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A survey of 3,425 members of the American Society of Internal Medicine (ASIM) in 1,800 offices shows an average of 2.22 allied health workers employed per internist. The smaller the office, the less likely are the personnel to have formal training in health care. There is an inverse correlation between physician-population ratio and both the number of health workers employed and the degree to which the physician delegates aspects of his practice to assistants in the various regions of the United States. There is a considerable gap between what the internist believes he could and should entrust to allied health personnel and what he actually does. A substantial number of internists believe that either a registered nurse (RN) or a physician's assistant can, under supervision, perform aspects of patient care traditionally restricted to the physician.

The biggest item on the agenda for the House of Delegates at the Interim Meeting of the American Medical Association this past December in Dallas, Tex., was the resource-based relative [...]

THE AMERICAN Medical Association (AMA) has participated in the accreditation of educational programs since the first publication of an "ideal standard" for undergraduate medical education in 1905. This report is to inform the House of Delegates of the current status of accreditation activities in undergraduate, graduate, and continuing medical education.Accreditation is a process by which an academic program or institution voluntarily seeks recognition by an accrediting agency. The accrediting agency establishes valid standards, or Essentials, necessary for the basic quality of an academic program or institution. When requested, the accrediting agency evaluates the program or institution and, if there is substantial compliance with the Essentials, grants accreditation for a specified number of years.Accreditation as applied to medical education serves several purposes. It encourages improvement in the quality of each level of medical education. Its fundamental purpose is to assure participants in an educational endeavor that the program or

A personal narrative is presented which relates the author's experience of fixing bicycles and attaching them with small license plates saying, Jesus loves you, to give away to children for free.