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, enabling them, as well as staff, to monitor their progress. AIM:We aimed to review methods which have been used to assess the results of individual tests, and to make recommendations on best practice. DISCUSSION:In assessing progress tests, there are a variety of choices that must be made. These include whether the test is norm- or criterion-referenced; whether marking is negative or "number-right"; whether the grades are reported on a continuous or a discontinuous scale, and whether the grades are weighted towards the most recent observations, or the entire set of grades is used to determine the final grade. Grade boundary setting in the context of progress tests is also considered, using a mathematical model to predict the consequences of different approaches. The relationships between boundary setting, progression and remediation rules are considered. CONCLUSIONS:We concluded that norm referencing is preferable to criterion referencing, negative marking preferable to number-right marking, a discontinuous scale preferable to a continuous scale and that grades should be weighted to favour the most recent outcomes, although there should still be a degree of persistence (earlier grades should not disappear all together). Grade boundaries should be established with regard to rules on remediation and progression.
journal_name
Med Educjournal_title
Medical educationauthors
McHarg J,Bradley P,Chamberlain S,Ricketts C,Searle J,McLachlan JCdoi
10.1111/j.1365-2929.2004.02060.xkeywords:
subject
Has Abstractpub_date
2005-02-01 00:00:00pages
221-7issue
2eissn
0308-0110issn
1365-2923pii
MED2060journal_volume
39pub_type
杂志文章abstract:CONTEXT:As a contribution to this special issue commemorating the journal's 50th volume, this paper seeks to explore directions for national licensing examinations (NLEs) in medicine. Increases in the numbers of new medical schools and the mobility of doctors across national borders mean that NLEs are becoming even mor...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12810
更新日期:2016-01-01 00:00:00
abstract:CONTEXT:Authentic early experience (AEE) describes experiences provided to new medical students to undertake 'human contact' to enhance learning. Although the concept of AEE is not new, and was commonplace prior to the Flexner Report of 1910, little is known about how or why meaning and knowledge are constructed throug...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2012.04287.x
更新日期:2013-01-01 00:00:00
abstract:CONTEXT:Concept maps have been used to promote meaningful learning and critical thinking. Although these are crucially important in all disciplines, evidence for the benefits of concept mapping for learning in medicine is limited. METHODS:We performed a randomised crossover study to assess the benefits of online testa...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/medu.12422
更新日期:2014-07-01 00:00:00
abstract::By providing injecting equipment to drug misusers, community pharmacists in the UK may become involved in preventing the spread of HIV via the intravenous route. Over 60% of pharmacy graduates from the School of Pharmacy enter community pharmacy and, as part of their undergraduate course, attend a series of lectures a...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02725.x
更新日期:1994-11-01 00:00:00
abstract:CONTEXT:The accreditation of medical school programmes and the licensing and revalidation (or recertification) of doctors are thought to be important for ensuring the quality of health care. Whereas regulation of the medical profession is mandated in most jurisdictions around the world, the processes by which doctors b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12286
更新日期:2014-01-01 00:00:00
abstract::This paper outlines one component, the project, which in 4 years became an integral part of the Human Ecology course at the Department of Community Medicine at the University of Glasgow. Although it is to be retained in some form, it would seem that the full potential of the device for medical undergraduates has not b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01012.x
更新日期:1984-07-01 00:00:00
abstract:OBJECTIVE:This study sought to determine the relative contributions made by transferable skills and content-specific skills to Year 2 medical student performance in a clinical skills examination. METHODS:Correlated trait-correlated method models were constructed to describe the performance of 2 year groups of students...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03020.x
更新日期:2008-06-01 00:00:00
abstract:CONTEXT:Language is one of the primary modalities for teaching and learning in the health professions in contexts ranging from the more formal teaching relationships of medical school to the guided practice of trainees through continuing education and the deliberate practice of lifelong learning. Yet linguistic analysi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13944
更新日期:2019-12-01 00:00:00
abstract:CONTEXT:Longitudinal integrated clerkships (LICs) have been widely implemented in both rural and urban contexts, as is now evident in the wealth of studies published internationally. This narrative literature review aims to summarise current evidence regarding the outcomes of LICs for student, clinician and community s...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2012.04331.x
更新日期:2012-11-01 00:00:00
abstract::A postal questionnaire was distributed to all students who had discontinued, for any reason, their studies at Aberdeen Medical School. Opinions were sought about their experiences while there, as well as their reactions to the discontinuation therefrom. Claiming that learning to cope with stress was an essential aspe...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02607.x
更新日期:1980-01-01 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::A system for administering multiple choice questions and for providing immediate feedback via microcomputer was designed and field-tested by three groups of paediatric residents. Only minor technical problems were encountered, and these can be resolved easily. Attitudes towards the system were strongly positive. Resid...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01279.x
更新日期:1984-09-01 00:00:00
abstract:OBJECTIVES:Increasing numbers of educational institutions in the medical field choose to replace their conventional admissions interviews with a multiple mini-interview (MMI) format because the latter has superior reliability values and reduces interviewer bias. As the MMI format can be adapted to the conditions of eac...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12535
更新日期:2014-12-01 00:00:00
abstract::The present study was conducted to provide in-depth information on the reliabilities of measures of the separate components of clinical competence (e.g. data collection, test interpretation, diagnosis, etc.) assessed by a performance-based examination consisting of standardized-patient cases administered to five class...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00071.x
更新日期:1991-07-01 00:00:00
abstract::The undergraduate teaching of childhood illness in the community is described. This teaching includes a cross-section of acute childhood illness together with some contact with handicapped children in their own homes. Although there were only four teaching sessions, the frequency of conditions studied approximated to ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1977.tb00575.x
更新日期:1977-03-01 00:00:00
abstract:BACKGROUND:We developed a 1-hour teaching seminar for medical students on anti-smoking health promotion for adolescents. We report the development of the programme and a performance-based evaluation. AIM:To develop a seminar for medical students with the objective of improving medical student inquiry into smoking and ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01560.x
更新日期:2003-08-01 00:00:00
abstract::The central premise of this paper is that medical education today is being driven by intellectual and social imperatives to make fundamental changes in the way it prepares students to be the doctors of tomorrow. Fully aware that over the past 50 years at least eight major national commissions in the USA alone have mad...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02897.x
更新日期:1995-01-01 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:CONTEXT:Reflection has been considered crucial to learning. Engaging in reflection while solving problems is expected to foster identification of knowledge gaps and interest in learning more about them, the latter being a major motivational force in learning. Although theoretically sound, this assumption still lacks em...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13491
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:To examine how patient-centredness is understood and enacted in an American (US) and an Italian group of health care professionals. METHODS:An action research methodology was used. Two interprofessional groups of US (n = 4) and Italian (n = 5) health care professionals independently wrote a patient-centred d...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03038.x
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Computerised learning clearly offers exciting potential for improving student learning, either as an aid to or as a replacement for traditional formats, or for the development of innovative approaches. However, rigorous evaluation of the utility of computer-aided learning (CAL) in enhancing student learning ...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2929.2004.01892.x
更新日期:2004-08-01 00:00:00
abstract:CONTEXT:There is a growing literature on diagnostic errors. The consensus of this literature is that most errors are cognitive and result from the application of one or more cognitive biases. Such biased reasoning is usually associated with 'System 1' (non-analytic, pattern recognition) thinking. METHODS:We review thi...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2009.03507.x
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:Multi-source feedback (MSF) enables performance data to be provided to doctors from patients, co-workers and medical colleagues. This study examined the evidence for the validity of MSF instruments for general practice, investigated changes in performance for doctors who participated twice, 5 years apart, an...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03127.x
更新日期:2008-10-01 00:00:00
abstract:CONTEXT:Simulated clinical immersion (SCI), in which clinical situations are simulated in a realistic environment, safely and gradually exposes novices to complex problems. Given their limited experience, undergraduate students can potentially be quite overwhelmed by SCI learning tasks, which may result in misleading l...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13748
更新日期:2019-04-01 00:00:00
abstract::There is evidence that nurses fulfil the requirements of objective judgement better than doctors. Simulation of Initial Medical Problem-Solving (SIMP), a paper-and-pencil test for the assessment of medical problem-solving, consists of case histories, followed by an open-ended question. The scoring of open-ended questi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb01564.x
更新日期:1989-07-01 00:00:00
abstract:BACKGROUND:In 1993 the General Medical Council published its recommendations on undergraduate medical education. AIM:To study the implementation of these recommendations in UK medical schools by means of informal visitations. METHODS:Teams consisting of 3-5 members visited the 25 UK medical schools in a 3-year period...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01152.x
更新日期:2002-03-01 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::Medical students' attitudes toward psychiatry before and after their final (sixth) year psychiatric clerkship at a large psychiatric hospital were measured. We anticipated that exposure to severe, chronic psychiatric illness would affect student attitudes, and we undertook this study to investigate the direction and p...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02870.x
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVES:To study changes in student approaches to learning following the introduction of computer-supported, problem-based learning. SETTING:Medical students at the University of Oslo undertake a 12-week period of clinical placement during their 10th term. In this period they continue to undertake problem-based lea...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2004.01786.x
更新日期:2004-04-01 00:00:00
abstract:CONTEXT:It is important to know how patients are affected by becoming opportunistically involved in medical student education. In previous studies, researchers rather than patients set the research agenda and expert patients or people well known to teachers were more often involved than ordinary people. OBJECTIVES:Thi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2012.04332.x
更新日期:2012-10-01 00:00:00