReportExecutive Council, Administrative Boards .The Councils .National Policy .Working with Other Organizations . . . . . .. . .Education .Biomedical and Behavioral Research .Health Care .Faculty .Students .Institutional Development .Teaching Hospitals .Communications .Information Systems .AAMC Membership .Treasurer's Report .AAMC Committees .AAMCStaff _ _ .

211211211211212212212212212

213213213214214

216216218218

221

226227235241244247249250252255257261262264264266 I270

J

The Ninety-Second Annual Meeting

November 1

Panel: Commercial Stress on the AcademicMedical CenterRobert M. Heyssel, M.D.

Development of Investor-Owned Hos­pital Groups and the Implications forTraditional Medical CentersDonald S. MacNaughton

Respondents: G. Richard Lee, M.D.Mark S. LevitanSamuel O. Thier, M.D.

Plenary Session

BASIC SCIENCE EDUCATION AS THE

FOUNDATION FOR ADVANCED MEDICAL

PRACTICE

Presiding: Daniel X. Freedman, M.D.

The Content and Scope of Instruction in Phar­macology: Past, Present, and FutureFrederick E. ShideJ..Ilan, M.D.

Identification ofEssential Bioscience Concepts:The Challenge for Basic and Clinical ScientistsRubin Bressler, M.D.

COUNCIL OF ACADEMIC SOCIETIES

November 2

Science in Medical Practice in the Year 1990Robert W. Berliner, M.D.

Business MeetingPresiding: Daniel X. Freedman, M.D.

COUNCIL OF DEANS

November 2

Business MeetingChairman: Steven C. Beering, M.D.

211

Program Outlines

Health Promotion

~ovember 2

PLENARY SESSION

-Iovember 3

Presiding: Thomas K. Oliver, Jr., M.D.

Presentation of AAMC Research and FlexnerAwards

'Iorember 3

ACADEMIC FUNCTIONS IN AN INCREASINGLY

COMMERCIAL HOSPITAL ENVIRONMENT

MOderator: Mitchell T. Rabkin, M.D.

:::~ Washington Hilton Hotel, Washington, D.C., October 3 I-November 5, 1981rJ)§ Theme: Tomorrow's Medicine: Art and Science or Commerce and Industry?

(1)

0..

§ Keynote Address:<.l:1 Disease Prevention and1:: Richard S. Schweiker(1)

a Chairman's Address:8 'The Idea of a University'8 Julius R. Krevans, M.D.

SPECIAL GENERAL SESSION

Presiding: Julius R. Krevans, M.D.

From Four Perspectives:

The Biomedical Scientist:The Alan Gregg Memorial LectureDavid M. Kipnis, M.D.

The University President:Donald Kennedy, Ph.D.

The Industrialist:U BusIness and Medicine: The Pursuit of Human::§ Health~ John W. Hanley

(1) The Public:..s::...... Broadcasting Science and Medical News:4-<o The Responsibilities and Obligations~ Charles CrawfordoB~<3u(1)

..s::......

ao<.l:11::(1)

a8o

Q

,212 Journal ofMedical Education

COUNCIL OF TEACHING HOSPITALS

November 2

Business MeetingPresiding: Stuart J. Marylander

General SessionPresiding: Mitchell T. Rabkin, M.D.

Implementing Competition in a RegulatedHealth Care SystemWalter J. McNerney

GSA/MINORITY AFFAIRS SECTION

November 1

GSA-MAS Medical Career AwarenessWorkshop

November 2

Regional Meetings:CentralNortheastSouthernWestern

Minority Health Professions SchoolsLouis Sullivan, M.D.

Hispanics and MedicineRicardo Azziz, M.D.

MINORITY AFFAIRS PROGRAM

November 3

Tommorrow's Medicine: Beyond GMENACFrank S. Royal, M.D.

ORGANIZATION OF STUDENTREPRESENTATIVES

October 31

Regional Meetings:NortheastCentralWesternSouthern

Preventing Impairment and Failure of MedicalStudentsCarola Eisenberg, M.D.Leon Eisenberg, M.D.

IVOL. 57, MARCH 1982

Joan MaySteve Phillips

Assessment of Clinical Performance: Improving the State of the ArtVictor Neufeld, M.D.Hugh Scott, M.D.Xenia Tonesk, Ph.D.

Business Meeting

November 1

DISCUSSION SESSION

Clinical Evaluations: The Unwritten RulesGeorge Baker, M.D.Kay Colangelo, Ph.D.

Candidate for OSR Office Session

Business Meeting

Regional Meetings:WesternSouthernNortheastCentral

November 2

Tomorrow's Medicine: The Economy,The Science, The Practice

Moderator: Martha Anderson, Ph.D.

Panel: Jeff Goldsmith, Ph.D.Jane Henney, M.D.Alvin Tarlov, M.D.

WOMEN IN MEDICINE

November 1

SYMPOSIUM ON ACADEMIC TENURE

Moderator: Roberta A. Monson, M.D.

AAMC Tenure Study and General Issues oiTenure and PromotionAmber B. Jones

Institutional IssuesEdward J. Stemmler, M.D.

Faculty ConcernsPaul Friedman, M.D.

GENERAL SESSION: CAREER DECISION POINTS:

PASSAGE OR IMPASSE?

Moderator: Norma E. Wagoner, Ph.D.

November 4

FACULTY ROSTER WORKSHOPNovember 2

November 3

Financial Questionnaire Workshop

Regional Meetings:SouthWestMidwestNortheast

GROUP ON BUSINESS AFFAIRS

213

Donald A. B. Lindberg, M.D.

The Changing Role of the Library in Supportof Medical EducationMartin M. Cummings, M.D.

Continuing Medical Education: Can WeChange the Paradigm?Phil R. Manning, M.D.

The Role of Communication Satellites in In­formation TechnologyM. Roy Schwarz, M.D.

Review of revised reporting forms and discus­sion of individualized school faculty listings;progress report on the utilization of the indexof women and minorities.

·°81 AAMC Annual Meeting

;he Natural History ofa Medical Academicia~)r Life in Medical School After Medicallchool"ordon H. Deckert, M.D.

.espondents: Pearl P. Rosenberg, Ph.D.Leah M. Lowenstein, M.D.,D. Phil.

Sovember 2

SYMPOSIUM ON MEETING THE PRESS

Moderator: Grace M. Urrows

On Handling Administrative Matters~hchela Reichman

On Scientific GroundsBarbara J. Norris

Pen and Pencil vs. The CameraAnn Harrell

:::9rJ)rJ)

§8, "egional Breakfast Meetings:

WesternCentralSouthernNortheast

U AReporter's Perspective::§ Judy Randall

~ An Interviewee's Perspective<l) N. Lynn Eckhert, M.D.

..s::......4-< A TALE OF 0o

'Iovember 1

COD/SOCIETY OF MEDICAL COLLEGEDIRECTORS OF CONTINUINGMEDICAL EDUCATION

INFORMJ, .ON TECHNOLOGY: IMPLICATIONS

fOR MEDICAL EDUCATION

The Philosophy Behind the Technology

NATIONAL PROGRAM

Program IntroductionRobert B. Price

Welcoming RemarksJohn A. D. Cooper, M.D.

Priorities and Health PoliciesEdward N. Brandt, Jr., M.D.

The Support of Biomedical Research by Indus­try

Moderator: John A. Gronvall, M.D.

Speakers: David A. Blake, Ph.D.Howard W. Bremer

Coping with AgreementJerry B. Harvey, Ph.D.

CARROLL MEMORIAL LECTURE

Federalism and the University Medical CenterSteven C. Beering, M.D.

A slide-tape show from the Archives of the:.ledical College of Pennsylvania

1::<l) Discussion Leader: Eva Ray, Ph.D.E8o

Q

rJ) A presentation of A Tale of 0, a slide-tape§ show based on Dr. Rosabeth Moss Kanter'sB research for her award-winning book, Men and~ Women ofthe Corporation. The slide-tape dem­"8 onstrates what happens to any minority indi­

<l) \1dual in a work group...s::a DAUGHTERS OF SCIENCE

o<.l:1

ao<.l:11::(1)

a8oQ

214 Journal ofMedical Education

Business MeetingPresiding: Jerry E. Huddleston

GROUP ON INSTITUTIONALPLANNING

November 1

COMPETITION IN THE HEALTH CARE INDUSTRY:

IMPACT ON ACADEMIC MEDICAL CENTERS IN

THE 1980s

Welcoming RemarksJohn A. D. Cooper, M.D.

Moderator: Peter W. Butler

Speaker: Honorable Richard A. Gephardt

Hospital Perspective:John W. Colloton

Medical School Perspective:Ronald P. Kaufman, M.D.

Planner's Perspective:Jeff e. Goldsmith, Ph.D.

November 2

Business MeetingJ. Stephen Smith, Chairperson

Regional Meetings

GROUP ON MEDICAL EDUCATION

November 1

SPECIAL SESSION

THE ASSESSMENT OF HOUSE STAFF

PERFORMANCE

Developed in conjunction with the Associationof Program Directors of Internal Medicine andthe Society of Teachers of Family Medicine

Moderator: L. Thompson Bowles, M.D., Ph.D.

Overview: Xenia Tonesk, Ph.D.

Panel: Family MedicineHiram B. Curry, M.D.

Internal MedicineWilliam L. Morgan, M.D.

SurgeryFrank E. Rosato, M.D.

VOL. 57, MARCH 1982

November 2

INNOVATIONS IN MEDICAL EDUCATION

EXHIBITS

SMALL GROUP DISCUSSIONS

THE FUTURE ROLE OF MEDICAL SCHOOLS IN

CONTINUING MEDICAL EDUCATION

Moderator: Gerald H. Escovitz, M.D.

Panel: Donald Brown, M.D.Richard M. Caplan, M.D.John M. Dennis, M.D.Robert H. Moser, M.D.

CURRICULUM REVIEW AND REVISION: THE

PROCESSES AND PRESSURES

Moderator: Alan Goldfien, M.D.

Panel: Roy Jarecky, Ed.D.S. Scott Obenshain, M.D.e. W. Scott, M.D.

PUBLICATIONS DiRECTED TO HEALTH

PROMOTION AND EDUCATION

Moderator: Stephen E. Goldfmger, M.D.

Panel: Jordan Cohen, M.D.'Stephen E. Goldfmger, M.D.Joe Sigler

FOSTERING THE DEVELOPMENT OF THE

ACADEMIC PHYSICIAN

Moderator: John C. LaRosa, M.D.

Panel: Bernadine H. Bulkey, M.D.Glenn W. Geelhoed, M.D.Gerald S. Levey, M.D.G. Donald Whedon, M.D.

U. S. CITIZENS IN FOREIGN MEDICAL SCHOOLS

Moderator: Winfield H. Scott, Ph.D.

Panel: Robert e. Combs, M.D.Barry Stimmel, M.D.James Van Vooren

CLINICAL REASONING (PROBLEM SOLVING):

TEACHING AND EVALUATION

Moderator: Howard S. Barrows, M.D.

Panel: Peter Harasejm, Ph.D.Bahman Joorbachi, M.D.David B. Swanson, Ph.D.

PLENARY SESSION

Combined Session with the Group on StudentAffairs

THE EXTERNAL EXAMINATIONS DILEMMA: IMPACT

ON EDUCATIONAL PROGRAMS AND STUDENT BE­

HAVIOR

Moderator: Philip G. Bashook, Ed.D.

Instructional Design or Evaluation of Contin­uing Medical Education ProgramsModerator: David Allan, M.D.

Computer Applications in Medical EducationModerator: Michael G. McShane, Ph.D.

Interdisciplinary Health EducationModerator: Leonard E. Heller, Ed.D.

Faculty DevelopmentModerator: Hilliard Jason, M.D.

Educational Support Systems for StudentsModerator: Miriam Willey, Ph.D.

Innovative Approaches to Admissions and Stu­dent Financial AidModerator: Jerry R. May, Ph.D.

November 4

215

GME NATIONAL MEETING

Regional Summaries of Discussion of AAMCGeneral Education of the Physician Project

Moderator: Murray M. Kappelman, M.D.

Participants and Perspectives:

Should External Examinations Be Used asGateposts for Promotions?Fredric D. Burg, M.D.

The Comprehensive Qualifying Examina­tion-Pro and ConDaniel D. Federman, M.D.

Impact of External Examinations on Students'Attitude and BehaviorRobert I. Keimowitz, M.D.

Evaluating Curriculum by Means of ExternalExaminationsT. Joseph Sheehan, Ph.D.

A Student's Perspective on External Examina­tionsLouis van de Beek

1981 AAMC Annual Meeting

_RGANIZING MEDICAL EDUCATION FOR THE

\DULT LEARNER: WHY, WHEN AND HOw?

\{oderator: S. Scott Obenshain, M.D.

ranel: Donald E. Moore, Jr., Ph.D.Frank T. Stritter, Ph.D.

Moderator: Michael J. Gordon, Ph.D.

Panel: Charles P. Friedman, Ph.D.Gerald B. Holzman, M.D.Marcia Z. Wile, Ph.D.

Regional Meetings:CentralSouthernNortheastWestern

Instructional Design or Evaluation ofIntroduc­tlon to Clinical Medicine ExperiencesModerator: Paula L. Stillman, M.D.

Instructional Design or Evaluation of ClinicalClerkshipsModerator: Marilyn Heins, M.D.

Instructional Design or Evaluation of Resi­dency Programs

SENIOR YEAR-PURPOSES/STRUCTURE

~ Moderator: Roger O. Lambson, Ph.D.

~ Panel: Fredric D. Burg, M.D.Carl F. Hinz, Jr., M.D.

ao<t1 NNOVATIONS IN MEDICAL EDUCATION

1:: DISCUSSION GROUPS(1)

a8o

Q

::: THE GEOGRAPHIC AND SPECIALTY

~ . ,LDISTRIBUTION OF PHYSICIANS: DO THE

;!.1 ISTRATEGIES OF THE 70s MEET THE NEEDS OF

§ THE 80s?(1)

0.. Moderator: Thomas J. Cullen, Ph.D.'5o Panel: James E. Carter, M.D...s:: Will R. Galey, Ph.D.~ Eugene S. Mayer, M.D.'"d Wayne W. Myers, M.D.

(1)u Benjamin B. C. Young, M.D..go ... ·LHY CONTROL OF CLINICAL EDUCATION

a N COMMUNITY HOSPITALS AND CLINICS(1)\-;

(1)

.Do

-+-'-+-'oZ

(1)

..s::~ lOl'ember 3orJ)

::: INNOVATIONS IN MEDICAL EDUCATIONoB EXHIBITS

~<3u(1)

..s::-+-'

GSA-GME SPECIAL SESSION GROUP ON PUBLIC AFFAIRS

Evaluating the Use of MCAT Scores in Ad-missions November 1

ao<.l:11::(1)

a8o

Q

216 Journal ofMedical Education

Moderator: Robert L. Beran, Ph.D.

Panel: Frances R. HallThomas E. Norris, Ph.D.George A. Nowacek, Ph.D.Virginia I. Nunn, Ed.D.

Discussant: Robert F. Jones, Ph.D.

GME/SOCIETY OF MEDICALCOLLEGE DIRECTORS OFCONTINUING MEDICAL EDUCATION

November 2

APPROACHES TOWARD ENHANCING THE

QUALITY OF CONTINUING EDUCATION OF

HEALTH PROFESSIONALS

Moderator: George E. Miller, M.D.

Quality Defmed by:

Health Care PractitionerC. H. William Ruhe, M.D.

Provider of Programs and ServicesWilliam H. Young, D.Ed.

AccreditorRichard S. Wilbur, M.D.

CESP MODEL-Theory and PracticeJoseph S. Green, Ph.D.David B. Walthall, M.D.

Action Plans-Panel and Audience:

VA: Management and Reporting System andLearning PackagesKenneth Lawrence

Center for Educational DevelopmentUniversity of IllinoisRonald W. Richards, Ph.D.

Office for Research and Development for Ed­ucation of Health Professionals, University ofNorth CarolinaWilliam Wood, M.D.

SummaryGeorge E. Miller, M.D.

IVOL. 57, MARCH 1982

PUBLIC AFFAIRS IN A TIME OF CHANGING

VALUES

Orientation Session

Presiding: Kay Rodriguez

Speakers: John F. Sherman, Ph.D.GPA Officers

November 2

Welcome Breakfast

Moderator: Suzanne Rauffenbart

Speaker: Florence Janovic

HEALTH: A COMMON EFFORT

Speaker: Edward Brandt, M.D.

COMPETITION LEGISLATION

Panelists: John CrosbyRichard Knapp, Ph.D.

November 3

SHRINKING RESOURCES: THE IMPACT ON 1Hl

ACADEMIC MEDICAL CENTER

Speakers: John D. Chase, M.D.Thomas J. Kennedy, Jr., M.D.

TRACK I-PUBLIC RELATIONS

MANAGING THE EFFECTIVE MEDICAL PUBLIC

RELATIONS PROGRAM

Speaker: Fred Gehrung

PRESENTING MEDICINE ON NETWORK

TELEVISION: A PRODUCER'S PERSPECTIVE

Speaker: Bud Lamoreaux

TRACK II-ALUMNI

ALUMNI RECORDS

Moderator: Perry Culver, M.D.

Panelists: Muriel B. SawyerClifford Ohle

ALUMNI DIRECTORIES

Panelists: Dorothy Estes, M.D.Katherine Walker

TRACK III-DEVELOPMENT

1981 AAMC Annual Meeting

Raising Money for Capital Equipment forMedical Schools for Clinical and AcademicPurposes

Discussion Leader: Seymour Alpert, M.D.

A Place or Role for Alumni in the Promotionof Public Relations and Development forTeaching Hospitals and Medical Schools

Discussion Leader: Perry Culver, M.D.

Presiding: Vicki Saito

Publications

Michela ReichmanH. Taylor Vaden

Special Public Relations/Development/Alumni Project

Don ClaytonB. J. Norris

Electronics Program-Audio

David OgdenRic Spiegel

Electronics Program-Visual

Barbara AustinJane Peters Snyder

Total Public Relations/Development!AlumniProgram-Afliliated Teaching Hospital

Dean BorgRoland Wussow

Total Public Relations/Development/AlumniProgram-Medical School and/or UniversityHospital

Robert FenleyJoe Sigler

AWARDS NOMINEE PRESENTATIONS

217

GPA BUSINESS SESSION

Presiding: Kay Rodriguez

AWARDS LUNCHEON

Presiding: Kay Rodriguez

Speaker: Dennis O'Leary, M.D.

Presentation of Awards:John F. Sherman, Ph.D.

-;CORPORATION OF NON-ALUMNI RESIDENTS

\ND FELLOWS

anelists: Penny HackleySharon A. Sweder

Campaign Marketing and Feasibility Studies

DIscussion Leader: Robert Pierpont

itaffmg and Salaries of the Academic"ledical Center Development Office

DIScussion Leader: John Ford

::: PERSPECTIVES ON MEDICAL CENTER

~ _EVELOPMENT-SHARPENING THE FUND

;!l RAISER'S TOOLS

a•)j) \loderator: Robert Hart

0.. _anelists: Anthony Bridwell§ E. Burr Gibson..s:: Richard Janeway, M.D.

~"d

<l) Sovember 4u

~ ~'ORKING BREAKFAST\-;

15' New Media for Conveying Your Message\-;

<l) Discussion Leaders: Dean Borg.Do Doug Buck......o "ow to Get on the Op Ed Page and OtherZ Places You've Never Been Before

DIScussion Leaders: B. J. Norris~ Suzanne RaufTenbart

~ Handling Controversial Matters-Some<l) Advice from Those Who Have Been There

':5 DIScussion Leaders: Vicki Saito'0 Roland Wussow

rJ)

::: The News-Making Hospital PatientoB Discussion Leaders: Kathryn Costello~ Al Hicks<3u How to Get Publicity for Your Hospital in an~ Overhospitalized Town......a Discussion Leaders: Shirley Bonnemo Jane Snyder

<.l:11:! Makmg the Best of Your PublicationaDIScussion Leaders: Robert Fenley8 Thomas Lakeo

Q

NovemberS

INTERNAL EVALUATIONS OF CURRICULAR

PROGRAMS: PROBLEMS, METHODS, AND

RECOMMENDATIONS

i

19821i1

VOL. 57, MARCH

Chairman: Fredric D. Burg, M.D.

Organizer: J. Gregory Carroll, Ph.D.

Panelists: J. Gregory Carroll, Ph.D.William C. McGaghie, Ph.D.Myra Ramos

DETERMINANTS OF PHYSICIAN IMPAIRMENT

Organizers: Carol Gilligan, Ph.D.Carol Nadelson, M.D.Malkah T. Notman. M.D.

Panelists: Carol Gilligan, Ph.D.Carol Nadelson, M.D.Malkah Notman, M.D.Steven Shieber, M.D.Diana M. Zuckerman, Ph.D.

NEW APPROACHES TO INSTRUCTION IN COST­

EFFECTIVE CLINICAL DECISION-MAKING

Organizer: Arthur S. Elstein, Ph.D.

Panelists: Frank Hale, Ph.D.Raymond J. Mayewski, M.D.Marilyn L. Rothert, Ph.D.Sankey V. Williams, M.D.

DEVELOPMENT OF A COURSE IN PREVENTION,

FOCUSING ON CANCER

Organizer: Arlene R. Barro, Ph.D.

Panelists: William A. Anderson, Ph.D.Richard Gallagher, Ph.D.J. Dennis Hoban, Ed.D.Ralph Ingersoll, Ph.D.Jack J. Mason, Ph.D.Robert E. Roush, Ed.D.Frank Schimpfhauser, Ph.D.Howard L. Stone, Ph.D.

ETHICAL CONDUCT OF STUDENT PHYSICIANS:

THE SPECIAL PROBLEM OF CHEATING

Organizer: Fredericka Oakley

Panelists: John Sabini, Ph.D.M. Roy Schwarz, M.D.Frederick Sierles, M.D.Maury Silver, Ph.D.David J. Wolk

November 4

FINANCIAL AID FORUM

Moderator: Cheryl Wilkes

New Institutional Perspectives in Student Fi­nancingWilliam I. Ihlanfeldt

The Private Capital Marketing Funding Per­spectiveJames J. Unland

The Sallie Mae PerspectiveEdward Fox

The Medical School PerspectiveEdward J. Stemmler, M.D.

November 3

218 Journal ofMedical Education

GROUP ON STUDENT AFFAIRS

Business MeetingChairman: W. Albert Sullivan, Jr., M.D.

November 2

THE GENERAL PROFESSIONAL EDUCATION OF

THE PHYSICIAN-A STUDENT AFFAIRS

PERSPECTIVE ON THE AAMC STUDY

Moderator: W. Albert Sullivan, Jr., M.D.

Faculty Participation Is Essential for ChangeAugust G. Swanson, M.D.

Planning and Management of the MedicalEducation ExperienceFredric D. Burg, M.D.George E. Ruff, M.D.

RESEARCH IN MEDICAL EDUCATIONTWENTIETH ANNUAL CONFERENCE

GSA/GROUP ON MEDICAL EDUCATION

PROGRAM

PRESENTATION OF SYMPOSIA

November 4

SELF-EVALUATION IN UNDERGRADUATE AND

GRADUATE MEDICAL EDUCATION

Organizer: Louise Arnold, Ph.D.

Panelists: Rosalia E. A. Paiva, Ph.D.T. Lee WilloughbyChristel A. Woodward, Ph.D.

ao<.l:11::(1)

a8o

Q

CAREER CHOICE

EXAMINATIONS TECHNIQUES

Moderator: Barbara J. Andrew, Ph.D.

Cueing on Multiple Choice Items for MedicalStudentsMargaret E. Uguroglu, et al.

The 'Triple-Jump' Exercise-Further Studiesof an Evaluative TechniqueA. C. P. Powles, et al.

A New Examination for the Evaluation of Di­agnostic Problem-SolvingSusan M. Case

Moderator: Frank T. Stritter, Ph.D.

A Comparative Study of Physicians from TwoDecadesSandra R. Wilson, Ph.D., et al.

Medical Students' Personality Changes fromFreshmen to SeniorsKaren Kelley, M.D., et al.

The Income Expectations of Medical Studentsin the Time Period 1970 to 1980Jon Veloski, et al.

219

Accuracy of Physician's Self Reported PracticeProfilesLynn Curry, Ph.D., et al.

Measuring Participant Learning and Change inPractice Behavior for Continuing Medical Ed­ucation ProgramsRonald J. Markert, Ph.D., et al.

The Extent of Physician Participation in Con­tinuing Medical Education ActivitiesLinda K. Gunzburger, Ph.D., et al.

STUDENT CHARACTERISTICS

Moderator: George Zimny, Ph.D.

Clinical Experiences: Do They Make a Differ­ence on Specialty Choice Decision?Nu Viet Vu, Ph.D., et al.

Personality Types of Family Practice Residentsas Measured by the Myers-Briggs Type Indi­catorDona L. Harris, Ph.D., et al.

Longitudinal Changes in Specialty Preferences:Sex Differences

Larry D. Gruppen, et al.

/981 AAMC Annual Meeting

IHE RISE AND FALL OF THREE-YEAR MEDICAL

CURRICULA

Irganizers: B. M. FerrierC. A. Woodward, Ph.D.

Organizer: David B. Swanson, Ph.D.Panelists: Howard S. Barrows, M.D.

Charles P. Friedman, Ph.D.Harold G. LevineGeoffrey R. Norman, Ph.D.

CONTINUING MEDICAL EDUCATION

Moderator: Harold Levine

Panelists: John Baumber::: I Robert L. Beran, Ph.D.o Gerry R. Schermerhorn~I Christel A. Woodward, Ph.D.

§ INTERPERSONAL SKILLS TRAINING FOR

8, IIEDICAL STUDENTS: EXAMINING THE STATE OF

THE 'ART'

Moderator: Paula L. Stillman, M.D.

APsychometric Study of Measures of MedicalInterviewing SkillsDavid B. Swanson, Ph.D., et al.

The Effects of Medical Information and Extenta of Training on the Interviewing Skills of Med­o leal Students

r.l:1...... Mark L. Wolraich, M.D., et al.:::(1) Evaluating History-Taking and Physical Ex-a amination Skills: A Structured vs Traditional8o Approach

Q Debra A. DaRosa, et al.

Procedural Skills in Internal MedicineRobert S. Wigton, M.D., et al.

"5..8 Chairman: Roland J. Weisser, Jr., M.D.......~ Organizer: Franklin J. Medio, Ph.D.

--g IPanelists: Julian Bird, M.R.C.P., M.R.C.g J. Gregory Carroll, Ph.D.

"8 Franklin J. Medio, Ph.D.a Franklin M. Putnam, M.D.e Paula L. Stillman, M.D.(1)

.D IIIPROVED CLINICAL EVALUATION IN

.8 UNDERGRADUATE MEDICAL EDUCATION

......oZ

(1) November 4..s::......4-< PRESENTATION OF PAPERS

~ TEACHING CLINICAL SKILLS:::oB~<3u(1)

..s::......

aor.l:11::(1)

a8o

Q

220 Journal ofMedical Education

STANDARD SEllING

Moderator: John S. Lloyd, Ph.D.

Assessing the Reliability and Validity of Edu­cational StandardsRobert B. Parks, Ph.D.

External and Internal Tests of PreclinicalLearning: Content Representativeness, ItemEducational Emphasis, and Student Achieve­mentWilliam C. McGaghie, et al.

Professional Competence Assurance Program(PROCAP): Physician Performance in the Am­bulatory Care of 1229 Patients with Hyperten­sionDavid S. Gullion, M.D., et al.

November 5NEW MCAT ANALYSIS

Moderator: Arthur I. Rothman, Ed.D.

The Overall Validity of the New MCATJon Veloski, et al.

Predicting Medical School Performance Usingthe Old and New MCATAlan Hull, Ph.D., et al.

Using the New MCAT and NBME SubjectExaminations to Predict Performance in aMedical School Behavioral Sciences CourseJohn M. Beaton, Ph.D., et al.

IMPACT OF PROGRAMS ON CLINICAL

PERFORMANCE

Moderator: Edwin F. Rosinski, Ed.D.

Unraveling the Meaning of Global Compara­tive Ratings of InternsC. A. Woodward, et al.

Long-Term Stability of Graduates' Rating ofTheir Educational Programs: Or-What is tobe Gained by Post-Program Follow-Up Sur­veys?J. Crook, et al.

A Comparative Survey of Former Residents'Professional Activities and Retrospective Rat-

VOL. 57, MARCH 1982

ings of Training Program EffectivenessRichard B. Countiss

CURRICULUM EVALUATION

Moderator: Reed Williams, Ph.D.

Curriculum Evaluation: A Many Splendorec"Thing?William Weston, III, M.D., et al.

Structuring Clinical Medical Education: AProblem Specific, Performance Based FrameworkEmil R. Petrusa, Ph.D.

Goal Attainment Scaling in a PsychiatncClerkshipGrant D. Miller, M.D., et al.

The Impact of Participation in a Primary CarTrack Program on Medical Student Career De­cisionMike Mallea, M.D., et al.

ISSUES IN SELECTION

Moderator: C. Benjamin Meleca, Ph.D.

Applicant Characteristics, School Characterand the Admission Selection ProcessCarl N. Edwards

Comparison of Perceived Stress Levels Amon,Medical and Law StudentsMarilyn Heins, M.D., et al.

A Multicomponent Validity Study of HOUSE

Staff Selection ProcessCharles P. Friedman, Ph.D., et al.

INSTRUMENT VALIDATION

Moderator: Lawrence Tremonti, M.D.

The Validity of Simulated PatientsG. R. Norman, et al.

A Longitudinal Study ofObservational Ratrngby Clinical FacultyJohn H. Littlefield, Ph.D., et al.

The Instructor Satisfaction Questionnaire: [I

Development and ValidationAnne Roth, et al.

iviinutes of AAMC Assembly Meeting

221

Report of the PresidentDr. John A. D. Cooper provided the Assemblywith the latest information about the fiscal year1982 budget and appropriations process, m­c1udmg OMB action to defer expenditures offunds in excess of the Administration's Septem­ber budget. Dr. Cooper anticipated that pres­sure to reduce funding for programs of interestto medical centers would not abate.

The Association has been notified that thePew Memorial Trust would support its proposalfor Regional Institutes on Geriatrics and Med­ical Education. The steering committee for thisnew AAMC initiative would be chaired by Jo­seph E. Johnson, III, M.D., Chairman of Med­icine at the Bowman Gray School of Medicine.

Another new Association project, a study ofthe General Professional Education of the Phy­sician, had been funded by the Kaiser FamilyFoundation. The Advisory Panel for this proj­ect will be chaired by Steven Muller, Presidentof Johns Hopkins University. William Ger­berding, President of the University of Wash­ington, Seattle, will serve as vice chairman. Theadvisory committee will have broad represen­tation from university and medical school fac­ulties and the medical profession.

Dr. Cooper discussed the Association's activ­ities with respect to the competition issue. Al­though there did not appear to be sufficientconsensus in Congress for enactment of any ofthe existing competition proposals, Dr. Cooperpredicted that medical centers and teachinghospitals would nevertheless be subject tomounting competitive forces and that therewould be increased regulatory approaches tocontaining costs.

Report of the Council of Deans

Dr. Steven C. Beering reported that the springmeeting of the Council of Deans had beendevoted to "Crosscurrents of the Eighties." Anadditional feature of that program had been anorientation session for new deans. The Councilhad amended its rules and regulations to ex-

ashington Hilton Hotel, Washington, D. C.

'ovember 3, 1981

.onsideration of the Minutes

Ihe minutes ofthe October 28, 1980, Assemblyneeting were approved without change.

uorum Call

he Chairman recognized the presence of a

all to Order

r. Julius R. Krevans, AAMC Chairman,lied the meeting to order at 8:15 a.m.

!eport of the Chairman

Jr, Krevans reported to the Assembly on the

~u activities of the Executive Council during the

Jreceding year. He gave special attention to the~ouncil's response to budgetary and legislative

<l) Jroposals, which resulted in the Association's..s::...... etting as its priorities research and research4-<o raming, student financial assistance, and sup-~ JOrt for the Medicaid and Medicare programs.o 1e also mentioned several Association com­B .utlees and their reports and discussed some of~he policy issues on which the Council had<3u cted during the past year.~ Dr. Krevans extended a special thanks to the...... ollowing individuals, whose terms on the As­§ oclation's Administrative Boards had expired:

<.l:11:! From the Council of Deans: Steven C. Beer­<l) ~g. Allen W. Mathies.§ From the Council ofAcademic Societies.' Car­o line D. Clemente, Brian A. Curtis.

Q From the Council of Teaching Hospitals:Jennis R. Barry, John W. Colloton, Robert K.latch.From the Organization of Student Represent­

l/l'es' Lisa Capaldini, Wendy Crum, Susanlaack, Jo Linder, Manuel Marquez, Steven'hdlips, Louis van de Beek.

ao<.l:11::(1)

a8o

Q

222 Journal ofMedical Education

pand the size of its Administrative Board andto include as a member of the Board the Im­mediate Past Chairman of the Council. Dr.William Luginbuhl was named as new Chair­man of the Council. Dr. Richard Janeway wasnamed Chairman-Elect. New members of theAdministrative Board were M. Roy Schwarz,D. Kay Clawson, Arnold L. Brown, and Wil­liam B. Deal.

Report of the Council of Academic Societies

Dr. Daniel X. Freedman stated that the Feb­ruary interim meeting of the CAS had dealtwith the proposed single route to licensure andexternal evaluation examinations. In March theCouncil had held an emergency meeting withrepresentatives of the Reagan Administrationto discuss budgetary matters. The CAS pro­gram at the Annual Meeting had included ses­sions on the appropriate college preparation formedical school, the role of basic scientists inclinical departments, the reinforcement ofbasicscience education during clinical education,and the identification of basic science conceptsfor medical student learning.

Report of the Secretary-Treasurer

Mr. Stuart Marylander, in his report as Secre­tary-Treasurer of the Association, reviewed theactivities of the Audit Committee and the As­sociation's fmancial statement.

ACTION: On motion, seconded, and carried,the Assembly adopted the report ofthe Secretary­Treasurer.

Report of the Council of Teaching Hospitals

Mr. Marylander reported that the Council ofTeaching Hospitals' principal project through­out the year had been its study of the distinctivecharacteristics and related costs of teachinghospitals. Although the study had been delayedby problems in obtaining all of the requireddata, it was anticipated the study would beready for publication early in the next year.

Report of the Organization of StudentRepresentatives

Mr. Grady Hughes reported that the OSR hadincreased its efforts to affect Congress on stu­dent financial assistance issues. The OSR had

VOL. 57, MARCH 1982

also developed due process guidelines and haddistributed an issue of the OSR Report onphysician manpower. During the past year theOSR had also worked on a number of otherprojects, including a study of ethical issues atmedical schools and a network for exchange othousing information. At the Annual MeetlIlgthe OSR had sponsored several discussion ses­sions and had passed a number of resolutIOnswhich would be transmitted to the Council ofDeans. Ed Schwager was named Chairperson­Elect of the OSR.

Election of New Members

ACTION' On motion. seconded, and camed. theAssembly by unanimous ballot elected thefollow­ing organizations. institutions. and individuals 10

the mdlcated classes ofmembership:

Inslitutional Membership. East Carolina Unt·verslty School of Medicine; Marshall UniversitySchool of Medicine; Texas A & M UniverSityCollege of Medicine; Ponce School of Medicme.University of South Carolina School of Medi­cine; Northeastern OhIO Umversities College ofMedicine.

AcademiC Society Membership: AmencanAcademy of Physical Medicine & Rehabihta­lIon; American Society of Human GenetIcs.Child Neurology Society; Association of Direc­tors of Medical Student Education m Psychiatry.Inc.

Teaching Hospital Membership: The Ault­man Hospital Association, Canton, Ohio; TheCarney Hospital, Boston, Massachusetts; ChI!·dren's Hospital Medical Center, Akron, Ohm.Danbury Hospital, Danbury, Connecticut. De­trOIt Receiving Hospital and University HealthCenter. Detroit, Michigan; Frankford Hospital.Philadelphia, Pennsylvania; Froedtert MemonalLutheran Hospital, Milwaukee, Wisconsin; SamtJoseph's Hospital, Milwaukee, Wisconsin; SaintMary's Hospital, Grand Rapids, Michigan; SamtMary of Nazareth Hospital, Chicago, IllinOIs.Tampa General Hospital. Tampa, Florida; Unt­veTSlty Hospital, Stony Brook, New York; Vet·erans Administration Medical Center, DesMoines. Iowa.

Corresponding Membership: Grant Hospital.Columbus. Ohio; Saint Elizabeth Medical Cen·ter, Dayton, OhIO; Veterans AdmmistratIonMedical Center, Fresno. California; VeteransAdministration Medical Center, MountamHome, Tennessee.

Individual Membership: List attached to ar­chive copy of these minutes.

ao<.l:11::(1)

a8o

Q

/981 Assembly Minutes

Distinguished Service Membership: F Mar­Ian Bishop, Robert Derzon, Sidney Lewine,Hiram Polk, Robert Van Citters, Irvin Wilmot.

Emeritus Membership: Lad Grapski, JohnLattimer, Emanuel Papper.

Amendments to the Association Bylaws

ACTION: On motIOn, seconded, and camed, theAssembly by unanimous ballot amended the As­SoclUtlOn bylaws to read as follows:

Article I, Section 2B:Distinguished Service Members shall bepersons who have been actively mvolved inthe affairs of the AssociatIOn and who havemade major contributions to the Associa­tion and its programs.

Article I, Section 3E'Distinguished Service Members shall berecommended to the Executive Committeeby either the Council of Deans, the Councilof Academic Societies, or the Council ofTeaching Hospitals The Executive Com­mittee shall present DistingUished ServiceMember nominations to the ExecutiveCouncil

Article VI, Section 2:The Executive Council shall consist of ninemembers elected by the Assembly and exofficIO the Chairman, Chairman-Elect andImmediate Past Chairman of the Assemblyand each of the three Councils created bythese bylaws, the President of the Associa­tion, and the Chairperson and Chairperson­Elect of the Organization of Student Rep­resentatives, all of whom shall be votingmembers. Of the nine members of the Ex­ecutive Council elected by the Assembly,one shaH be a member of the Council ofAcademic Societies, one shall be a memberof the Council of Teaching Hospitals, SIXshall be members of the Council of Deans,and one shall be a Distinguished SeTVlceMember. The elected members of the Ex­ecutive Council shall be elected by the As­sembly at its annual meetmg, each to servefor three years or until the electIOn andinstallation of a successor. Each shall beeligible for re-election for one additionalterm of three years. Each shall be electedby majority vote and may be removed by a

223

vote of two-thirds of the members of theAssembly present and voting.

Article VI, Section 7.In the event of a vacancy on the ExecutiveCouncil, either through resignation of anelected member or election of such a mem­ber to an ex officIo seat on the Council, theremammg members of the Council mayappoint a successor to complete the unex­pired term. The Council is authorized at Itsown discretion to leave a vacancy unfilleduntil the next annual meetmg of the Assem­bly. Members of the Executive Council areehglble for election to the Council for twofull terms following completion of any par­tial term.

Report of the Resolutions Committee

There were no resolutions reported to the Res­olutions Committee for timely considerationand referral to the Assembly.

Report of the Nominating Committee

Dr. John E. Jones, Chairman of the AAMCNominating Committee, presented the reportof that committee. The committee 1S chargedby the bylaws with reporting to the Assemblyone nominee for each officer and member ofthe Executive Council to be elected. The fol­lowing slate of nominees was presented:AAMC Chairman-Elect: Steven C. Beering;Executive Council, COD representatives: JohnE. Chapman, M. Roy Schwarz; ExecutiveCouncil, COTH representative: Mark S. Levi­tan; Executive Council, CAS representative:Frank C. Wilson, Jr.

ACTION' On motIOn, seconded. and camed. theAssembly approved the report of the NominatingComml/lee and elected the individuals listed aboveto the offices indicated

Installation of New Officers

Dr. Thomas K. Oliver, Jr. was installed as theAAMC's new Chairman at the plenary sessionimmediately following the Assembly meeting.

Adjournment

The Assembly adjourned at 9: 10 a.m.