Influence of new educational technology on problem-based learning at Harvard Medical School.

Abstract:

PURPOSE:Computers with 50-inch, wall-mounted plasma screens and broadband Internet access were installed in all small group tutorial rooms at Harvard Medical School. This study examines how the introduction of this educational technology impacted on the problem-based learning tutorials. METHOD:A total of 37 tutorial groups, stratified by year of student, were observed at separate timepoints (autumn 2002, spring 2003) to document the patterns of use of the technologies. Based on these observations, end-of-course surveys were developed and distributed to students and tutors. Observational field notes and open-ended survey responses were qualitatively analysed for themes. RESULTS:Using a 5-point rating scale, both students and tutors indicated that the technologies had a positive impact on their tutorials. In autumn 2002, plasma screens were used for an average of 17.8 and 22.1 minutes per 1-hour observation in Year 1 and 2 tutorials, respectively; in spring 2003, usage declined to 6.9 and 5.9 minutes, respectively. Resources utilised included Internet sites (54% total use time), PowerPoint presentations by students (22%), and course-specific postings (24%). Marked course-specific variation in usage was noted. Observational and survey data revealed that the technologies interrupted the flow of tutorial discussion. Students and tutors expressed concerns that the plasma screens might be altering the process of problem solving in the tutorials. CONCLUSIONS:Both students and tutors reported that the introduction of computers and wall-mounted plasma screens had impacted positively on tutorials. Questions were raised as to how this technology might alter tutorial dynamics. Further research will be needed to investigate these pedagogical concerns.

journal_name

Med Educ

journal_title

Medical education

authors

Kerfoot BP,Masser BA,Hafler JP

doi

10.1111/j.1365-2929.2005.02105.x

keywords:

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

380-7

issue

4

eissn

0308-0110

issn

1365-2923

pii

MED2105

journal_volume

39

pub_type

杂志文章
  • Medical education for a changing future: new concepts for revising texts.

    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

    authors: Politser PE

    更新日期:1987-07-01 00:00:00

  • Effect of reflection on medical students' situational interest: an experimental study.

    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

    authors: Ribeiro LMC,Mamede S,Moura AS,de Brito EM,de Faria RMD,Schmidt HG

    更新日期:2018-05-01 00:00:00

  • Medical student attrition: a 10-year survey in one medical school.

    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

    authors: Simpson KH,Budd K

    更新日期:1996-05-01 00:00:00

  • Teaching of neuroanatomy by means of self-instructional laboratory stations.

    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

    authors: Fisher LJ,Davis WK,Hitch EJ,Barr PA

    更新日期:1980-03-01 00:00:00

  • Meritocratic and fair? The discourse of UK and Australia's widening participation policies.

    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

    authors: Coyle M,Sandover S,Poobalan A,Bullen J,Cleland J

    更新日期:2020-12-21 00:00:00

  • Reasoning versus knowledge retention and ascertainment throughout a problem-based learning curriculum.

    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

    authors: Collard A,Gelaes S,Vanbelle S,Bredart S,Defraigne JO,Boniver J,Bourguignon JP

    更新日期:2009-09-01 00:00:00

  • Validity of the visual analogue scale as an instrument to measure self-efficacy in resuscitation skills.

    abstract:CONTEXT:Self-efficacy is an important factor in many areas of medical education, including self-assessment and self-directed learning, but has been little studied in resuscitation training, possibly because of the lack of a simple measurement instrument. OBJECTIVE:We aimed to assess the validity of a visual analogue s...

    journal_title:Medical education

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2923.2007.02950.x

    authors: Turner NM,van de Leemput AJ,Draaisma JM,Oosterveld P,ten Cate OT

    更新日期:2008-05-01 00:00:00

  • The implementation of Tomorrow's Doctors.

    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

    authors: Christopher DF,Harte K,George CF

    更新日期:2002-03-01 00:00:00

  • The workload of trainees in general practice.

    abstract::During their first training period in general practice the authors felt that they did not encounter the balanced workload which is the foundation for learning to be a GP. Previous studies confirmed the existence of differences in overall and specific workload between trainees and trainers. From their own experience an...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1997.tb02473.x

    authors: Weeda G,Hutter AW,Groenier KH,Schuling J

    更新日期:1997-03-01 00:00:00

  • Problem-based learning in distance education: a first exploration in continuing medical education.

    abstract::The Wellcome Tropical Institute has assisted countries in the tropics to establish viable systems of continuing medical education, particularly for young doctors practising in rural areas. As part of this strategy the Institute has developed material for use in distance learning. The first attempt to apply the problem...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1992.tb00192.x

    authors: Engel CE,Browne E,Nyarango P,Akor S,Khwaja A,Karim AA,Towle A

    更新日期:1992-09-01 00:00:00

  • Psychological size and distance: emphasising the interpersonal relationship as a pathway to optimal teaching and learning conditions.

    abstract:BACKGROUND:Positive interpersonal relationships between teachers and learners increase the quality of learning. The purpose of this study was to investigate psychological size (perceived status) and psychological distance (perceived emotional connectedness) in medical teaching interactions and their impact on the teach...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2004.01952.x

    authors: Vaughn LM,Baker RC

    更新日期:2004-10-01 00:00:00

  • Undergraduate education in the cost-effective use of laboratory and radiological investigations in clinical decision-making.

    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

    authors: Clarke RM

    更新日期:1981-01-01 00:00:00

  • A pre-employment programme for overseas-trained doctors entering the Australian workforce, 1997-99.

    abstract:OBJECTIVES:Overseas-trained doctors (OTDs) have limited access and formal interaction with the Australian health care system prior to joining the Australian medical workforce. A pre-employment programme was designed to familiarize OTDs with the Australian health care system. METHOD:All OTDs who had passed their Austra...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2002.01196.x

    authors: Sullivan EA,Willcock S,Ardzejewska K,Slaytor EK

    更新日期:2002-07-01 00:00:00

  • Everyday classism in medical school: experiencing marginality and resistance.

    abstract:OBJECTIVE:To explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background. METHODS:A questionnaire was administered to Year 3 medical students at a Canadian medical school and in-depth interviews were held with 25 of these students (cohort 1). Th...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2005.02225.x

    authors: Beagan BL

    更新日期:2005-08-01 00:00:00

  • The impact of cueing on written examinations of clinical decision making: a case study.

    abstract:CONTEXT:Selected-response (SR) formats (e.g. multiple-choice questions) and constructed-response (CR) formats (e.g. short-answer questions) are commonly used to test the knowledge of examinees. Scores on SR formats are typically higher than scores on CR formats. This difference is often attributed to examinees being cu...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12296

    authors: Desjardins I,Touchie C,Pugh D,Wood TJ,Humphrey-Murto S

    更新日期:2014-03-01 00:00:00

  • Integrated medical student teaching. A combined course in community medicine, general practice, geriatric medicine and mental health.

    abstract::In order to provide "horizontal" integration of related clinical subjects, a combined teaching course in community medicine, general practice, geriatric medicine and mental health has been devised. The course lasts 12 weeks and is divided between joint teaching of topics of common interest and clinical clerkships in i...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1982.tb01074.x

    authors: Stout RW,Irwin WG

    更新日期:1982-05-01 00:00:00

  • Applying the science of learning to medical education.

    abstract::OBJECTIVE The goal of this paper is to examine how to apply the science of learning to medical education. SCIENCE OF LEARNING The science of learning is the scientific study of how people learn. Multimedia learning - learning from words and pictures - is particularly relevant to medical education. The cognitive theory...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2010.03624.x

    authors: Mayer RE

    更新日期:2010-06-01 00:00:00

  • Students as patients: A systematic review of peer simulation in health care professional education.

    abstract:CONTEXT:Evidence supports the substitution of both clinical placement time and traditional educational activities with simulation-based education (SBE). However, lack of resources can be a barrier to SBE implementation. Peer simulation provides an alternative to simulated patient (SP)-based SBE by educating students to...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.14058

    authors: Dalwood N,Bowles KA,Williams C,Morgan P,Pritchard S,Blackstock F

    更新日期:2020-05-01 00:00:00

  • Doctors' knowledge of the costs of medical care.

    abstract::In achieving a more effective use of resources in the National Health Service (NHS), the medical profession has a role to play by improving cost efficiency in clinical practice. This role implies that doctors should have some knowledge of medical costs. In order to determine the extent of this knowledge, sixty-seven h...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1985.tb01150.x

    authors: Fowkes FG

    更新日期:1985-03-01 00:00:00

  • Reporting quality and risk of bias in randomised trials in health professions education.

    abstract:CONTEXT:Complete reporting of research is essential to enable consumers to accurately appraise, interpret and apply findings. Quality appraisal checklists are giving way to tools that judge the risk for bias. OBJECTIVES:We sought to determine the prevalence of these complementary aspects of research reports (completen...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.13130

    authors: Horsley T,Galipeau J,Petkovic J,Zeiter J,Hamstra SJ,Cook DA

    更新日期:2017-01-01 00:00:00

  • Sustainability of change with quality general practitioner education in adolescent health: a 5-year follow-up.

    abstract:OBJECTIVE:To determine whether improvements gained in general practitioners' (GPs') self-perceived competency, attitudes and knowledge after an intervention in adolescent health care designed with evidence-based strategies in continuing medical education, are maintained longterm, 5 years post intervention. The interven...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2005.02172.x

    authors: Sanci L,Coffey C,Patton G,Bowes G

    更新日期:2005-06-01 00:00:00

  • Interactive video in medical education: a program on jugular venous pressure and the cardiac cycle.

    abstract::Interactive video is a new teaching medium that has much potential in medical education. Hitherto, the realization of this potential has been restrained by lack of awareness among medical teachers of the advantageous features provided and how to implement them, while computer specialists lack the required medical know...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1991.tb00044.x

    authors: Jamison JP,Brannigan P

    更新日期:1991-03-01 00:00:00

  • Community-based medical education: feasibility and cost.

    abstract::The General Medical Council has issued a call for an increase in community-based medical education, and many medical schools are enhancing the community component of their curricula. This paper uses the experience of a community-based junior medical firm to explore the potential costs, and highlight some of the unreso...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1995.tb02804.x

    authors: Murray E,Jinks V,Modell M

    更新日期:1995-01-01 00:00:00

  • Validity in work-based assessment: expanding our horizons.

    abstract:CONTEXT:Although work-based assessments (WBA) may come closest to assessing habitual performance, their use for summative purposes is not undisputed. Most criticism of WBA stems from approaches to validity consistent with the quantitative psychometric framework. However, there is increasing research evidence that indic...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12289

    authors: Govaerts M,van der Vleuten CP

    更新日期:2013-12-01 00:00:00

  • Validating the Readiness for Interprofessional Learning Scale (RIPLS) in the postgraduate context: are health care professionals ready for IPL?

    abstract:AIMS:This paper describes the process of validating the Readiness for Interprofessional Learning Scale (RIPLS) for use with postgraduate health care professionals. CONTEXT:The RIPLS questionnaire has proved useful in the undergraduate context, enabling tutors to assess the readiness of students to engage in interprofe...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2006.02442.x

    authors: Reid R,Bruce D,Allstaff K,McLernon D

    更新日期:2006-05-01 00:00:00

  • Medical education in Spain.

    abstract::This paper reviews some of the problems confronting medical education in Spain and some of the steps which have been taken to improve the current situation which is of serious concern to the Government, the Medical Colleges, the University, and the community generally. ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1980.tb02250.x

    authors: Vilardell F

    更新日期:1980-05-01 00:00:00

  • Smoking history-taking skills: a simple guide to teach medical students.

    abstract::Many doctors rate themselves as ineffective smoking cessation counsellors. It is logical to initiate training efforts with medical students. We incorporated smoking history-taking in the physical diagnosis course at the University of North Carolina at Chapel Hill using a simple method to teach smoking history-taking s...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1996.tb00830.x

    authors: Boehlecke B,Sperber AD,Kowlowitz V,Becker M,Contreras A,McGaghie WC

    更新日期:1996-07-01 00:00:00

  • Determination of aims for an undergraduate general practitioner apprenticeship.

    abstract::This study was undertaken to clarify the goals of the clinical general practitioner attachment scheme at the University of Queensland. Emphasis was placed on comparing the aims of the academics, the general practitioner preceptors and the students. Prior to the 2-week attachments students selected a different set of g...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1980.tb02392.x

    authors: Colditz GA,Munro JG,Sheehan M

    更新日期:1980-11-01 00:00:00

  • 'Do as I say and not as I do'? An audit of clinical management in teaching compared with service work.

    abstract::The work of five principals in a teaching general practice was audited to examine differences in prescribing, investigation and follow-up between teaching and service work over a 3-week period. The patients seen in clinical teaching were found to be representative of those consulting in normal service sessions for bot...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1981.tb02407.x

    authors: Freeman GK

    更新日期:1981-03-01 00:00:00

  • The risks and benefits of being a young female adolescent standardised patient.

    abstract:OBJECTIVE:To follow the progress of young female adolescents, as risk-taking standardised patients (SPs), and to monitor for adverse affects that role-playing may have on the adolescents. METHODS:A prospective design was used in which 11 female adolescents, aged 13-15 years, were recruited from 2 schools. The adolesce...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2005.02343.x

    authors: Blake KD,Gusella J,Greaven S,Wakefield S

    更新日期:2006-01-01 00:00:00