An innovative outcomes-based medical education program built on adult learning principles.

Abstract:

:An innovative medical curriculum at the University of New South Wales (UNSW) has been developed through a highly collaborative process aimed at building faculty ownership and ongoing sustainability. The result is a novel capability-based program that features early clinical experience and small-group teaching, which offers students considerable flexibility and achieves a high degree of alignment between graduate outcomes, learning activities and assessments. Graduate capabilities that focus student learning on generic outcomes are described (critical evaluation, reflection, communication and teamwork) along with traditional outcomes in biomedical science, social aspects, clinical performance and ethics. Each two-year phase promotes a distinctive learning process to support and develop autonomous learning across six years. The approaches emphasize important adult education themes: student autonomy; learning from experience; collaborative learning; and adult teacher-learner relationships. Teaching in each phase draws on stages of the human life cycle to provide an explicit organization for the vertical integration of knowledge and skills. A learning environment that values the social nature of learning is fostered through the program's design and assessment system, which supports interdisciplinary integration and rewards students who exhibit self-direction. Assessment incorporates criterion referencing, interdisciplinary examinations, a balance between continuous and barrier assessments, peer feedback and performance assessments of clinical competence. A portfolio examination in each phase, in which students submit evidence of reflection and achievement for each capability, ensures overall alignment.

journal_name

Med Teach

journal_title

Medical teacher

authors

McNeil HP,Hughes CS,Toohey SM,Dowton SB

doi

10.1080/01421590600834229

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

527-34

issue

6

eissn

0142-159X

issn

1466-187X

pii

W162J43033255012

journal_volume

28

pub_type

杂志文章
  • Illuminating the relationship between shared learning and the workplace.

    abstract::This investigation represents an attempt to illuminate issues in the relationship between shared learning, aspects of organizational climate, teamwork practices and inter-personal contact between health professionals. The study, completed in 1998 and conducted over the previous 3 years, involved 57 post-qualified heal...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590220145752

    authors: Kennard J

    更新日期:2002-07-01 00:00:00

  • Passing the torch: a proposed amendment to "A Physician Charter".

    abstract::A Physician Charter has received widespread attention throughout the medical community since its publication in 2002. The Charter, which lays out three principles and 10 commitments that "reaffirm the fundamental and universal principles and values of medical professionalism …" omits an essential principle and its cor...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2013.759648

    authors: Angoff NR,Fortin AH 6th

    更新日期:2013-04-01 00:00:00

  • Psychometrics of the scale of attitudes toward physician-pharmacist collaboration: a study with medical students.

    abstract:BACKGROUND:Despite the emphasis placed on interdisciplinary education and interprofessional collaboration between physicians and pharmacologists, no psychometrically sound instrument is available to measure attitudes toward collaborative relationships. AIM:This study was designed to examine psychometrics of an instrum...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2012.714877

    authors: Hojat M,Spandorfer J,Isenberg GA,Vergare MJ,Fassihi R,Gonnella JS

    更新日期:2012-01-01 00:00:00

  • Teaching residents through consultation.

    abstract::Some patients present problems which exceed a junior doctor's ability to analyse and synthesize information on which management decisions must be made. As a result, he or she often consults with an attending physician or consultant. In this article four types of consultation are identified and analysed, each of which ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421598109064474

    authors: Williams WC

    更新日期:1981-01-01 00:00:00

  • Twelve tips for introducing simulation based assessment in the objective structured clinical examination.

    abstract::The use of simulation as a tool for assessment in medical examinations is expanding. We describe 12 practical tips for the implementation of simulation based critical evaluation for the Objective Structured Clinical Examination (OSCE). The material in this article is a combination of personal experience and the availa...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2020.1789084

    authors: Brown C,Morse J,Nesvadba D,Meldrum A

    更新日期:2020-07-21 00:00:00

  • Assessing the head-to-toe physical examination skills of medical students.

    abstract::Second-year medical students performed a head-to-toe screening physical examination on trained patient instructors (PIs) as a high-stakes examination before beginning clinical clerkships. PIs completed a 138-item checklist and instructed the students in the proper performance of any incorrectly executed or omitted ite...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590410001696452

    authors: Yudkowsky R,Downing S,Klamen D,Valaski M,Eulenberg B,Popa M

    更新日期:2004-08-01 00:00:00

  • Exploring the feasibility and acceptability of using tactical decision games to develop final year medical students' non-technical skills.

    abstract:INTRODUCTION:Clinical decision-making, situation awareness, task management, and teamwork are key non-technical skills (NTS) required by junior doctors. Tactical decision games (TDGs) are low-fidelity classroom-based activities designed to develop proficiency in NTS. This study aimed to explore the feasibility and acce...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2016.1150979

    authors: Drummond I,Sheikh G,Skinner J,Wood M

    更新日期:2016-05-01 00:00:00

  • Twelve tips for developing a global community of scholars in health professions education.

    abstract::Scholarship in Health Professions Education is not just original research, it also includes study of educational processes, and application of new knowledge to practice. The pathways to successful scholarship are not always clear to novice educators. In this article, we describe strategies to establish a Community of ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2020.1839034

    authors: Ramani S,McKimm J,Findyartini A,Nadarajah VD,Hays R,Chisolm MS,Filipe HP,Fornari A,Kachur EK,Kusurkar RA,Thampy H,Wilson KW

    更新日期:2020-10-27 00:00:00

  • Examining the clinical learning environment through the architectural avenue.

    abstract::Medical education has traditionally focused on the learners, the educators, and the curriculum, while tending to overlook the role of the designed environment. Experience indicates, however, that processes and outcomes of medical education are sensitive to the qualities and disposition of the spaces in which it occurs...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1566603

    authors: Nordquist J,Chan MK,Maniate J,Cook D,Kelly C,McDougall A

    更新日期:2019-04-01 00:00:00

  • The clinical learning environment.

    abstract::Learning in a clinical context is foundational in the training of health professionals; there is simply no alternative. The subject of the clinical learning environment (CLE) is at the forefront of discussions. In this introduction to a themed issue on the CLE, we present an expanded conceptual model that approaches t...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1566601

    authors: Nordquist J,Hall J,Caverzagie K,Snell L,Chan MK,Thoma B,Razack S,Philibert I

    更新日期:2019-04-01 00:00:00

  • A BEME (Best Evidence in Medical Education) review of the use of workplace-based assessment in identifying and remediating underperformance among postgraduate medical trainees: BEME Guide No. 43.

    abstract:INTRODUCTION:The extent to which workplace-based assessment (WBA) can be used as a facilitator of change among trainee doctors has not been established; this is particularly important in the case of underperforming trainees. The aim of this review is to examine the use of WBA in identifying and remediating performance ...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.1080/0142159X.2016.1215413

    authors: Barrett A,Galvin R,Steinert Y,Scherpbier A,O'Shaughnessy A,Horgan M,Horsley T

    更新日期:2016-12-01 00:00:00

  • Using medical knowledge sources on handheld computers--a qualitative study among junior doctors.

    abstract:BACKGROUND:The emergence of mobile computing could have an impact on how junior doctors learn. To exploit this opportunity it is essential to understand their information seeking process. AIM:To explore junior doctors' experiences of using medical knowledge sources on handheld computers. METHOD:Interviews with five S...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701507294

    authors: Axelson C,Wårdh I,Strender LE,Nilsson G

    更新日期:2007-09-01 00:00:00

  • Teaching, reflecting, and learning: The value of an intercalated medical education programme.

    abstract::Objectives: Teaching programmes within medicine focus primarily on pathways of a shorter length with little regard to teaching lasting longer than a month. This study is different from other studies as it examines the benefits of a nine month-long medical education degree programme and its impact beyond graduation. Th...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1708290

    authors: Muir F,Bruce J,McConville K

    更新日期:2020-05-01 00:00:00

  • Medical interns' view of their undergraduate medical education in Uppsala: an alumnus study with clear attitude differences between women and men.

    abstract:BACKGROUND:An alumni study of graduates from the medical school in Uppsala, was performed to give input into an ongoing reform process. AIMS:This study aimed to investigate how medical interns view their undergraduate medical education and the extent to which they felt that the curriculum prepared them for their curre...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590802216266

    authors: Hoppe A,Persson E,Birgegård G

    更新日期:2009-05-01 00:00:00

  • Clinical teaching performance improvement of faculty in residency training: A prospective cohort study.

    abstract:PURPOSE:The purpose of this study is to investigate how aspects of a teaching performance evaluation system may affect faculty's teaching performance improvement as perceived by residents over time. METHODS:Prospective multicenter cohort study conducted in The Netherlands between 1 September 2008 and 1 February 2013. ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2015.1060302

    authors: Van Der Leeuw RM,Boerebach BC,Lombarts KM,Heineman MJ,Arah OA

    更新日期:2016-05-01 00:00:00

  • Use of script concordance test to assess pharmaceutical diabetic care: a pilot study in Thailand.

    abstract::The script concordance (SC) test is an assessment tool designed to probe whether knowledge of examinees is efficiently organized for clinical actions. The aim of this study was to develop an SC test, and determine whether it could be used to differentiate novices from expert pharmacists in their ability to carry out c...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590600825292

    authors: Khonputsa P,Besinque K,Fisher D,Gong WC

    更新日期:2006-09-01 00:00:00

  • The year in a training practice: what has lasting value? Grounded theoretical categories and dimensions from a pilot study.

    abstract::Experienced General Practitioners were asked about lasting value from GP Registrar training. Grounded theory was used to construct eight categories of training behaviours. In each category, dimensions spanned between learner-preferred behaviours and those the learners perceived as less helpful. Learners valued teachin...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590020031138

    authors: Peile EB,Easton GP,Johnson N

    更新日期:2001-03-01 00:00:00

  • Web-based collaborative training of clinical reasoning: a randomized trial.

    abstract:BACKGROUND:Clinical reasoning skills are essential for medical practice. Problem-based collaborative learning via the internet might prove useful in imparting these skills. AIM:This randomized study assessed whether web-based learning (WBL) is superior to face-to-face problem-based learning (PBL) in the setting of a 6...

    journal_title:Medical teacher

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/01421590903095502

    authors: Raupach T,Muenscher C,Anders S,Steinbach R,Pukrop T,Hege I,Tullius M

    更新日期:2009-09-01 00:00:00

  • A modified electronic key feature examination for undergraduate medical students: validation threats and opportunities.

    abstract::The purpose of our study was the development and validation of a modified electronic key feature exam of clinical decision-making skills for undergraduate medical students. Therefore, the reliability of the test (15 items), the item difficulty level, the item-total correlations and correlations to other measures of kn...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590500078471

    authors: Fischer MR,Kopp V,Holzer M,Ruderich F,Jünger J

    更新日期:2005-08-01 00:00:00

  • Continuing medical education, quality improvement, and organizational change: implications of recent theories for twenty-first-century CME.

    abstract::Healthcare providers and systems are being asked to measure and improve the quality of care delivered to their patients. Additionally, the American Board of Medical Specialties now requires physicians to participate in systems-based practice and practice-based learning and improvement activities as part of maintenance...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590500046270

    authors: Price D

    更新日期:2005-05-01 00:00:00

  • Medical students' self-appraisal of first-year learning outcomes: use of the course valuing inventory.

    abstract::The aims of this paper were: to appraise how medical students perceive the meaning and value of their first-year experiences in medical studies, as measured by the Course Valuing Inventory (CVI); and to identify the relationships between the CVI responses and the learners' attributes and expectations. The study involv...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159042000192028

    authors: Sobral DT

    更新日期:2004-05-01 00:00:00

  • Organizational commitment of a health profession faculty: dimensions, correlates and conditions.

    abstract::Health professions depend on their faculties to prepare new practitioners, conduct research and provide essential services. Organizational commitment is an important aspect of faculty effectiveness and job performance, and may impact on turnover, absenteeism and interpersonal trust. A survey of organizational commitme...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590410001683221

    authors: Marchiori DM,Henkin AB

    更新日期:2004-06-01 00:00:00

  • Research methodology workshops evaluation using the Kirkpatrick's model: translating theory into practice.

    abstract:BACKGROUND:Qualitative and quantitative evaluation of academic programs can enhance the development, effectiveness, and dissemination of comparative quality reports as well as quality improvement efforts. OBJECTIVES:To evaluate the five research methodology workshops through assessing participants' satisfaction, knowl...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.886012

    authors: Abdulghani HM,Shaik SA,Khamis N,Al-Drees AA,Irshad M,Khalil MS,Alhaqwi AI,Isnani A

    更新日期:2014-04-01 00:00:00

  • How we started an elective in emergency bedside ultrasound.

    abstract::The expanding use of bedside ultrasonography in the practice of emergency medicine and other specialties is accompanied by the need to train medical students in its applications and interpretation of its results. In this article, the authors describe their successful design, launch, and management of the ultrasound el...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.975194

    authors: Martinez JP,Sommerkamp SK,Euerle BD

    更新日期:2015-01-01 00:00:00

  • Health inequities: the need for action by schools of medicine.

    abstract:BACKGROUND:It is well recognised that marked inequalities in mortality and morbidity exist between populations particularly those in lower socio-economic groups, including Indigenous and some ethnic minorities. Academic medicine has not yet articulated a clear stance on reducing health inequity within communities. AIM...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590801948042

    authors: Sanson-Fisher RW,Williams N,Outram S

    更新日期:2008-01-01 00:00:00

  • Health and lifestyle needs assessment of medical students in the United Arab Emirates.

    abstract::Medical students represent a significant community investment and promoting their health preserves this investment. In order to design health promotion programs for medical students in the United Arab Emirates, students' needs were assessed by means of a cross-sectional self-administered questionnaire survey. Major fi...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590310001605633

    authors: Carter AO,Elzubeir M,Abdulrazzaq YM,Revel AD,Townsend A

    更新日期:2003-09-01 00:00:00

  • Lecture handouts of projected slides in a medical course.

    abstract::Part of the teaching of clinical haematology to our third year medical students involves lectures given to the entire class. For the past several years, we have provided, at the beginning of each lecture, handouts on which are reproduced all or most of the 35-mm slides that will be projected during that lecture. The f...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421599009006633

    authors: Amato D,Quirt I

    更新日期:1990-01-01 00:00:00

  • Edgar Dale's Pyramid of Learning in medical education: a literature review.

    abstract:BACKGROUND:Edgar Dale's Pyramid of Learning and percentages of retained learning are cited in educational literature in a range of disciplines. The sources of the Pyramid, however, are misleading. AIMS:To examine the evidence supporting the Pyramid and the extent to which it is cited in medical education literature. ...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.3109/0142159X.2013.800636

    authors: Masters K

    更新日期:2013-11-01 00:00:00

  • Using questionnaires to determine whether medical graduates' career choice is determined by undergraduate or postgraduate experiences.

    abstract:BACKGROUND:There has been increased interest in the factors influencing the career choice of doctors. Feminization of the medical workforce, changing health care needs, reform of training has ensured that this is an important issue for workforce planners and educationists. AIMS AND METHODS:Questionnaires were distribu...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701551755

    authors: Watmough S,Taylor D,Ryland I

    更新日期:2007-10-01 00:00:00

  • Brazilian medical students' attitudes towards patient-centered care.

    abstract:BACKGROUND:The doctor-patient relationship is essential to medical care (Engel 1980; Balint 1984), however, medical schools focus mainly on biomedical subjects and don't give the necessary attention to communication skills, humanistic attitudes, and professional values (Haidet et al. 2001, 2002). METHODS:Attitudes of ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701543133

    authors: Ribeiro MM,Krupat E,Amaral CF

    更新日期:2007-09-01 00:00:00