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Obstetrician-gynecologists are primary physicians to women.

Our studies of the practice patterns of Michigan obstetrician-gynecologists indicate that they serve in a dual capacity: that of primary physicians to women and that of specialist obstetrician-gynecologists. They provide a considerable amount of general medical care for their own patients in the former role, and traditional specialist services for their own patients and for those referred by other physicians in the latter. The objectives and educational content of most house officer training programs do not reflect these changes. Training is directed almost exclusively toward preparing residents for specialty practice and often does not offer them basic experience and permit them to develop basic skills in other disciplines, notably internal medicine nad psychiatry, which they will need to practice as parimary physicians to women. An educational program designed to prepare residents more broadly for what they will actually be doing in practice without compromising their training as specialists is described.

Curriculum↗

Finland.

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Demography↗

Small town development and urban illiteracy: comparative evidence from Leicestershire marriage registers 1754-1890.

"Based on the analysis of Anglican marriage registers for the period 1754 to 1890, the article explores patterns of illiteracy in three small Leicestershire [England] towns with contrasting economic functions. Illiteracy levels were closely related to urban occupational and social structures, which also affected distinct gender differentials. Evidence [of] the effect of literacy on age at marriage and marriage distance suggests that demographic behaviour and spatial interaction were determined more by socio-economic factors than by the possession of literacy skills. Literacy attainment, however, was linked to extended marriage distances when both spouses could sign the register."

Demography↗

Why do rich countries prefer free trade over free migration? The role of the modern welfare state.

"According to traditional trade theory (Heckscher-Ohlin), free trade and free migration are equivalent measures of economic integration leading both to an equalization of factor prices. This prediction is in sharp opposition to the observed preference of rich countries for free trade over free migration. We provide an explanation for this inconsistency: the redistribution policies in the countries. Social welfare in countries with a relatively small number of low-skilled native workers is higher with free trade than with free migration due to redistribution of income towards immigrating workers."

Commerce↗

The role of returned migrants in England's poorest region.

"Work on the growing international phenomenon of return migration requires a base of comparative knowledge on the less conspicuous process of inter-regional return migration. Three questionnaire studies in the North-East of England identified about one-quarter of respondents as 'returned migrants' to that region. This group [is] attracted to work in new factories, but their economic status has not been markedly improved by geographic mobility."

Demography↗

A history of public health workforce enumeration.

During the 20th century, the United States' public health workforce has been of sufficient interest to policy makers that regular efforts have been made to enumerate it. Limited enumeration is found as early as 1908; the last direct federal survey occurred in 1964. After 1964, workforce size was estimated. The ratio of public health workers to population reached an estimated 220/100,000 in 1980. Data collected in 2000 yielded a ratio of 158/100,000--a 10 percent decrease. In the absence of a system to reliably collect public health workforce data such information is problematic to interpret or use for infrastructure planning and development.

Documentation↗

Development of a common national questionnaire to evaluate student perceptions about the Australian Rural Clinical Schools Program.

The Australian Commonwealth Department of Health and Ageing provided funds for the Australian medical schools to establish Rural Clinical Schools. This workforce initiative has enabled medical students to learn in a diverse range of rural and remote healthcare settings. A common questionnaire was developed and agreed on by all the directors of the Rural Clinical Schools. Use of this common questionnaire will facilitate reports on student attitudes and program outcomes, both within individual Rural Clinical Schools and at a national program level. The data analysis will inform the community and the Australian Government about the effectiveness of the national Rural Clinical School program in (1) meeting the primary aims of providing high quality rural medical education; and (2) addressing the medical workforce shortage in rural and remote areas.

Attitude of Health Personnel↗