Testing a model of academic career development.

This study, based on a survey of current faculty members, confirms the previously proposed professional identity model of Knopke and Anderson. This model had predicted that personal and resident learner issues would be influential aspects of a faculty member's professional developmental needs and that during the initial years as a faculty member the influence of institutional issues would be less important. The study found that major concerns of new faculty members appeared to be: 1) acting as a role model; 2) developing teaching skills; and 3) maintaining clinical competency. New faculty were more likely to emphasize issues dealing with resident-faculty relationships if they came directly out of training programs than if they came out of practice settings. The study also demonstrated that the majority of family medicine faculty no longer came from private practice, and that a significant number now come directly from training programs.

Nasal sarcoidosis with septal perforation.

A patient with systemic sarcoidosis in whom nasal symptoms were the presenting features is discussed. These symptoms remained unchanged following septal reconstruction and were refractory to treatment with systemic corticosteroids. She developed an anterior septal perforation while receiving methylprednisolone. Beclomethasone dipropionate inhaler was highly effective in relieving her nasal symptoms.

Staphylococcal pelvic and rectal infection in a neonate.

An infant with neonatal staphylococcal infection had evidence of pelvic inflammation, peritonitis and proctitis which resulted in narrowing of the rectosigmoid, uterectasis, pyelocaliectasis, and partial obstruction of the inferior vena cava. Appropriate treatment resulted in resolution of these findings.