Abstract:
BACKGROUND:Studies indicate that practicing clinicians do not employ quantitative techniques in diagnosis. If evidence-based approaches to clinical care are to succeed, there is a need to develop pedagogical tools to introduce the relevant techniques in clinical medicine. DESCRIPTION:This article describes 2 heuristic techniques that can be used by clinical teachers to introduce residents and medical students to the practice of estimating prior probabilities in diagnostic reasoning. The techniques are the probability pie and the probability dollar. The techniques require learners to divide either a pie or a dollar according to the probability they assign in the differential diagnosis. The techniques also introduce related ideas such as likelihood ratios, posterior probabilities, diagnostic accuracy and intra- and interrater variability. EVALUATION:An example of a 60-year-old man presenting with chest pain is presented to illustrate the technique. CONCLUSION:This article presents a simple and clinically relevant method of introducing important concepts in quantitative reasoning. More systematic evaluation is required to assess its effectiveness.
journal_name
Teach Learn Medjournal_title
Teaching and learning in medicineauthors
Upshur REdoi
10.1207/S15328015TLM1203_4keywords:
subject
Has Abstractpub_date
2000-07-01 00:00:00pages
141-4issue
3eissn
1040-1334issn
1532-8015journal_volume
12pub_type
杂志文章abstract:BACKGROUND:For programs to accomplish the goals of the Accreditation Council of Graduate Medical Education (ACGME) Outcome Project, faculty must be trained to deliver and assess education that is level-specific, competency-based, standardized, integrated, and easily accessible. DESCRIPTION:An innovative faculty develo...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.692280
更新日期:2012-01-01 00:00:00
abstract::Problem: Conferences are the most common form of continuing medical education (CME), but their effect on clinician practice is inconsistent. Reflection is a critical step in the process of practice change among clinicians and may lead to improved outcomes following conference-based CME. However, reflection requires ti...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1779070
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Residency programs must prepare physicians to practice in the current health care environment. This mandate is reflected in 3 of the 6 competency domains now required by the Accreditation Council for Graduate Medical Education: systems-based practice, interpersonal skills and communication, and practice-base...
journal_title:Teaching and learning in medicine
pub_type: 共识发展会议,杂志文章,评审
doi:10.1207/s15328015tlm1601_16
更新日期:2004-01-01 00:00:00
abstract::Construct: The McMaster Modular Assessment Program (McMAP) is a programmatic workplace-based assessment (WBA) system that provides emergency medicine trainees with competency judgments through frequent task-specific and global daily assessments. Background: The longevity of McMAP relative to other programmatic WBA sys...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1574581
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Prominent authorities believe that managed care and governmental policies are compromising the clinical education of future physicians. PURPOSE:This study sought the views of clinical teachers to quantify the extent to which managed care and governmental policies have changed clinical education. METHODS:Qu...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1402_03
更新日期:2002-04-01 00:00:00
abstract:PROBLEM:Multiple-choice questions (MCQs) are the main method of assessing medical student knowledge. As a result there is a high demand from medical students for formative MCQs. However, teaching staff rarely have the time or incentive to develop high-quality formative questions, focusing instead on material for high-s...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1011651
更新日期:2015-01-01 00:00:00
abstract:PROBLEM:Inappropriate social media behavior can have detrimental effects on students' future opportunities, but medical students are given little opportunity to reflect upon ways of integrating their social media identities with their newly forming professional identities. INTERVENTION:In 2012, a required educational ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1275971
更新日期:2017-07-01 00:00:00
abstract::Phenomenon: Given the growing number of medical science educators, an examination of institutions' promotion criteria related to educational excellence and scholarship is timely. This study investigates the extent to which medical schools' promotion criteria align with published standards for documenting and evaluatin...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1686983
更新日期:2020-04-01 00:00:00
abstract:PROBLEM:Longitudinal patient contacts are being implemented worldwide as a way to enhance a patient-centered orientation among medical students. In large medical schools, longitudinal integrated clerkships may not be feasible, so other ways must be sought to expose students to prolonged contact with patients. INTERVEN...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1524330
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Although publishing in scientific journals has an educational component, the educational role of journals in medicine has not been evaluated. PURPOSE:To assess whether tutoring authors in a medical scientific journal could be related to their long-term scientific publications and academic advancement. METH...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1802_6
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Further dissemination of medical education work presented at national meetings is limited. PURPOSES:The purpose of this study was to explore dissemination outcomes of scholarly work in pediatric medical education. METHODS:Council on Medical Student Education in Pediatrics (COMSEP) members who presented at ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.857332
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Studies demonstrating the value of hospitalists to medical student education have been performed in traditional resident covered ward service settings (RCWS). PURPOSE:To compare medical subinterns' experiences on an RCWS to that on a resident uncovered hospitalist service (RUHS). METHODS:We assessed studen...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330701797974
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Many medical schools require a family medicine clerkship, yet little is known about the quantity and diversity of the diagnoses encountered by the students. PURPOSE:This study examines patients encountered with psychiatric diagnoses using quantitative data collected by students in a family practice clerkshi...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1303_6
更新日期:2001-07-01 00:00:00
abstract:PROBLEM:Mindfulness training includes mindfulness meditation, which has been shown to improve both attention and self-awareness. Medical providers in the intensive care unit often deal with difficult situations with strong emotions, life-and-death decisions, and both interpersonal and interprofessional conflicts. The e...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1462186
更新日期:2018-10-01 00:00:00
abstract::Work-based assessment (WBA) is the assessment of trainees and physicians across the educational continuum of day-to-day competencies and practices in authentic, clinical environments. What distinguishes WBA from other assessment modalities is that it enables the evaluation of performance in context. In this perspectiv...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,评审
doi:10.1080/10401334.2013.842912
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:It is not known how well dean's letter rankings predict later performance in residency. PURPOSE:To assess the accuracy of dean's letter rankings to predict clinical performance in internship. METHOD:Participants were medical students who graduated from the University of Rochester School of Medicine and Den...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330701366523
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:There are several oaths and affirmations that are integrated into the academic customs of the health sciences, such as the Hippocratic Oath and the Ethical Affirmation for Scientists. What current oaths do not communicate is that teaching and learning are the foundation of the professions. SUMMARY:We articu...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.664987
更新日期:2012-01-01 00:00:00
abstract::Phenomenon: An increasing number of refugees in recent years has led to changes in healthcare delivery. Historically, health care providers did not receive systematic and longitudinal training in refugee health. There is increasing interest among educators in developing educational opportunities for medical students t...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1779071
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Integrated inpatient-outpatient firms developed in residencies with single institutions may not be applicable to residency programs with multiple inpatient and outpatient training sites. Our objective was to develop a firm in a multisite residency program that improved education and patient care. DESCRIPTIO...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1403_9
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:The practice of medicine has changed dramatically over the last 3 decades. Medical education has struggled to keep up with these changes, with only limited success. The 4th year of medical school offers a tremendous opportunity for curricular innovation, but little change has occurred in the past 30 years. ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1503_07
更新日期:2003-07-01 00:00:00
abstract:UNLABELLED:CONSTRUCT: Authentic standard setting methods will demonstrate high convergent validity evidence of their outcomes, that is, cutoff scores and pass/fail decisions, with most other methods when compared with each other. BACKGROUND:The objective structured clinical examination (OSCE) was established for valid...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1044749
更新日期:2015-01-01 00:00:00
abstract::Construct: This study aims to provide validity evidence for the standardized Assessment Letter for Pediatrics as a measure of competencies expected of a 1st-year pediatrics resident as part of a pediatric residency admissions process. BACKGROUND:The Narrative Letter of Recommendation is a frequently used tool in the ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2017.1367297
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Team-based learning (TBL) has been studied in several preclinical settings, but there is less evidence for its effectiveness in clinical curricula. PURPOSE:We compared the impact of TBL versus usual small group lecture (SGL) on knowledge objectives in a clinical clerkship. METHODS:We used an unblinded cros...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2011.536888
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Domestic violence (DV) is prevalent but often unrecognized, and it is a challenge to teach. This article presents an evidence-based DV education program for medical residents and incorporates it into a women's medicine curriculum. DESCRIPTION:An initial 3-hr seminar included video and case discussion, liter...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1504_09
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Geriatric clinical clerkships in Israel teach mostly about the hospitalized elder patient with almost no ambulatory experience. Meanwhile, primary care physicians provide most of the health care to the elderly in the community. This article describes an innovation in the curriculum of the 5th-year family med...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1502_09
更新日期:2003-04-01 00:00:00
abstract:PROBLEM:Systems-based practice focuses on the organization, financing, and delivery of medical services. The American Association of Medical Colleges has recommended that systems-based practice be incorporated into medical schools' curricula. However, experiential learning in systems-based practice, including practical...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1146606
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The Systems-Based Practice competency expanded the scope of graduate medical education. Innovative approaches are needed to teach this material. PURPOSE:We have designed and implemented a rotation in Systems-Based Practice focused on the interrelationships of patient care, clinical revenue, and the physicia...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330701332201
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Prior research on reducing variation in housestaff handoff procedures have depended on proprietary checkout software. Use of low-technology standardization techniques has not been widely studied. PURPOSE:We wished to determine if standardizing the process of intern sign-out using low-technology sign-out too...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330902791354
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Accreditation and Institute of Medicine mandates require retooling of graduate medical education curriculum and assessment processes. This Objective Structured Clinical Exam (OSCE) focused on patient safety-specific skills important to stakeholders from multiple institutions. PURPOSES:A 10-station OSCE was ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330802573837
更新日期:2009-01-01 00:00:00
abstract:PROBLEM:Clinical educators at U.S. academic health centers are frequently disadvantaged in the academic promotion system, lacking needed faculty development, mentoring, and networking support. INTERVENTION:In 2006, we implemented the national Educational Scholars Program to offer faculty development in educational sch...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2017.1282370
更新日期:2017-07-01 00:00:00