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 interaction. Detailed features of talk, such as intonation and choice of vocabulary, trigger inferences about what is going on and being talked about. These affect how interactants judge each other and decisions are made. Interactions also have larger rhetorical patterns used by both patients and doctors to persuade each other. EXAMPLES:Two settings are used to illustrate this approach: genetic counselling and primary care consultations in multilingual areas. In genetic counselling, interactions are organised around the tension between the risks of knowing and the risks of occurrence. This can lead to a 'rhetorical duel' between health professionals and patients and their families. In intercultural primary care settings, talk itself may be the problem when interpretive processes cannot be taken for granted. Even widely held models of good practice can lead to misunderstandings under these conditions. CONCLUSION; Through discourse analysis, the talk under scrutiny can be slowed down to show the interpretive processes and overall patterns of an activity. Discourse analysts and health professionals, working together, can look at problems in new ways and develop interventions and tools for a better understanding of communication in medical life.
journal_name
Med Educjournal_title
Medical educationauthors
Roberts C,Sarangi Sdoi
10.1111/j.1365-2929.2005.02171.xkeywords:
subject
Has Abstractpub_date
2005-06-01 00:00:00pages
632-40issue
6eissn
0308-0110issn
1365-2923pii
MED2171journal_volume
39pub_type
杂志文章abstract：CONTEXT:Despite increasing numbers of publications, science often fails to significantly improve patient care. Clinician-scientists, professionals who combine care and research activities, play an important role in helping to solve this problem. However, despite the ascribed advantages of connecting scientific knowledg...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.13241
更新日期：2017-06-01 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：:The educational programme reported was an experiment in the vocational training scheme of the department of General Practice, Erasmus University, Rotterdam, Holland, and is now part of the course. The programme focused on the training in team function (co-operation) given to trainee GPs and social workers. It became c...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1979.tb00916.x
更新日期：1979-01-01 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：CONTEXT:Accreditation of medical education programmes is becoming increasingly prevalent worldwide, but beyond the face validity of these quality assurance methods, data linking accreditation to improved student outcomes are limited. Mexico and the Philippines both have voluntary systems of medical education accreditat...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2011.04212.x
更新日期：2012-06-01 00:00:00
abstract：:This study investigates (1) the behavioural patterns, performance and attitudes to dentistry and (2) the personality traits, in male and female dental students (n = 219) studying at Cardiff Dental School. The first part deals with the results of a questionnaire investigating aspects of the students' training course, i...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1985.tb01313.x
更新日期：1985-05-01 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：OBJECTIVE:Modern postgraduate medical training requires both accurate and reliable selection procedures. An essential first step is to conduct detailed job analysis studies. This paper reports data on a series of job analyses to develop a competency model for three secondary care specialties (anaesthesia, obstetrics an...
journal_title：Medical education
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2923.2008.03174.x
更新日期：2008-12-01 00:00:00
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
更新日期：2004-10-01 00:00:00
abstract：CONTEXT:Programme evaluation is perpetually mandated in health professions education. Correspondingly, there has been an expansion in prescriptive methodological guides about 'how' to engage in various best practices in evaluation. However, what has gained less attention is an examination of the 'value' that different ...
journal_title：Medical education
pub_type： 杂志文章,评审
doi：10.1111/medu.14281
更新日期：2020-12-01 00:00:00
abstract：:Evaluation of courses tends to emphasize individual teacher behaviour and/or student reaction to the course. To avoid this approach a technique to determine student expectations and the degree to which the expectations were or were not met by the course was used. In addition, student perceptions of laboratory teaching...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1986.tb01173.x
更新日期：1986-05-01 00:00:00
abstract：:Medical students on an in-patient service and residents working in an ambulatory care clinic have regularly evaluated their clinical tutors over the 5 years 1985-1989. Both groups of raters reliably and predictably evaluated their tutors and both emphasize between-tutor comparisons more than actual rating values for i...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1993.tb00228.x
更新日期：1993-01-01 00:00:00
abstract：:A survey was conducted of the dental schools in the UK, inquiring about the teaching of psychology, sociology, epidemiology and psychiatry to dental undergraduates. Epidemiology was the most frequently taught and assessed subject, followed by psychology and sociology. Overall, the results indicate an increased concern...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1987.tb00674.x
更新日期：1987-03-01 00:00:00
abstract：CONTEXT:Each clinical encounter represents an amazing series of psychological events: perceiving the features of the situation; quickly accessing relevant hypotheses; checking for signs and symptoms that confirm or rule out competing hypotheses, and using related knowledge to guide appropriate investigations and treatm...
journal_title：Medical education
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2923.2007.02924.x
更新日期：2007-12-01 00:00:00
abstract：PURPOSE:We describe the use of standardised students (SSs) in interdisciplinary faculty development programmes to improve clinical teaching skills. Standardised students are actual health professions students who are trained to portray a prototypical teaching challenge consistently across many encounters with different...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2003.01556.x
更新日期：2003-07-01 00:00:00
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
更新日期：1991-03-01 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：:In October 1994 a project was initiated by the General Practice Continuing Medical Education Tutors in the Department of General Practice at Sheffield University. The project sought to evaluate the efficiency (effort expended) and effectiveness (distance travelled) of a model of continuing professional development for...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1997.tb00038.x
更新日期：1997-01-01 00:00:00
abstract：INTRODUCTION:In this paper we report on further tests of the validity of the multiple mini-interview (MMI) selection process, comparing MMI scores with those achieved on a national high-stakes clinical skills examination. We also continue to explore the stability of candidate performance and the extent to which so-call...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2009.03407.x
更新日期：2009-08-01 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：OBJECTIVES:We placed anaesthesia teams into a stressful environment in order to explore interactions between members of different professional groups and to investigate their perspectives on the impact of these interactions on team performance. METHODS:Ten anaesthetists, 5 nurses and 5 trained anaesthetic assistants e...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2007.02971.x
更新日期：2008-04-01 00:00:00
abstract：:This study was undertaken to measure the prevalence of psychological morbidity, and the nature and source of stress, in first year medical students. Two hundred and four first year medical students at a university in the north of England were sent a postal, self-report questionnaire. They were asked to complete the Ge...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1995.tb00022.x
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVES:Since their introduction, workplace-based assessments (WBAs) have proliferated throughout postgraduate medical education. Previous reviews have identified mixed findings regarding WBAs' effectiveness, but have not considered the importance of user-tool-context interactions. The present review was conducted t...
journal_title：Medical education
pub_type： 杂志文章,评审
doi：10.1111/medu.14221
更新日期：2020-11-01 00:00:00
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 m...
journal_title：Medical education
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1046/j.1365-2923.2002.01210.x
更新日期：2002-05-01 00:00:00
abstract：BACKGROUND:Homeless people have greater health care needs than those who are housed, yet often experience difficulty in accessing health care. Evidence suggests that the attitudes of doctors can create significant barriers to health care for homeless people. METHODS:A validated structured questionnaire, the Attitudes ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2003.01625.x
更新日期：2003-10-01 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：: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
更新日期：1981-03-01 00:00:00
abstract：:Medical teachers' understanding of the vocabulary of medical education has been studied by asking a group of medical teachers whether they understood twenty-two commonly used and important medical educational terms, and whether they could distinguish between the terms. All the words presented some problem of comprehen...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1981.tb02640.x
更新日期：1981-07-01 00:00:00
abstract：:In 1978, the second-year pre-clinical Behavioural Sciences course at Monash University Medical School was restructured to improve monitoring of, and feedback on, the development of interpersonal relationships between individual students and individual old age pensioners they were studying. Results indicate that integr...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1981.tb02314.x
更新日期：1981-01-01 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
