Abstract:
OBJECTIVE:To compare the teaching value of one session of computer-guided solo instruction in exposure therapy for phobias with that of one face-to-face small-group tutorial. DESIGN:Non-blind, randomized, controlled study. SETTING:King's College Hospital Medical School, London. PARTICIPANTS:Thirty-seven third-year medical students and 11 behaviour therapists. MAIN OUTCOME MEASURES:Seventy-five true/false multiple choice questions relating to (b) below answered at pre- and post-teaching by students and just once by behaviour therapists to obtain 'expert' scores; pre- and post-teaching ratings of interest in behaviour therapy and post-teaching ratings of educational and enjoyment value. EDUCATIONAL INTERVENTIONS: (a) All students had a 20-minute group lecture on basic concepts and historical aspects just before randomization to: (b) 90 min of either solo computer or group face-to-face tutorial teaching. Computer instruction used a short version of 'FearFighter'- a self-help computer system for people suffering from phobias. RESULTS:Solo computer instruction taught exposure therapy principles effectively but improved multiple choice question scores marginally less than did small-group tutorial teaching. Tutorial teaching required 5 times more teacher time but led to knowledge scores that did not differ significantly from those of behaviour therapists. Students clearly rated face-to-face small-group tutorial teaching as more enjoyable. CONCLUSION:The knowledge gain from a solo computer session resembled that from a small-group face-to-face tutorial, and required far less teacher time, but was less enjoyable. Enjoyment might rise if the computer session was group-oriented and aimed at students rather than patients. In general computer teaching might be best used to complement rather than replace conventional teaching.
journal_name
Med Educjournal_title
Medical educationauthors
McDonough M,Marks IMdoi
10.1046/j.1365-2923.2002.01210.xkeywords:
subject
Has Abstractpub_date
2002-05-01 00:00:00pages
412-7issue
5eissn
0308-0110issn
1365-2923pii
1210journal_volume
36pub_type
临床试验,杂志文章,随机对照试验abstract::This study compared the communication skills of randomly chosen first- and final-year medical students. The intention was to follow up previous research, conducted over 10 years ago, into the effects of the medical curriculum on communication skills. It was hypothesized that there would be little improvement in such s...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00203.x
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVE:This paper aims to summarise the evidence supporting the role of experience-based, non-analytic reasoning (NAR) or pattern recognition as a central feature of expert medical diagnosis. METHODS:The authors examine a series of studies, primarily from their own research programme at McMaster University, that de...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2007.02914.x
更新日期:2007-12-01 00:00:00
abstract::Recent psychological research suggests how to simplify texts and translate quantitative concepts into the language of clinical medicine. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00371.x
更新日期:1987-07-01 00:00:00
abstract::This study was designed to provide some insight into the manner and degree of students' acquisition of practical skills. One hundred and fifty-two of a total of 166 students in a medical clerkship during the first clinical year answered a questionnaire. The questionnaire contained fifty-eight different laboratory test...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1983.tb00962.x
更新日期:1983-09-01 00:00:00
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 medi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00428.x
更新日期:2000-01-01 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:OBJECTIVE:This study investigated the relationship between perceived family support and coping efficacy in premedical (i.e. prior to entering medical school) students, an understudied subset of undergraduate students who are particularly at risk for academia- related stress. The relationships between students' perceive...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03091.x
更新日期:2008-06-01 00:00:00
abstract:CONTEXT:The long-term impact of faculty development programmes (FDPs) is poorly understood, and most assessments of them have been quantitative in nature. OBJECTIVE:This study aimed to use qualitative methods to better understand the long-term impact of an FDP in teaching skills (FDP/TS). METHODS:A survey was carried...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2007.02770.x
更新日期:2007-06-01 00:00:00
abstract::The aims of this study were to gain an understanding of the concerns of those in control in Canadian Family Medicine, and to gain an understanding of the experiences of trainees in the traditional postgraduate year 2 (PGY-2) and in a flexible PGY-2 at the University of Toronto (U of T) Department of Family and Communi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1996.tb00852.x
更新日期:1996-09-01 00:00:00
abstract:CONTEXT:Clinical supervisors oversee trainees' performance while granting them increasing opportunities to work independently. Although the factors contributing to supervisors' trust in their trainees to conduct clinical work have been identified, how the development of trust is shaped by these factors remains less cle...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12745
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Since the introduction of problem-based learning (PBL) at McMaster University in 1969, many medical schools in the USA, Canada and Europe have included PBL in their curricula. In the past decade, many medical schools in Asia have also done so. However, so far no one has questioned whether the outcomes expect...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01489.x
更新日期:2003-05-01 00:00:00
abstract::The introduction of the new Open University distance learning pack on coronary heart disease to a selected group of Welsh general practitioners has been evaluated. The most commonly perceived disadvantages were the amount of time required to study the pack, the cost of buying it and the work involved in implementing i...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00801.x
更新日期:1988-11-01 00:00:00
abstract::This study reports the nature of non-emergency, day-to-day practice-related questions which arose in rural practice and were phoned in to a medical information system (MIS). The usefulness of these questions, and their responses, to clinical decision-making is outlined. Sixty-seven practitioners from 10 rural communit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00057.x
更新日期:1991-05-01 00:00:00
abstract:INTRODUCTION:The supervision of medical residents is a key responsibility of attending doctors in the clinical setting. Most attending doctors, however, are unfamiliar with the principles of effective supervision. Although inconsistent, supervision has been shown to be both important and effective for the professional ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02190.x
更新日期:2005-07-01 00:00:00
abstract:CONTEXT:The evaluation of training is problematic and the evidence base inconclusive. This situation may arise for 2 main reasons: training is not understood as a complex intervention and, related to this, the evaluation methods applied are often overly simplistic. METHOD:This paper makes the case for construing train...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.02021.x
更新日期:2004-12-01 00:00:00
abstract:INTRODUCTION:Limited data illuminate how resident doctors view their important roles as teachers, supervisors and role models. Analysing qualitative data about resident teachers' self-perceptions can offer helpful insights. METHODS:One year after a randomised trial of a residents-as-teachers curriculum at a university...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.02063.x
更新日期:2005-02-01 00:00:00
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 req...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00382.x
更新日期:1999-11-01 00:00:00
abstract:CONTEXT:Resources for medical education are becoming more constrained, whereas accountability in medical education is increasing. In this constrictive environment, medical schools need to consider and justify their selection procedures in terms of costs and benefits. To date, there have been no studies focusing on this...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13698
更新日期:2018-12-01 00:00:00
abstract:CONTEXT:Curriculum renewal is an essential and continual process for undergraduate medical education programmes. Although there is substantial literature on the critical role of leadership in successful curricular change, the voices of frontline faculty teachers implementing such change have not been explored. We aimed...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12529
更新日期:2014-10-01 00:00:00
abstract::Information about medical students' lifestyles was obtained from 785 second-year students from seven medical schools in Great Britain by a personally administered questionnaire. Fifteen per cent of the students were non-drinkers. Among those who drank, 48% of the men and 38% of the women exceeded sensible weekly limit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00204.x
更新日期:1998-05-01 00:00:00
abstract::A random survey of 400 doctors was carried out over a period of 3 months to determine the factors that would facilitate or inhibit the participation of doctors in continuing medical education (CME) in Malaysia. Regular participation in CME was defined as participation in any activity (self-directed reading or attendin...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00091.x
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVES:The General Medical Council has recommended that medical students should gain more experience in general practice. The study set out to determine patients' reactions to consultations conducted by a medical student alone prior to seeing their GP. DESIGN:A random sample of patients attending general practice ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00410.x
更新日期:1999-09-01 00:00:00
abstract::This paper describes a strategy for helping students to learn about laboratory and radiological investigations in diagnosis and management, and to make decisions about the use of investigations, taking into account such features as safety, patient comfort and cost. Learning takes place through the use of a programmed ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02310.x
更新日期:1981-01-01 00:00:00
abstract:INTRODUCTION:Collaborative learning, including problem-based learning (PBL), is a powerful learning method. Group interaction plays a crucial role in stimulating student learning. However, few studies on learning processes in medical education have examined group interactions. Most studies on collaboration within PBL u...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02368.x
更新日期:2006-02-01 00:00:00
abstract::Personality characteristics and lifestyle variables were assessed in two cohorts of second-year medical students at the University of Newcastle upon Tyne, UK as part of a psychopharmacology 'teach-in' in 1993 and 1994. The pooled sample included 186 students: 77 men, 109 women, mean age 20.4 +/- 1.8 years. Measures in...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02828.x
更新日期:1995-05-01 00:00:00
abstract::Medical students are allocated little curriculum time for exposure to expert systems. ESTA, a computer model of an expert system, was developed to make best use of this time. The nature of the students' interaction with ESTA is described, and their reactions to the expert system concepts and the place of expert system...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00418.x
更新日期:1988-03-01 00:00:00
abstract::It is important to provide an epidemiological presence when teaching clinical medicine to undergraduate medical students in order to supply the underlying facts about disease. A series of pictorial or tabular presentations which together make up a 'master set' of Data Boards has been designed to give the medical stude...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00480.x
更新日期:1976-11-01 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:APPROACH:Theme-oriented discourse analysis looks at how language constructs professional practice. Recordings of naturally occurring interactions are transcribed and combined with ethnographic knowledge. Analytic themes drawn primarily from sociology and linguistics shed light on how meaning is negotiated in interactio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02171.x
更新日期:2005-06-01 00:00:00
abstract::Undergraduate medical students of the Ben Gurion University were evaluated upon completion of their fourth- and sixth-year medical clerkships by a 17-item rating scale, a multiple choice question (MCQ) test and a patient-oriented oral examination by two academic staff members. Pearson's correlation coefficient between...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb01406.x
更新日期:1987-11-01 00:00:00