Abstract:
INTRODUCTION:Despite several unique aspects of the medical teacher's role compared to other teachers in higher education, there has been little research in this area. In particular there have been few studies which have explored teachers' perspectives on their role. This study aimed to elicit teachers' perceptions of the teaching environment in a single medical school at a time of curriculum change. METHODS:As part of an ethnographic study to explore the culture of the school, 22 teachers took part in in-depth, semi-structured interviews to ascertain their views and experiences of teaching. Additional data were collected through participant observation of curriculum meetings, and informal data collection. The data were analysed using a grounded approach, which resulted in over 200 analytic codes being assigned, which were later grouped into six main themes. RESULTS:The strongest themes to emerge were teachers' concerns about the students, the infrastructure for teaching and their relationship with the medical school. These included concerns about the lack of student clerking activity, insufficient monitoring of students, poor support or recognition of teaching and a perceived lack of inclusion in the medical school. DISCUSSION:The structure and culture within the medical school and associated hospital trust appeared to offer little support for doctors in their teaching role. This suggested that teaching was not highly valued. Teachers were preoccupied with the practical issues of teaching, leaving little time to consider more fundamental educational issues. These findings have implications for the quality of teaching and implementation of curricular change.
journal_name
Med Educjournal_title
Medical educationauthors
Seabrook MAdoi
10.1046/j.1365-2923.2003.01437.xkeywords:
subject
Has Abstractpub_date
2003-03-01 00:00:00pages
213-22issue
3eissn
0308-0110issn
1365-2923pii
1437journal_volume
37pub_type
杂志文章abstract:CONTEXT:Rural community-based medical education (RCBME), in which medical student learning activities take place within a rural community, requires students, clinical teachers, patients, community members and representatives of health and government sectors to actively contribute to the educational process. Therefore, ...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13580
更新日期:2018-08-01 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:(i) To design a new, quick and efficient method of assessing specific cognitive aspects of trainee clinical communication skills, to be known as the Objective Structured Video Exam (OSVE) (Study 1); (ii) to prepare a scoring scheme for markers (Study 2); and (iii) to determine reliability and evidence for va...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00792.x
更新日期:2000-11-01 00:00:00
abstract::As a reflection on the Edinburgh Declaration, this conceptual synthesis presents six important challenges in relation to the role of medical education in meeting current national health priorities. CONTEXT:This paper presents a conceptual synthesis of current efforts in medical education to incorporate national healt...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13395
更新日期:2018-01-01 00:00:00
abstract:CONTEXT:Intraprofessional collaboration (intraPC) between primary care (PC) doctors and medical specialists (MSs) is becoming increasingly important. Patient safety issues are often related to intraPC. In order to equip doctors well for their task of providing good quality and continuity of care, intraPC needs explicit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14279
更新日期:2020-12-01 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:BACKGROUND:Progress testing is a form of longitudinal examination which, in principle, samples at regular intervals from the complete domain of knowledge considered a requirement for medical students on completion of the undergraduate programme. Over the course of the programme students improve their scores on the test...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.02060.x
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVES:Internationally, there are a number of universities at which medical and dental education programmes share common elements. There are no studies about the experiences of medical and dental students enrolled in different programmes who share significant amounts of learning and teaching. METHODS:Semi-structur...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03280.x
更新日期:2009-03-01 00:00:00
abstract::Educational programmes for family practice should develop family counselling skills of students to moderate levels of competence. Few specific training programmes are part of the regular curriculum and of these few are evaluated. Twenty-three residents enrolled in a 2-year family practice programme in Toronto, Canada ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02656.x
更新日期:1990-09-01 00:00:00
abstract::Over the past decade, on-line databases have become increasingly popular among health care professionals. As a group, these 'end-users' report utilizing databases to keep abreast of medical progress, to conduct research and to address specific patient care issues. Throughout the literature, medical professionals ('con...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2923.1998.00229.x
更新日期:1998-05-01 00:00:00
abstract::The diagnostic thinking process is often described as one of hypothesis generation and testing. Yet descriptions of the clinical problem solver's thinking prior to generation of the first diagnostic hypothesis are lacking. This paper reports a study of this phase in students, house officers and registrars. Theories of...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01214.x
更新日期:1982-01-01 00:00:00
abstract::Neuroanatomical laboratory material was presented to first-year medical students in a series of six self-instructional stations. Each station was designed to emphasize one major objective and to be completed without reference to any other station. Upon completion of a station the students filled out a response questio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02623.x
更新日期:1980-03-01 00:00:00
abstract:OBJECTIVES:This study represents an initial evaluation of the first year (F1) of the Foundation Assessment Programme (FAP), in line with Postgraduate Medical Education and Training Board (PMETB) assessment principles. METHODS:Descriptive analyses were undertaken for total number of encounters, assessors and trainees, ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03249.x
更新日期:2009-01-01 00:00:00
abstract:AIM:To evaluate the surgical seminars given for medical students at Auckland University and factors affecting them, so as to define areas for improvement. METHODS:A confidential questionnaire was completed by fourth-year medical students for each surgical seminar they attended during an academic year. The seminars wer...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00953.x
更新日期:2001-07-01 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:CONTEXT:Prior studies suggest that clinicians can categorise patients in an emergency room as 'sick' or 'not sick' using rapid visual assessment. The rapid nature of these decisions suggests clinicians are relying on pattern recognition or System 1 processing; however, this has not been studied experimentally. In this ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13396
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To determine whether postgraduate students are able to assess the quality of undergraduate medical examinations and to establish whether faculty can use their results to troubleshoot the curriculum in terms of its content and evaluation. SUBJECTS:First and second year family medicine postgraduate students. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01403.x
更新日期:2003-02-01 00:00:00
abstract:CONTEXT:The adverse patient event is an inherent component of surgical practice, but many surgeons are unprepared for the profound emotional responses these events can evoke. This study explored surgeons' reactions to adverse events and their impact on subsequent judgement and decision making. METHODS:Using a construc...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/medu.12058
更新日期:2012-12-01 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:The assessment of clinical procedural skills has traditionally focused on technical elements alone. However, in real practice, clinicians are expected to be able to integrate technical with communication and other professional skills. We describe an integrated procedural performance instrument (IPPI), where ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02612.x
更新日期:2006-11-01 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::This study sought to explore the following questions: (1) Do residents perceive training focused on infancy and early childhood care issues as more clinically applicable than training focused on care of older children and adolescents? (2) Do residents at different training levels differ in their evaluation of behaviou...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb00900.x
更新日期:1989-09-01 00:00:00
abstract::A review of the literature on clinical teaching indicates that medical schools emphasize didactic teaching of facts. Interpersonal skills, problem solving skills and cultivation of attitudes are neglected. However, the literature also described the skills of 'good' clinical teachers, and enumerates them. Programmes at...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.1979.tb00927.x
更新日期:1979-03-01 00:00:00
abstract:OBJECTIVES:The lack of published studies into effective skills teaching in clinical skills centres inspired this study of student views of the teaching behaviours of skills teachers. METHODS:We organised focus group discussions with students from Years 1-3 of a 6-year undergraduate medical curriculum. A total of 30 ra...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03283.x
更新日期:2009-02-01 00:00:00
abstract:CONTEXT:The study of expertise in medical education has a long history of success. Researchers have identified and elaborated on many dimensions of expert performance. In part, this success has derived from researchers' ability to effectively isolate the dimensions and explore each separately. Although this deconstruct...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04032.x
更新日期:2011-09-01 00:00:00
abstract:CONTEXT:Since 2000, problem-based learning (PBL) seminars have been introduced into the curriculum of medical studies at the University of Liège. We aimed to carry out a cross-sectional investigation of the maturational increase in biomedical reasoning capacity in comparison with factual knowledge retention throughout ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03410.x
更新日期:2009-09-01 00:00:00
abstract::Supervised role-play is presented as a method for teaching the process of the medical consultation. The process of the consultation is reviewed and a brief description of supervised role-play is given with some of its advantages and disadvantages. Some simple devices used in the method are explained with examples. The...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00102.x
更新日期:1991-11-01 00:00:00
abstract:CONTEXT:Small declines in patient-centred attitudes during medical education have caused great concern. Although some of the self-report scales applied have solid psychometric foundations, validity evidence for the interpretation of attitude erosion during clerkships remains weak. OBJECTIVES:We sought to address this ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12102
更新日期:2013-05-01 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: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