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 skills over the period of training, with the possibility that the final-year students might be less caring, empathic and supportive, more directive, and less concerned with psychosocial information. All students interviewed a simulated patient in the role of a mother of a child with cerebral palsy, where the main problems were psychological and social. The interviews were recorded on videotape and analysed by an independent observer for the presence or absence of a set of communication behaviours considered important in facilitating an effective relationship and in the exploration and understanding of the problem. The results failed to support the hypotheses. The final-year students were superior to their juniors on several measures, indicating improvements in relating to the patient in a caring, empathic, facilitative and listening manner. They also elicited more information relevant to the problem. The indications were that these final-year students were more skilled than in earlier studies, suggesting that the general change in attitudes to communications skills and the limited, but increased input into the curriculum may be having effect, even though there remains a need for considerably more training.
journal_name
Med Educjournal_title
Medical educationauthors
Davis H,Nicholaou Tdoi
10.1111/j.1365-2923.1992.tb00203.xkeywords:
subject
Has Abstractpub_date
1992-11-01 00:00:00pages
441-7issue
6eissn
0308-0110issn
1365-2923journal_volume
26pub_type
杂志文章abstract：PURPOSE:Implementing problem-based learning (PBL) in the clinical years of a medical degree presents particular challenges. This study investigated the effectiveness of using an online Clinical Reasoning Guide to assist integration of PBL in the clinical setting and promote further development of students' clinical rea...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2004.01839.x
更新日期：2004-06-01 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：:A new teaching programme for fourth-year medical students in child health in Harare, Zimbabwe is outlined. A 2-week attachment to a rural district-level hospital is intended to orient the students to primary health care and to the practice of clinical medicine in a low resource environment. The attachment has become p...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1987.tb00506.x
更新日期：1987-01-01 00:00:00
abstract：:Applicants for admission to St Mary's Hospital Medical School in 1986 were short-listed for interview by one of four assessors, who each made their assessments on a nine-item pro forma. One short-lister had also been studied in detail during 1981. Short-listers used the full range of possible judgements, in approximat...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1989.tb00877.x
更新日期：1989-03-01 00:00:00
abstract：:Scripts of a short answer Final MB examination paper were re-marked by the original examiner and three colleagues. While individual question marks varied considerably, most examiners agreed quite well as to the overall rank order of candidates--although not about absolute total marks--but a few disagreed considerably....
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1984.tb00999.x
更新日期：1984-05-01 00:00:00
abstract：OBJECTIVES:This study aimed to examine the nature and extent of use of the social networking service Facebook by young medical graduates, and their utilisation of privacy options. METHODS:We carried out a cross-sectional survey of the use of Facebook by recent medical graduates, accessing material potentially availabl...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2010.03720.x
更新日期：2010-08-01 00:00:00
abstract：CONTEXT:Twitter is a social media platform on which users post very brief messages that can be rapidly communicated across wide geographical areas and audiences. Many doctors use Twitter for personal as well as professional communications and networking. The #TipsForNewDocs hashtag is used on Twitter to give advice to ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.13589
更新日期：2018-07-01 00:00:00
abstract：INTRODUCTION:The perception of whether a given behaviour is abusive differs between students and teachers. We speculated that attitudes towards reporting abusive and discriminatory behaviour may vary by specialty as well as by gender. METHODS:We report a cross-sectional survey of incoming medical students, medical stu...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2000.00561.x
更新日期：2000-04-01 00:00:00
abstract：CONTEXT:Near-peer and faculty staff tutors may facilitate problem-based learning (PBL) through different means. Near-peer tutors are thought to compensate for their lack of subject matter expertise with greater adeptness at group facilitation and a better understanding of their learners. However, theoretical explanatio...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.12969
更新日期：2016-07-01 00:00:00
abstract：PURPOSE:The use of medical students as standardized patients in a performance assessment of pain evaluation was studied. METHODS:Fifty-two pairs of second-year medical students participated. One student portrayed a patient presenting with cancer pain and was interviewed by the other medical student. The student-patien...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2002.01070.x
更新日期：2002-02-01 00:00:00
abstract：:This study was initiated in response to the availabilty of unlimited access to MEDLINE via the PaperChase interface at the host institution. The goal of the study was to analyse the usage of MEDLINE by medical students during their third-year clinical clerkship in paediatrics. This was achieved by first giving them a ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1995.tb02816.x
更新日期：1995-03-01 00:00:00
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：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：:Medical student wastage leads to adverse emotional and social consequences for individual students and financial difficulties and morale problems for medical schools. This study retrospectively assessed the records of all students at Leeds School of Medicine who left the course prematurely between 1983 and 1992. The d...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1996.tb00739.x
更新日期：1996-05-01 00:00:00
abstract：CONTEXT:The unbiased selection of images representing a spectrum of diagnostic difficulty is an important first step in designing effective assessment and teaching interventions for X-ray interpretation. OBJECTIVES:This study aimed to develop a scale that would reliably differentiate more difficult X-rays from those t...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2009.03311.x
更新日期：2009-05-01 00:00:00
abstract：:Although the cueing effects inherent in conventional multiple choice questions (MCQs) present serious limitations, this format continues to dominate testing programmes. The present study was undertaken to estimate the effects of cueing when MCQs are used to test medical students, and to evaluate the reliability, valid...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1993.tb00284.x
更新日期：1993-07-01 00:00:00
abstract：:Teaching preclinical medical students about doctor-patient communication gives them an opportunity to develop their interviewing skills prior to their having to elicit lists of symptoms in their clinical years. General practitioners should be among the more efficient interviewers in clinical medicine and therefore abl...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1993.tb00259.x
更新日期：1993-05-01 00:00:00
abstract：:This essay examines the background and implementation of the statutory requirement that each medical graduate in Great Britain must spend a pre-registration year in hospital training before full registration can be effected. It looks briefly at the French and USA 'internship', and then describes the British situation ...
journal_title：Medical education
pub_type： 历史文章,杂志文章
doi：10.1111/j.1365-2923.1997.tb02589.x
更新日期：1997-01-01 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：INTRODUCTION:In the context of movement towards mandatory continuing dental education, this paper describes how a delayed postal questionnaire can be used in course evaluation. Specifically, the value of the questionnaire as a tool for assessing the impact of short course attendance on general dental practice is examin...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.1999.00355.x
更新日期：1999-07-01 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：:The academic performance of 104 fourth-year medical students was assessed in relation to their sleep habits reported in a questionary and their scores on the Minnesota Multiphasic Personality Inventory. Poorer academic performance was related significantly to later times of waking up in the morning, particularly at we...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1976.tb00432.x
更新日期：1976-05-01 00:00:00
abstract：:The University of Washington School of Medicine (UWSM) has initiated new efforts to build a regional minority applicant pool and to expand its educational programmes to accommodate students from disadvantaged backgrounds. Specific interventions include: establishment of medical career planner position to coordinate re...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1988.tb00760.x
更新日期：1988-07-01 00:00:00
abstract：:As the importance of psycho-social factors in medicine is increasingly stressed, it is believed that attitudes towards psycho-social issues in medicine should be taken into account in the selection of medical students. The first step of a longitudinal study concerning the impact of medical studies on the students of a...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1980.tb02271.x
更新日期：1980-07-01 00:00:00
abstract：CONTEXT:As doctors in all specialties are expected to undertake leadership within health care organisations, leadership development has become an inherent part of medical education. Whereas the leadership literature within medical education remains mostly focused on individual, hierarchical leadership, contemporary the...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.12832
更新日期：2015-12-01 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：CONTEXT:Some medical courses in the UK have many more applicants than places and almost all applicants have the highest possible previous and predicted examination grades. The BioMedical Admissions Test (BMAT) was designed to assist in the student selection process specifically for a number of 'traditional' medical cou...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2009.03367.x
更新日期：2009-06-01 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：:The specific anxieties of 74 medical students beginning their clinical training were assessed by means of a questionnaire at the start of the clinical introductory course at St Mary's Hospital Medical School, London. Situations differed in the amount of anxiety that they engendered, and students also differed in the n...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1992.tb00116.x
更新日期：1992-01-01 00:00:00
abstract：:The present study was designed to analyse the evolution of student populations--undergraduates and graduates--in the 11 Belgian medical schools from 1969 to 1982. During this period, an overall 44% drop in the number of entrants was observed, while the number of medical graduates continued to rise until 1977, when it ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1989.tb00810.x
更新日期：1989-01-01 00:00:00
