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A total of 434 third- and fourth- year medical students from 80 U.S. medical schools participate between 1968 and 1974 in Yugoslav or Israeli international fellowship programs sponsored by the Association of American Medical Colleges and the U.S. Public Health Service. Subsequently, the scores of these fellowship student on Part II of the examinations of the National Board of Medical Examiners (NBME) were compared with the scores of rejected applicants and with the national average to determine the cognitive impact of the fellowship experience on the participants. The results show that the international fellows scored significantly higher than the rejected applicants and the national average in only the preventive medicine/public health portion of the examination. The conclusion is drawn that the fellowship programs enhanced the participants' knowledge of preventive medicine and public health.

The AVLINE data base, operated by the National Library of Medicine, was designed to aid in the selection, use, and sharing of quality audiovisual material in the education of health professionals and to promote the quality production of such materials. AVLINE provides standardized bibliographic and critical review information in both online and printed catalog form. In this report the evolution of AVLINE is traced, and the development of its companion review system is examined.

An interinstitutional project to develop a self-instructional course in international health is described. Included is the rationale which supported the creation of the project and the operating procedures used to produce the course materials. The design and results of a field trial which provided the evaluative feedback for revising course materials are also described. The conclusion offers specific practical recommendations for the interinstitutional development of instructional materials and for the utilization of the course materials produced in this project.