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Surveyed directors of internal medicine (IM) and family practice (FP) residency programs regarding the format, content, and quantity of psychosocial training in their programs, their opinions on topics related to such training, and program demographics. Found considerable variation in content and time devoted to psychosocial training within and between program types, with FP programs generally requiring more training. (EV)

Evaluates the use of dipstick urinalysis screening for bacteriuria, which is associated with subsequent symptomatic urinary tract infection. Increase in predictive value when leukocyte esterase and nitrate dipstick tests are combined; Case where conventional antimicrobial regimens for asymptomatic bacteriuria proved efficacious; Screening recommended for women who are over 60 years of age or diabetic.

Reports on the value dipstick urinalysis screening for hemoglobin and protein in asymptomatic adults for urinary tract disorders. Evidence for older populations; Need for a population-based randomized, controlled trial of hematuria; Absence of justification for proteinuria screening.

Describes a course that centers on reports written by medical students to enable them to critically reflect on the experiences of becoming a doctor, hence the name critical incident reports. Group learning; Value of discussion; Structure of tutorials. INSET: Extract from a critical incident report..

Presents a response by Steffie Woolhandler et al., to letters to the editor about their article 'Dipstick Urinalysis Screening of Asymptomatic Adults for Urinary Tract Disorders, I: Hematuria and Proteinuria,' in a 1989 issue of the 'Journal of the American Medical Association.'