Abstract:
CONTEXT:The recommendations of the General Medical Council in Tomorrow's Doctors renewed efforts to define core knowledge in undergraduate medical education. They also encouraged better use of the medical knowledge base in nurturing clinical judgement, critical thinking, and reflective practice. What then does the medical world understand by 'science', 'critical thinking' and 'competence', given the need to address both growth and uncertainty in the knowledge base and to practise evidence-based healthcare? AIM AND OBJECTIVES:This review aims to outline the role of these key concepts in preparing undergraduate medical students for professional practice. Specifically, it explores: the fallibility of the 'scientific' foundations of medical practice; the role of understanding and thinking in undergraduate medical education; the need for a broad interpretation of competence and its relationship to transferability, and the nature of clinical judgement. COMMENT:Tensions are seen to lie in the varying interpretations of clinical decision making as art or science; the varying characterizations of the nature of skilled performance in the novice, the competent and the expert practitioner, and the varying reactions to the acceptability and usefulness of 'meta-' concepts in capturing the essence of professional practice. Habitual self-conscious monitoring of mental processes may be the key to the flexible transfer and application of knowledge and skills across the contexts, characterized by uncertainty and incomplete evidence, for which doctors must be prepared.
journal_name
Med Educjournal_title
Medical educationauthors
Maudsley G,Strivens Jdoi
10.1046/j.1365-2923.2000.00428.xkeywords:
subject
Has Abstractpub_date
2000-01-01 00:00:00pages
53-60issue
1eissn
0308-0110issn
1365-2923pii
med428journal_volume
34pub_type
杂志文章abstract:PURPOSE:Computers with 50-inch, wall-mounted plasma screens and broadband Internet access were installed in all small group tutorial rooms at Harvard Medical School. This study examines how the introduction of this educational technology impacted on the problem-based learning tutorials. METHOD:A total of 37 tutorial g...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02105.x
更新日期:2005-04-01 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
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:OBJECTIVES:To establish teaching objectives, methods and assessment for a paediatric induction programme. DESIGN:Action research over a 2-year period. PARTICIPANTS:88 doctors from three hospitals. MAIN OUTCOME MEASURES:These were end-of-course evaluations, using Likert scales, and free comments; independent evaluati...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00982.x
更新日期:2001-08-01 00:00:00
abstract::The traditional clinical examination has been shown to have serious limitations in terms of its validity and reliability. The OSCE provides some answers to these limitations and has become very popular. Many variants on the original OSCE format now exist and much research has been done on various aspects of their use....
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2004.01755.x
更新日期:2004-02-01 00:00:00
abstract:INTRODUCTION:The state of cognitive flow, colloquially known as being 'in the zone', has been linked with enhanced performance, happiness, career satisfaction and decreased burnout. However, the concept has not been adopted strongly in health care training, continuing professional development, or daily practice. A syst...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14435
更新日期:2020-12-12 00:00:00
abstract:OBJECTIVES:We placed anaesthesia teams into a stressful environment in order to explore interactions between members of different professional groups and to investigate their perspectives on the impact of these interactions on team performance. METHODS:Ten anaesthetists, 5 nurses and 5 trained anaesthetic assistants e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02971.x
更新日期:2008-04-01 00:00:00
abstract:INTRODUCTION:In 1996 the University of Liverpool introduced an integrated problem-based learning (PBL) medical curriculum incorporating the recommendations of Tomorrow's Doctors. This paper investigates whether the PRHO (pre-registration house officer) educational supervisors who supervise Liverpool graduates believe t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02563.x
更新日期:2006-10-01 00:00:00
abstract:CONTEXT:The accreditation of medical school programmes and the licensing and revalidation (or recertification) of doctors are thought to be important for ensuring the quality of health care. Whereas regulation of the medical profession is mandated in most jurisdictions around the world, the processes by which doctors b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12286
更新日期:2014-01-01 00:00:00
abstract:CONTEXT:Programme evaluation is perpetually mandated in health professions education. Correspondingly, there has been an expansion in prescriptive methodological guides about 'how' to engage in various best practices in evaluation. However, what has gained less attention is an examination of the 'value' that different ...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.14281
更新日期:2020-12-01 00:00:00
abstract:CONTEXT:Early clinical encounters help medical and nursing students build professional competencies. However, there is a necessary emphasis on patient autonomy and appropriate consent. Although most individuals do not object to student involvement in clinical encounters, there are occasions when personal preference and...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12751
更新日期:2015-07-01 00:00:00
abstract:CONTEXT:The number of women entering medical school has increased substantially in recent years. However, practising female doctors still report gender-associated professional challenges. We focused on female medical students to characterise how gender shapes the range of their professional experiences during the pre-c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03856.x
更新日期:2011-03-01 00:00:00
abstract:CONTEXT:Basic surgical skills are needed throughout the medical profession, but current training is haphazard and unpredictable. There is increasing pressure to provide transparency about training and performance standards. There is a clear need for inexperienced learners to build a framework of basic skills before car...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00997.x
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:While the literature shows the clinical value for medical practitioners of skill in communicating with patients in an empathetic manner, objective evaluations of methods to teach empathy are few. PURPOSES:This paper describes a method of teaching entry-level medical students the elements of effective commun...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00463.x
更新日期:2000-02-01 00:00:00
abstract:CONTEXT:The occupational health literature has long been dominated by stress-related topics. A more contemporary perspective suggests using a positive approach in the form of a health model focused on what is right with people, such as feelings of well-being and satisfaction. OBJECTIVES:Using a positive perspective an...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.03985.x
更新日期:2011-08-01 00:00:00
abstract::In collaboration with aid agencies and government health workers, Save the Children Fund medical staff have been involved in the training of primary health care workers in the Sahel region of upper Volta. This report deals specifically with the problems involved in training illiterate health workers. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01233.x
更新日期:1982-03-01 00:00:00
abstract:OBJECTIVE:Culturally and linguistically diverse (CALD) students often experience difficulties with the clinical communication skills that are essential for successful interactions in the workplace. However, there is little evidence on the effectiveness of assessment and intervention strategies for this population. The ...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13117
更新日期:2016-09-01 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:OBJECTIVE:Modern postgraduate medical training requires both accurate and reliable selection procedures. An essential first step is to conduct detailed job analysis studies. This paper reports data on a series of job analyses to develop a competency model for three secondary care specialties (anaesthesia, obstetrics an...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2008.03174.x
更新日期:2008-12-01 00:00:00
abstract:CONTEXT:A student's academic success in graduate and professional school may depend on prior knowledge. However, these students may not see important and necessary material for extended periods of time between their pre-requisites and their new course work. As such, they are more prone to being unable to access availab...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14162
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Educational approaches are thought to have facilitative or hindering effects on students' critical thinking development. The aim of this study was to compare the effects of problem-based learning (PBL) and lecturing approaches on the development of students' critical thinking. METHODS:All 79 Year 1 undergra...
journal_title:Medical education
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1365-2929.2006.02481.x
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:Medical residents can play key roles in improving health care quality by speaking up and giving suggestions for improvements. However, previous research on speaking up by medical residents has shown that speaking up is difficult for residents. This study explored: (i) whether two main aspects of medical resi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13951
更新日期:2019-11-01 00:00:00
abstract:CONTEXT:Self-efficacy is an important factor in many areas of medical education, including self-assessment and self-directed learning, but has been little studied in resuscitation training, possibly because of the lack of a simple measurement instrument. OBJECTIVE:We aimed to assess the validity of a visual analogue s...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2007.02950.x
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:Avoidable breaches of patient confidentiality due to inadvertence or ignorance occur frequently. The aim of this study was to explore whether participants were able to identify violations of confidentiality and how serious these violations were. DESIGN:After a 2-hour theoretical education session, participa...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02097.x
更新日期:2005-03-01 00:00:00
abstract:INTRODUCTION:We describe the steps taken to develop an appropriate list of 'clinical problems' used to define the content of the objective structured clinical examination (OSCE) component of the Professional and Linguistic Assessments Board (PLAB) examination. METHOD:A blueprint and list of 255 clinical problems was c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00553.x
更新日期:2000-07-01 00:00:00
abstract::The development and maintenance of expertise in any domain requires extensive, sustained practice of the necessary skills. However, the quantity of time spent is not the only factor in achieving expertise; the quality of this time is at least as important. The development and maintenance of expertise requires extensiv...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00831.x
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:All general practitioners (GPs) are expected to have an appraisal from 2002 and the first cohort will experience revalidation in 2005. Although there is a link between appraisal and revalidation, this has yet to be clarified. OBJECTIVE:To investigate the knowledge, attitudes and beliefs of GPs towards reval...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01469.x
更新日期:2003-09-01 00:00:00
abstract::The hypothesis that the stressful nature of medical training is a major cause of impairment of doctors is explored in this study by examining whether changes in psychological adjustment occur during the first year, the first year is stressful, and sex differences in psychological adjustment or stress occur. All first-...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01350.x
更新日期:1985-11-01 00:00:00
abstract:CONTEXT:Despite increasing numbers of publications, science often fails to significantly improve patient care. Clinician-scientists, professionals who combine care and research activities, play an important role in helping to solve this problem. However, despite the ascribed advantages of connecting scientific knowledg...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13241
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to determine whether Medical Informatics education among house staff is included in the current residency curriculum, and to present ways in which this type of education may be improved. DESIGN:During autumn 1996 a mailed survey was distributed to chief residents of American ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00424.x
更新日期:1999-10-01 00:00:00