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The Maternal and Child Health Service gives support to 13 graduate programs in maternal and child nursing with the objective of increasing the pool of nurse specialists in this field. Each program is briefly described in this pamphlet. Students accepted into a graduate program are eligible for stipends that cover living expenses, tuition, and a certain amount of travel. Eligibility for stipends is determined by the school. Following the descriptions of graduate programs is a listing of other programs for nurses that are supported by the Maternal and Child Health Service. (Author/HS)

The major portion of the socument consists of a listing of medical terminology useful to personnel working with young handicapped children and their parents. Definitions for all terms and indications of pronunciation for the more difficult terms are given. A briefer section of the glossary defines the various branches or specialities of medicine, some common modes of treatment, common abbreviations, and words used to describe general patient states or conditions. (KW)

This report evaluates the Young Mothers' Educational Development Program sponsored by the State University of New York, for pregnant girls between the ages of 16 and 21. The program provided needed services in the areas of obstetrics, pediatrics, education, social work, nursing, and psychology. The girls were Black, Caucasian, and Indian. Internalized values and preconceptions of staff members, reflecting a white, middle class orientation, became apparent during the course of the program. The report focuses on the inadequacies of initial approaches and assumptions and makes suggestions for improvements. (KG)

Registered nurses and other health personnel have contributed significantly to the delivery of health care in the area of pediatrics but generally physicians have retained for themselves the responsibilty of providing child health supervision, diagnosing disease, determining therapy, and providing counsel in behavioral problems. A survey of the office practices of Fellows of the American Academy of Pediatrics indicated that a large proportion of practicing Academy Fellows were performing technical and clerical tasks that could be shared with assistants. The Academy, therefore, takes the official position that a physician may delegate appropriate portions of health examinations of health care to properly trained and supervised individuals. It is recommended that the Academy develop guidelines for the training of: (1) pediatric nurse associates--colleague practitioners for sharing in the personal care of patients, (2) pediatric office assistants--persons who would carry out the delegated tasks involving skills in which they have been trained and are certified, and (3) pediatric aides--persons having little or no formal training who, under supervision, would carry out defined routine tasks of a nonskilled nature. (JK)

The conference on Physical Trauma as a Cause of Mental Retardation dealt with two major areas of etiological concern - postnatal and perinatal trauma. Following two introductory statements on the problem of and issues related to mental retardation (MR) after early trauma to the brain, five papers on the epidemiology of head trauma cover pathological aspects, terminal hemorrhages in the brain wall of neonates, postmortem neuropathologic findings in birth-injured patients, and epidemiological studies. Nine papers report perinatal studies on such topics as obstetric history, obstetric trauma, fetal head position, maternal pelvic size, birth position, intrapartum uterine contractions, and related fetal head compression and heart rate changes. Five special studies of the developing brain concern trauma during labor, trauma to neck vessels, the immature brain's reaction to injury, partial brain removal in infant rats, and cerebral ablation in infant monkeys. The following aspects of the premature infant are discussed in relation to MR in five papers: intracranial hemorrhage, CNS damage, clinical evaluation, EEG and subsequent development, and hematologic factors. Five papers on postnatal trauma examine subdural hematoma and its etiology, the battered child, an interdisciplinary prospective study, and intellectual sequelae of coma due to acceleration concussion. (KW)

This study investigates the extent to which trained nonprofessional personnel under nursing supervision can effectively conduct health screening of Head Start children. Results of screening by nonprofessional workers are compared with results of the traditional pediatric examinations given each child. A total of four nonprofessional persons selected from the indigenous population, trained by a pediatrician and a psychologist, used the following instruments to facilitate screening: (1) parent interview and physical observation forms prepared by the authors; (2) a revision of the Denver Developmental Screening Test; and (3) the Ammons Quick Test. There was a positive correlation between the results of pediatric examinations and those of aides' screening. Aides' referrals for intellectual and developmental problems also reflected a low but positive correlation with those of psychologists. Results suggest that with little training, aides can be useful in doing health screening under supervision by a nurse, and may thus serve to assist in areas where there is an acute shortage of medical and nursing personnel. A behavior inventory used in the study is included separately. (KJ)

This study, which is the first attempt to compare systematically the ability of different types of health professionals to effectively utilize the telephone in pediatrics, demonstrated shortcomings in the participants' education and indicated that curriculum changes were needed in the training of both medical and child health associate students to prepare them to use the telephone more effectively. (Editor/PG)

Undergraduate and postgraduate training program for England and Israel are described and assessed for their effect upon career development. Relevant government policy is also reviewed for its impact upon the educational design. Particular attention is directed to evolving medical schools that are attempting innovative approaches to primary care education. (Editor)

The Beth Israel Ambulatory Care Center (BIAC) is a family-centered primary care clinic which replaces the general medical, obstetrical, and pediatric clinics of a major teaching hospital. (Editor)

Contains a summary of the responses to a survey questionnaire which was sent to all academic medical centers in the U.S. in April 1973 concerning programs in health services delivery and primary care education. (Editor)

Written to orient the physician and paramedical personnel to the adolescent patient, the book provides information concerning the changes of adolescence, and age-related problems and illnesses. Part 1 discusses the essence of adolescence by describing physical, mental, and emotional growth and development. Part 2, the major section, consists of 21 chapters on specific problems of the adolescent patient. Examined are obesity, skin disorders, renal disorders and hypertension, gynecological problems, breast and ovarian tumors, pregnancy, genetic disorders, infectious diseases, venereal diseases, endocrine diseases, anemia, orthopedic problems, drug abuse, mild mental retardation, gynecomastia, menstrual disorders, headache and convulsive disorders. Also discussed are health needs, interviewing, and the pediatrician/social worker/adolescent relationship. Part 3 treats communicative handicaps and rehabilitation. (KW)

Paper presented at the Annual Conference of the American Occupational Therapy Association (47th, Boston, October 15-21, 1967).

Paper presented at the Council of Academic Societies Conference, Washington, D.C., October 2-5, 1968

Delivered at 80th annual meeting of the Association of American Medical Colleges, Cincinnati, Ohio, November 1969. (IR)

Combined approach to obstetric and newborn care provides better learning experience to staff physicians, continuity of patient care, and closer inter-departmental cooperation. (Editor/IR)

This Well Baby Clinic was designed to augment residency teaching program in evaluation of physical and emotional growth, in family counseling, and to gain data on response to varying immunizations. (IR)

Described for parents are the three parts of the pediatric neurological examination: medical history, physical examination, and electroencephalogram. (KW)

Study supported by a grant from the Department of Health, Education, and Welfare. (DS)

Students who took a pediatric elective scored significantly higher on pediatric examinations than those who did not. (Author/PG)

Describes an independent study program in pediatrics including a preclinical clerkship curriculum. (Author/PG)

THIS REPORT ENDEAVORS TO HELP PHYSICIANS UNDERSTAND AND IMPROVE SCHOOL HEALTH PROGRAMS (SHP). THE PHYSICIAN'S ROLE IN SCHOOL HEALTH, WITH EMPHASIS ON HEALTH APPRAISAL IS DISCUSSED. THE SCHOOL PHYSICIAN IDENTIFIES STUDENT DISABILITIES IN A CONTINUING PROGRAM. A GOOD SHP MAY BE MOST SATISFACTORILY ACHIEVED WITH A PAID PHYSICIAN ON THE STAFF. THE ADOLESCENT'S PROGRAM SHOULD EMPHASIZE SELF-RESPONSIBILITY, WHILE THE HANDICAPPED CHILDREN'S PREVENTION. INTELLECTUAL FACTORS, PSYCHOLOGICAL FACTORS, AND ATTENDANCE PROBLEMS ARE DISCUSSED IN TERMS OF SCHOLASTIC ACHIEVEMENT. THE PHYSICIAN'S RESPONSIBILITY FOR A GOOD PHYSICAL EDUCATION PROGRAM IS REVIEWED. MEDICAL EMERGENCIES ARE CLASSIFIED AND VARYING RESPONSIBILITY IS DESIGNATED TO THE TEACHER OR SCHOOL NURSE. IN HEALTH EDUCATION, THE CONSULTATIVE ROLE OF THE PHYSICIAN IS EMPHASIZED. INSERVICE EDUCATION FOR PHYSICIANS IS RECOMMENDED. THE REFLECTIONS AND CONCLUSIONS OF A PHYSICIAN AND EDUCATOR INDICATE--(1) RELATIONSHIPS AND COMMUNICATION BETWEEN THESE TWO GROUPS HAVE IMPROVED, (2) EACH GROUP MUST REMEMBER ITS LIMITATIONS, (3) THERE IS A DISAGREEMENT ABOUT THE CONFIDENTIALITY OF PHYSICIANS' RECORDS, AND (4) COMMUNITY HEALTH SERVICE RESOURCES ARE NOT FULLY UTILIZED. THIS DOCUMENT IS AVAILABLE FOR $2.00 FROM THE AMERICAN ACADEMY OF PEDIATRICS, P.O. BOX 1034, EVANSTON, ILLINOIS 60204. (PR)