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 clerkship. METHODS:Over a 2-year period, 445 students completed 3,320 patient encounter forms for patients with a psychiatric diagnosis, noting their comfort level and responsibilities. RESULTS:The patients' diagnoses reflect those seen in a typical family practice. Of the 71,869 presenting diagnoses, 3,548 were for a psychiatric condition, most commonly depression (37.1%) and neuroses (28.0%). Students reported a high level of comfort in diagnosing and treating patients with a psychiatric disorder. The students routinely discussed these cases with their preceptors. CONCLUSIONS:By using a relatively simple computerized database, many curricular issues can be identified. For example, analysis of the database shows that the clerkship provides students with substantial practice in taking patient histories and performing initial patient examinations in patients presenting with a psychiatric problem. However, students infrequently provided patient education and counseling to patients with psychiatric disorders. Specific psychiatric diagnoses reflecting limited experience and lower levels of perceived competence include attention deficit disorder and senile and presenile organic psychotic disorders.
journal_name
Teach Learn Medjournal_title
Teaching and learning in medicineauthors
O'Hara BS,Saywell RM Jr,Smidley JA,Burba JL,Thakker N,Bogdewic SP,Zollinger TWdoi
10.1207/S15328015TLM1303_6keywords:
subject
Has Abstractpub_date
2001-07-01 00:00:00pages
167-75issue
3eissn
1040-1334issn
1532-8015journal_volume
13pub_type
杂志文章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:THEORY:Clerkship evaluation and grading practices vary widely between U.S. medical schools. Grade inflation continues to exist, and grade distribution is likely to be different among U.S. medical schools. HYPOTHESES:Increasing the number of available grades curtails "grade inflation." METHOD:A national survey of all ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1164605
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Summative evaluation of medical students is a critical component of the educational process. Despite extensive literature on evaluation, few studies have centered on affiliate faculty members' attitudes toward summative evaluation of students, though it has been suggested that these attitudes influence their...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.641478
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Full-time clinician educators are becoming more predominant in China, yet their effect is unknown. PURPOSES:The purpose of this study was to compare the teaching quality of full-time (FT) faculty with that of part-time (PT) faculty in one Chinese medical school. METHODS:In 3 consecutive years, 881 3rd year...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2014.892393
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:We administered selected scales from the Cognitive Behavior Survey, Attitudes Toward Social Issues in Medicine survey, and Learning Environment Questionnaire. We gathered data from other medical schools to put our results into context. PURPOSE:To present results on these scales from our own and other medica...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1604_6
更新日期:2004-10-01 00:00:00
abstract:BACKGROUND:The importance of training physicians and other health care professionals in first aid and basic life support (BLS) is now widely recognized. The Faculty of Medicine and Health Sciences of the United Arab Emirates University have been offering formal training in these skills to 1st-year medical students sinc...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1304_05
更新日期:2001-10-01 00:00:00
abstract::Theory: Self-compassion has been identified as a promising interventional target enabling medical learners to respond effectively to stressors and challenges of medical training. Determining factors in the learning environment that support self-compassion is critical for developing such interventions. What is already ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1667241
更新日期:2020-04-01 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:Medical residents frequently participate in code status discussions, yet their competency in this role has not been evaluated. PURPOSE:The objective is to determine the quality of code status discussions from the perspective of both resident and patient. METHODS:We conducted a cross-sectional survey of con...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2010.512537
更新日期:2010-10-01 00:00:00
abstract::The Society of Teachers of Family Medicine (STFM; http://www.stfm.org) is a community of professionals devoted to teaching family medicine through undergraduate, graduate, and continuing medical education. This multidisciplinary group of physicians, educators, behavioral scientists, and researchers works to further ST...
journal_title:Teaching and learning in medicine
pub_type:
doi:10.1080/10401330802384946
更新日期:2008-10-01 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:Night float rotations are being increasingly used in the era of resident physician work-hour regulations, but their impact on resident education is not clear. PURPOSE:Our objective was to clarify resident perceptions of the educational aspects of night float rotations. METHODS:An anonymous survey of intern...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2010.488203
更新日期:2010-07-01 00:00:00
abstract::Phenomenon: Internal medicine physicians in the United States must pass the American Board of Internal Medicine Internal Medicine Maintenance of Certification (ABIM IM-MOC) examination as part of their ABIM IM-MOC requirements. Many of these physicians use an examination product to help them prepare, such as e-Learnin...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1811095
更新日期:2020-09-15 00:00:00
abstract:BACKGROUND:Many medicine residency training programs include a lecture-based preclinic conference series as part of the ambulatory educational curriculum when more effective teaching formats might be available. Our institution has replaced this lecture-based teaching format with an ambulatory morning report modeled aft...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1301_9
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Script concordance (SC) questions, in which a learner is given a brief clinical scenario then asked if additional information makes one hypothesis more or less likely, with answers compared to a panel of experts, are designed to reflect a learner's clinical reasoning. PURPOSE:The purpose is to compare relia...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.692239
更新日期:2012-01-01 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:Qualitative markers of performance are routinely used for medical student assessment, though the extent to which such markers can be readily translated to actionable pieces of information remains uncertain. PURPOSE:To explore (a) the perceived value to be indicated by descriptor phrases commonly used for de...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.741545
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:The Accreditation Council on Graduate Medical Education (ACGME) Outcomes Project has endorsed the in-training examination (ITE) as an example of a multiple-choice question examination that is a valid measure of a resident's attainment of medical knowledge. An outcome measure for performance on the ITE would ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330801991642
更新日期:2008-04-01 00:00:00
abstract:PURPOSE:To canvas perceptions and experiences of students who had failed Year 2 of a traditional medical program and who chose to remain in the conventional program (n = 6) or had swapped to Curriculum 2001 (C2001), a problem-based learning (PBL) curriculum (n = 14). METHODS:A year after their decision regarding curri...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1603_15
更新日期:2004-07-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2017-01-01 00:00:00
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journal_title:Teaching and learning in medicine
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doi:10.1080/10401334.2019.1686983
更新日期:2020-04-01 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: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
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::Phenomenon: This study explored Black/African American and Hispanic/Latino medical students' perceptions of the medical school admissions process. Previous research has explored other elements of the medical education continuum. However, little is known regarding minorities' perceptions of navigating the medical schoo...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1220861
更新日期:2017-01-01 00:00:00
abstract::Construct: The purpose of this study was to provide initial evidence of the validity of written case summaries as assessments of clinical problem representation in a classroom setting. BACKGROUND:To solve clinical problems, clinicians must gain a clear representation of the issues. In the clinical setting, oral case ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1190730
更新日期:2016-10-01 00:00:00
abstract::In 1999, the University of Michigan Medical School (UMMS) initiated a new career development program (CDP). The CDP incorporates the 4-phase career development model described by the Association of American Medical Colleges (AAMC) Careers in Medicine (CiM). The CDP offers self-assessment exercises with guidance from t...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330709336624
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Our study examined whether GRIEV_ING improved death notification skills of medical students, whether pretesting with simulated survivors primed learners and improved results of the intervention, and whether feedback on the simulated encounter improved student performance. METHODS:GRIEV_ING train...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330903018450
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Simulation requires involvement from participants. However, it is unknown to what extent simulation effectiveness is a function of the number of participants. PURPOSE:This study assessed the impact of varying group size on medical students' subjective experience of simulation and on postsimulation exam perf...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2011.586920
更新日期:2011-07-01 00:00:00