A dynamic primary care curriculum based on the problem-oriented system.

The audit of behaviors of health care providers is a valuable tool for learning the essentials of primary care and health care delivery. At the University of Vermont a dynamic curriculum has evolved from the student audits of the practice sites where the training takes place. Evaluation studies to date indicate a positive effect on career goals leading to primary care specialties and a desire to practice in rural settings in underserved areas. This approach to teaching primary care has proven to be effective and has gained high acceptance with the students. They learn that audit is a valuable means of self-education as well as method for providing quality assurance to the patient.