Data illustrate high levels of use and satisfaction with the educational innovation. We are in our second year using the new Patient Log (PLOG) process and are now considering expanding the use of PLOG into the fourth year of medical school.

Seventy members of the class that entered Dartmouth Medical School in 1984 responded in 1984 and again in 1988 to statements regarding their attitudes towards family medicine, their general criteria for choosing a specialty, and their concerns about lifestyle; also, the students were asked in 1984 to indicate their interest in a career in family medicine and in 1988 to indicate their long-term specialty choices. The students' attitudes towards family medicine were generally positive on entry and became even more positive by their fourth year. Of the 25 students who indicated an initial interest in family medicine, six chose residencies in this field. Because most of the students studied showed strengthening agreement with both (1) the belief that family practitioners are particularly capable of providing comprehensive care and (2) the desire to concentrate on a specialty that would enable them to feel very competent and sure of their work, the authors hypothesize that the students may have feared that their desire for competence and certainty was incompatible with the comprehensiveness of family medicine.

As the public schools assume responsibility for the education of more severely and multiply handicapped students, special education teachers and speech pathologists increasingly encounter students for whom traditional verbal language programming is not appropriate. With these students the challenge is to develop functional communication through nontraditional communication systems. These systems are referred to as auxiliary (nonvocal) language programs; they include manual communication, communication aids, and communication codes (Nietupski & Hamre-Nietupski, 1979). The decision to initiate an auxiliary communication program cannot be made by a single teacher or clinician. Integrated consideration must be given to the language, cognitive, social, emotional, and physical characteristics of the student. It is a decision, therefore, requiring complex professional judgment based on input from members of a variety of disciplines (e.g., special education, speech pathology, physical therapy, occupational therapy, and psychology) and the student's parents.

Female genital mutilation (FGM) is increasingly found in the UK among migrant women and girls. This paper reports on a national survey which assessed current service provision for women who have undergone FGM. The authors conclude that, despite acknowledgment of the health consequences of FGM from professionals, disparate services continue, with seemingly little co-ordination at local or national levels.

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