Educational supervisors evaluate the preparedness of graduates from a reformed UK curriculum to work as pre-registration house officers (PRHOs): a qualitative study.

Abstract:

INTRODUCTION:In 1996 the University of Liverpool introduced an integrated problem-based learning (PBL) medical curriculum incorporating the recommendations of Tomorrow's Doctors. This paper investigates whether the PRHO (pre-registration house officer) educational supervisors who supervise Liverpool graduates believe that the reformed curriculum is producing house officers who have the competencies outlined by the General Medical Council. METHODS:Forty-one interviews were arranged with a sample of educational supervisors in the Mersey Deanery area to ascertain their views on the competencies of Liverpool PRHOs. The interviews were tape-recorded, transcribed and analysed. RESULTS:The supervisors felt that the PRHOs had been well prepared to work as PRHOs, and compared with traditional graduates they were actually better prepared for the job of PRHO. They saw the PRHOs as competent communicators with improved clinical skills, who had good attitudes, were aware of limitations, were team workers, good at history-taking and examination and had different approaches to finding information. There was a very confusing picture regarding basic knowledge, with some consultants expressing concerns, despite saying they had adequate knowledge to work as PRHOs. It emerged that there was little consensus about the knowledge base of the traditional or PBL graduates or what knowledge level was needed at this stage. DISCUSSION:Educational supervisors believe that the reformed curriculum in Liverpool is producing competent PRHOs who have been better prepared for the role of PRHO than previous graduates. It could be that uncertainty over knowledge base may be the price paid for reducing the factual burden and improving preparedness for professional practice.

journal_name

Med Educ

journal_title

Medical education

authors

Watmough S,Taylor D,Garden A

doi

10.1111/j.1365-2929.2006.02563.x

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

995-1001

issue

10

eissn

0308-0110

issn

1365-2923

pii

MED2563

journal_volume

40

pub_type

杂志文章
  • Medical specialization in Europe: the way forward. Promotion of educational quality.

    abstract::The medical specialties are being intensively reconsidered in the countries of Europe. The important need is for promoting improvement of educational training programmes. Evaluation and improvement of specialist training programmes is the priority and not the setting up of qualifying examinations. The first necessity ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1993.tb00274.x

    authors: Karle H,Nystrup J,Walton H

    更新日期:1993-07-01 00:00:00

  • Independent learning: a self-instructional videotape approach in psychiatry.

    abstract::In response to the increased need to train well-rounded general practitioners within a limited time schedule, the teaching staff developed a self-instructional videotape programme devoted to suicide assessment. This tape, if successful, was to serve as a pilot for a full series of 18 tapes devoted to the assessment an...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1980.tb02609.x

    authors: Golden K,Furst E,Sundermann R,Delk J,McGill S

    更新日期:1980-01-01 00:00:00

  • Teaching and learning pathology: a critical review of the English literature.

    abstract:AIM:There are few publications summarising the main issues concerning pathology teaching and learning within undergraduate medical degrees. This article examines the themes that have emerged from the literature over the last 2 decades. METHOD:A literature search was performed using PubMed, which identified 86 relevant...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2923.2004.01775.x

    authors: Marshall R,Cartwright N,Mattick K

    更新日期:2004-03-01 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

  • The impact of an individual tutorial session on MEDLINE use among obstetrics and gynaecology residents in an academic training programme: a randomized trial.

    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

    authors: Erickson S,Warner ER

    更新日期:1998-05-01 00:00:00

  • Translating outcome frameworks to assessment programmes: Implications for validity.

    abstract:OBJECTIVES:Competency-based medical education (CBME) requires that educators structure assessment of clinical competence using outcome frameworks. Although these frameworks may serve some outcomes well (e.g. represent eventual practice), translating these into workplace-based assessment plans may undermine validity and...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.14287

    authors: Tavares W,Rowland P,Dagnone D,McEwen LA,Billett S,Sibbald M

    更新日期:2020-10-01 00:00:00

  • A comparison of the interviewing skills of first- and final-year medical students.

    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 s...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1992.tb00203.x

    authors: Davis H,Nicholaou T

    更新日期:1992-11-01 00:00:00

  • Entry to medical school: an audit of traditional selection requirements.

    abstract::The major focus in the selection of entrants for medical school has traditionally been on academic achievement in school-leaving examinations in which certain science subjects are a requirement. A longitudinal study of 413 successful applicants was undertaken to determine the relationship of these admission criteria t...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1995.tb02795.x

    authors: Collins JP,White GR,Kennedy JA

    更新日期:1995-01-01 00:00:00

  • Do patients have an obligation to participate in student teaching?

    abstract:CONTEXT:Patients may participate in teaching in many ways, in different settings and with different degrees of expert supervision. The majority of patients are generally very willing to participate in teaching. At times, however, patients may decline to see students because they are too sick, wish to maintain their pri...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2007.02948.x

    authors: Lowe M,Kerridge I,McPhee J,Hart C

    更新日期:2008-03-01 00:00:00

  • Evaluation of an instruction programme on diabetes diet by means of a teaching machine.

    abstract::In 119 patients with diabetes, student nurses, social workers, dietitians and medical students a pretest was carried out with multiple-choice questions on the subject of diabetes diet. The group was then exposed to programmed diet instruction with a teaching machine. There was a significant learning effect as measured...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1976.tb00482.x

    authors: Teuscher A,Heidecker B

    更新日期:1976-11-01 00:00:00

  • Self-explanation in learning clinical reasoning: the added value of examples and prompts.

    abstract:CONTEXT:Recent studies suggest that self-explanation (SE) while diagnosing cases fosters the development of clinical reasoning in medical students; however, the conditions that optimise the impact of SE remain unknown. The example-based learning framework justifies an exploration of students' use of their own SEs combi...

    journal_title:Medical education

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/medu.12623

    authors: Chamberland M,Mamede S,St-Onge C,Setrakian J,Bergeron L,Schmidt H

    更新日期:2015-02-01 00:00:00

  • Predicting performance: relative importance of students' background and past performance.

    abstract:CONTEXT:Despite evidence for the predictive value of both pre-admission characteristics and past performance at medical school, their relative contribution to predicting medical school performance has not been thoroughly investigated. OBJECTIVES:This study was designed to determine the relative importance of pre-admis...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12779

    authors: Stegers-Jager KM,Themmen AP,Cohen-Schotanus J,Steyerberg EW

    更新日期:2015-09-01 00:00:00

  • Factors predictive of successful learning in postgraduate medical education.

    abstract:PURPOSE:To establish which personal and contextual factors are predictive of successful outcomes in postgraduate medical education. METHOD:We performed a follow-up study of 118 doctors on a postgraduate occupational health training programme on the management of mental health problems. The following personal and conte...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2004.01846.x

    authors: Smits PB,Verbeek JH,Nauta MC,Ten Cate TJ,Metz JC,van Dijk FJ

    更新日期:2004-07-01 00:00:00

  • Interdisciplinary team interactions: a qualitative study of perceptions of team function in simulated anaesthesia crises.

    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

    authors: Weller JM,Janssen AL,Merry AF,Robinson B

    更新日期:2008-04-01 00:00:00

  • Embarking upon a medical career: psychological morbidity in first year medical students.

    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

    authors: Guthrie EA,Black D,Shaw CM,Hamilton J,Creed FH,Tomenson B

    更新日期:1995-09-01 00:00:00

  • Medical students' understanding of empathy: a phenomenological study.

    abstract:CONTEXT:Empathy towards patients is associated with improved health outcomes. However, quantitative studies using self-reported data have not provided an in-depth opportunity to explore the lived experiences of medical students concerning empathy. OBJECTIVES:This study was designed to investigate undergraduate medical...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2011.04152.x

    authors: Tavakol S,Dennick R,Tavakol M

    更新日期:2012-03-01 00:00:00

  • Predictive validity of the multiple mini-interview for selecting medical trainees.

    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

    authors: Eva KW,Reiter HI,Trinh K,Wasi P,Rosenfeld J,Norman GR

    更新日期:2009-08-01 00:00:00

  • Publication pattern of medical theses, France, 1993-98.

    abstract:CONTEXT AND OBJECTIVE:In many countries, medical training must be completed by presentation of a thesis. We report publication patterns of French medical theses. MATERIALS:We drew a random sample of theses presented in the 36 French medical universities between 1 January 1993 and 31 December 1997. The sample was strat...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2001.00768.x

    authors: Salmi LR,Gana S,Mouillet E

    更新日期:2001-01-01 00:00:00

  • Changes in the preferences of US physicians-in-training for medical interventions throughout medical education.

    abstract:CONTEXT:There exists a disparity between the views of physicians and the views of their patients on end-of-life decisions. However, the timing of when the end-of-life preferences of physicians and non-medically-trained individuals diverge is currently unknown. The objective of this paper is to characterise how preferen...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12938

    authors: Valentino MA,Chervoneva I,Diemer GA

    更新日期:2016-02-01 00:00:00

  • Project work in the medical curriculum.

    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

    authors: Craddock MJ

    更新日期:1984-07-01 00:00:00

  • Family and community health in a new medical school.

    abstract::The planning and implementation of a curriculum for a department of family and community health in a new medical school in a developing country presents special problems. The evolution of the programme at Sultan Qaboos University in the Sultanate of Oman is described and discussed. ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1990.tb02510.x

    authors: Musgrove JP

    更新日期:1990-03-01 00:00:00

  • Simulation-based education for novices: complex learning tasks promote reflective practice.

    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

    authors: Tremblay ML,Leppink J,Leclerc G,Rethans JJ,Dolmans DHJM

    更新日期:2019-04-01 00:00:00

  • Training clinical teachers in psychiatry to teach interviewing skills to medical students.

    abstract::To study the feasibility of training all clinical teachers in psychiatry to teach interviewing skills to medical students, 24 (unselected clinicians were assigned to one of four different training methods. They received either experiential or didactic instruction, and their initial teaching sessions were either superv...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1986.tb01062.x

    authors: Naji SA,Maguire GP,Fairbairn SA,Goldberg DP,Faragher EB

    更新日期:1986-03-01 00:00:00

  • Psychiatric training for family doctors: what do GP registrars want and can a brief course provide this?

    abstract:CONTEXT:About 40% of British General Practitioners (GPs) train formally in a psychiatric post as part of their general practice training, but such training may not fully meet the needs of future GPs. A specific course in psychiatry for family doctors has run in Manchester for more than a decade. METHOD:Semi-structured...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.1999.00343.x

    authors: Ratcliffe J,Gask L,Creed F,Lewis B

    更新日期:1999-06-01 00:00:00

  • Techniques for measuring clinical competence: objective structured clinical examinations.

    abstract::The traditional clinical examination has been shown to have serious limitations in terms of its validity and reliability. The OSCE provides some answers to these limitations and has become very popular. Many variants on the original OSCE format now exist and much research has been done on various aspects of their use....

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2004.01755.x

    authors: Newble D

    更新日期:2004-02-01 00:00:00

  • Stakeholder views of rural community-based medical education: a narrative review of the international literature.

    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

    authors: Somporn P,Ash J,Walters L

    更新日期:2018-08-01 00:00:00

  • Evidence-based education: development of an instrument to critically appraise reports of educational interventions.

    abstract:OBJECTIVES:Educational interventions may ultimately impact on patient care as well as affecting individuals' learning. Critical evaluation of educational literature by those involved in designing and developing educational interventions is therefore important. A checklist instrument for critically appraising reports of...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.1999.00479.x

    authors: Morrison JM,Sullivan F,Murray E,Jolly B

    更新日期:1999-12-01 00:00:00

  • Performance evaluation of graduates from a community-based curriculum: the housemanship period at Gezira.

    abstract::The housemanship performance of the first two classes of the University of Gezira Medical School was assessed on 107 occasions by using a questionnaire administered to the senior doctors (consultants) in the units in which they worked and the data, which covered 32% of all housemanship rotations taken by these graduat...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1992.tb00159.x

    authors: Abdel Rahim IM,Mustafa AE,Ahmed BO

    更新日期:1992-05-01 00:00:00

  • The acceptability of 360-degree judgements as a method of assessing undergraduate medical students' personal and professional behaviours.

    abstract:INTRODUCTION:Medical students' personal and professional behaviours have been assessed poorly in medical schools. No research exists exploring the acceptability of 360-degree judgements as a method of assessing such behaviours. This study aims to explore students' and assessors' views and experiences of 360-degree judg...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2004.02032.x

    authors: Rees C,Shepherd M

    更新日期:2005-01-01 00:00:00

  • Rater cognition: review and integration of research findings.

    abstract:BACKGROUND:Given the complexity of competency frameworks, associated skills and abilities, and contexts in which they are to be assessed in competency-based education (CBE), there is an increased reliance on rater judgements when considering trainee performance. This increased dependence on rater-based assessment has l...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/medu.12973

    authors: Gauthier G,St-Onge C,Tavares W

    更新日期:2016-05-01 00:00:00