Abstract:
OBJECTIVE:To compare outcomes when answers to objective type problem-solving questions are marked with and without consideration of students' explanations of their answers. DESIGN:Students answered six multiple-part problem-solving questions on the final examination for a course in clinical biochemistry. Each part required a choice from a list, a number or a few words, plus an explanation or justification. Scores were determined independently for the answers alone and for the answers plus explanations. The outcomes of the two marking methods were compared. SETTING:Department of Pathology, University of Otago Medical School, Dunedin, New Zealand. SUBJECTS:Final year preclinical medical students. RESULTS:Marks were slightly higher for answers alone than for answers plus explanations (overall mean, 82.1%; standard deviation, 9.8% vs. 77.1%; 9.3%; P < 0.001 by paired t-test). There was a very high correlation between scores derived from the two methods (r=0. 87). Consideration of the answers alone (without explanations) was about as good as answers plus explanations in identifying students who performed at different levels overall on the examination and in identifying the weakest students. CONCLUSIONS:The data suggest that when students arrived at the correct answers, their information and reasons were usually correct and that answers alone discriminate adequately among students with different levels of knowledge and ability. By dispensing with the requirement for explanations, we would be able to ask more questions and mark objectively, so competent students should not be disadvantaged by the lack of opportunity to explain their reasoning.
journal_name
Med Educjournal_title
Medical educationauthors
Schwartz PL,Loten EGdoi
10.1046/j.1365-2923.1999.00382.xkeywords:
subject
Has Abstractpub_date
1999-11-01 00:00:00pages
823-7issue
11eissn
0308-0110issn
1365-2923pii
med382journal_volume
33pub_type
杂志文章abstract::A new computerized system for the allocation of pre-registration house-officer appointments to medical graduates at the Welsh National School of Medicine is described. The need to withdraw an earlier system, used through much of the 1970s, is explained, and the advantages possessed by the new system are discussed. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01253.x
更新日期:1982-07-01 00:00:00
abstract:CONTEXT:Although work-based assessments (WBA) may come closest to assessing habitual performance, their use for summative purposes is not undisputed. Most criticism of WBA stems from approaches to validity consistent with the quantitative psychometric framework. However, there is increasing research evidence that indic...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12289
更新日期:2013-12-01 00:00:00
abstract::The major functions of examinations are noted and a scheme of multiple choice testing is outlined which distinguishes between the certification function and the grading function of examinations. This scheme has been in operation since January 1976 in the Department of Anatomy, University of Cape Town, and preliminary ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb01200.x
更新日期:1979-11-01 00:00:00
abstract::The undergraduate medical curriculum at Linköping was changed and problem-based learning introduced in 1986. As a consequence the need for new examinations arose. To assess the students' consultation skills, ability to use theory in practice and skills in problem-based learning, a new examination called 'phase examina...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1996.tb00842.x
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVES:Advanced cardiac life support (ACLS) skills tend to degrade over time. There is mounting evidence that high-fidelity simulation (HFS) is advantageous to teaching ACLS. The aspects of HFS that enhance learning are not entirely clear, but the anxiety generated by a scenario may enhance retention through well-e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03775.x
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:When training for junior doctors is being planned, little discussion is focused on what outcomes hospitals are trying to achieve with regard to education/training, i.e. on what makes the ideal hospital doctor. Instead, the primary focus is on the requirements of the syllabi of the Royal Colleges (credentiali...
journal_title:Medical education
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVES:The use of logbooks in the education of medical undergraduate students is not well-established. Traditionally, logbooks are used simply as a means for students to document their activities. This report examines whether logbooks used as an interactive vehicle between students and tutors can assist both studen...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01163.x
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVES:Prescribing practices impact greatly on drug use and expenditure. The situation in developing countries is often compounded by a limited health budget. Furthermore, because of role substitution in these countries, prescribers are often not formally trained in rational prescribing. The study described in this...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2923.2001.01000.x
更新日期:2001-09-01 00:00:00
abstract::OBJECTIVE The goal of this paper is to examine how to apply the science of learning to medical education. SCIENCE OF LEARNING The science of learning is the scientific study of how people learn. Multimedia learning - learning from words and pictures - is particularly relevant to medical education. The cognitive theory...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03624.x
更新日期:2010-06-01 00:00:00
abstract::Medical teachers' understanding of the vocabulary of medical education has been studied by asking a group of medical teachers whether they understood twenty-two commonly used and important medical educational terms, and whether they could distinguish between the terms. All the words presented some problem of comprehen...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02640.x
更新日期:1981-07-01 00:00:00
abstract:AIM:There are few publications summarising the main issues concerning pathology teaching and learning within undergraduate medical degrees. This article examines the themes that have emerged from the literature over the last 2 decades. METHOD:A literature search was performed using PubMed, which identified 86 relevant...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2004.01775.x
更新日期:2004-03-01 00:00:00
abstract::Medical education is primarily about training physicians and maintaining their capabilities over time. Given that physicians are the primary focus of the field, there is a need for a clear idea of what physicians are or could be. This paper seeks to explore this issue by posing the simple question: ?Where do physician...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13095
更新日期:2016-12-01 00:00:00
abstract::A 63-item questionnaire on attitudes to psychosocial issues in medicine was administered to final-year students in the Faculties of Medicine (n = 104), Pharmacy (n = 57) and Arts and Social Sciences (n = 75) of the University of Benin. The responses given were analysed by the summation and Cornell scalogram techniques...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02848.x
更新日期:1995-07-01 00:00:00
abstract:CONTEXT:Apprenticeship learning is common in medical education, but is often situated in theoretical frameworks which highlight its cognitive but not its social dimension. METHODS:We conducted an ethnographic case study of paediatric residents' learning relationships with their preceptors in a community-based paediatr...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03121.x
更新日期:2008-09-01 00:00:00
abstract:CONTEXT:There is a growing literature on diagnostic errors. The consensus of this literature is that most errors are cognitive and result from the application of one or more cognitive biases. Such biased reasoning is usually associated with 'System 1' (non-analytic, pattern recognition) thinking. METHODS:We review thi...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2009.03507.x
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:This research aims to identify the influences contributing to students' decisions to study medicine and to apply the findings to the design and targeting of outreach activities aimed at widening participation. METHODS:Semi-structured interviews were carried out with 15 medical students at a UK medical schoo...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02798.x
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVES:This article discusses the need for, and value of, providing students with instruction in how to use comprehension strategies as well as the effectiveness of inducing strategy use through cognitive disequilibrium. The leading assumption that guides this article is that learning facts and figures is not enoug...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03550.x
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Computerised learning clearly offers exciting potential for improving student learning, either as an aid to or as a replacement for traditional formats, or for the development of innovative approaches. However, rigorous evaluation of the utility of computer-aided learning (CAL) in enhancing student learning ...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2929.2004.01892.x
更新日期:2004-08-01 00:00:00
abstract:CONTEXT:A challenge for medical educators is to better understand the personal factors that lead to individual success in medical school and beyond. Recently, educational researchers in fields outside medicine have acknowledged the importance of motivation and emotion in students' learning and performance. These affect...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03712.x
更新日期:2010-12-01 00:00:00
abstract::A survey was conducted of the dental schools in the UK, inquiring about the teaching of psychology, sociology, epidemiology and psychiatry to dental undergraduates. Epidemiology was the most frequently taught and assessed subject, followed by psychology and sociology. Overall, the results indicate an increased concern...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00674.x
更新日期:1987-03-01 00:00:00
abstract:INTRODUCTION:Globally, people with the academic and personal attributes to successfully study medicine experience disadvantages associated with sociodemographic factors. Governments have attempted to address this issue via macrolevel policies aimed at widening participation (WP) to medicine. These policies differ by co...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14442
更新日期:2020-12-21 00:00:00
abstract:INTRODUCTION:Most medical schools in the UK have been engaged in major curriculum reform based on their premises of what might improve undergraduate medical education. In 1994 the course at the medical school of the University of Manchester changed to an integrated course using problem-based learning throughout and wit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01105.x
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:To investigate the values and practices of assessment of the clinical practice of dental students by a sample of teachers in restorative dentistry. DESIGN:A questionnaire, based on the above objectives, was designed, piloted and redesigned. Its content was based on evidence-based good practice in assessment...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00733.x
更新日期:2001-04-01 00:00:00
abstract::A new teaching programme for fourth-year medical students in child health in Harare, Zimbabwe is outlined. A 2-week attachment to a rural district-level hospital is intended to orient the students to primary health care and to the practice of clinical medicine in a low resource environment. The attachment has become p...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00506.x
更新日期:1987-01-01 00:00:00
abstract:CONTEXT:The challenges of maintaining comprehensive banks of valid checklists make context-specific checklists for assessment of clinical procedural skills problematic. OBJECTIVES:This paper reports the development of a tool which supports generic holistic assessment of clinical procedural skills. METHODS:We carried ...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2008.03023.x
更新日期:2008-06-01 00:00:00
abstract:CONTEXT:Simulated clinical immersion (SCI), in which clinical situations are simulated in a realistic environment, safely and gradually exposes novices to complex problems. Given their limited experience, undergraduate students can potentially be quite overwhelmed by SCI learning tasks, which may result in misleading l...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13748
更新日期:2019-04-01 00:00:00
abstract::In Finland primary health care has a long historical background. The local communities, the state and the church have at various times and places been responsible for primary health care during the last few centuries. In 1972, a major reform took place when a new Primary Health Care Act came into force. In the same ye...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00392.x
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVES:To compare 2 educational programmes for teaching evidence-based medicine (EBM). DESIGN:Prospective randomised controlled trial accompanied by a qualitative evaluation. SETTING:University of Oslo, Norway, 2002-03. PARTICIPANTS:A total of 175 students entered the study. All tenth semester medical students f...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2929.2005.02268.x
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:Doctors make many transitions whilst they are training and throughout their ensuing careers. Despite studies showing that transitions in other high-risk professions such as aviation have been linked to increased risk in the form of adverse outcomes, the effects of changes on doctors' performance and conseque...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04048.x
更新日期:2011-10-01 00:00:00
abstract:CONTEXT:As part of curriculum evaluation, management and quality assurance strategies, many undergraduate medical schools are in the process of constructing computer-based curriculum maps. METHODS:A survey was distributed to Canadian and UK medical schools to determine the current status, characteristics, and challeng...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2008.03093.x
更新日期:2008-08-01 00:00:00