In this paper, we use newly available data from the National Longitudinal Survey of Youth to investigate the effects of early motherhood on academic and behavioral outcomes for children born to early childbearers. We find that early motherhood's strong negative correlation with children's test scores and positive correlation with children's grade repetition is almost entirely explained by pre-birth individual and family background factors of teen mothers themselves. However, early childbearing is associated indirectly with reduced children's test scores through its linkage to family size (and thus to child birth order). We find a different pattern in predicting fighting, truancy, early sexual activity, and other problem behaviors among adolescent and young adult off-spring. For these behaviors, maternal age-at-first-birth remains an important risk-factor even after controlling for a wide range of background factors and maternal characteristics. These results highlight the diverse pathways through which teen parenting might influence subsequent child well-being and social performance.

This review of the governance practices of twenty-five publicprivate partnerships involved in addressing a broad range of community health needs shows that governance in public-private community partnerships departs significantly from traditional notions of institutional governance. Governance structures and degrees of progress toward governance goals vary widely and appear to be systematically related to the organization, composition, location, and activity of each partnership.

This article reviews the literature on the quality of care provided by foreign-trained physicians (international medical graduates or IMGs) compared with that of U.S. medical graduates (USMGs). As concerns are raised about IMGs in the U.S. physician workforce, there are suggestions that IMGs do not deliver care equal in quality to that of USMGs. The review of process and outcome studies finds little support for this claim. However, lower IMG levels of performance on structural measures of quality like credentialing examinations exist and may indicate quality differences. Because no consistent evidence exists that there is a connection between IMG test scores and process or outcome measures of quality of care, whether test scores matter in clinical practice and its outcome is uncertain. Until research shows the contrary, one should be cautious in accepting IMG-USMG quality arguments to support policy to reduce the size of the IMG component of the physician workforce.

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