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 privacy, prefer to have more expert care, or simply wish to have no involvement with students. This raises the question as to whether patients have any obligation to participate in education. METHODS:A number of arguments are advanced to justify the claim that patients have an obligation to participate in student teaching. These include: that patients should participate in training for the benefit of others if they wish to benefit from the care of those who have learnt from others; that, without patient participation in teaching, the entire health system would collapse; that participation in education provides a benefit over and above the provision of individual care; that, as we all benefit from the presence of a functioning health system, we should all be prepared to contribute to it, and that patients should 'pay' for free public health care by participating in teaching. CONCLUSIONS:None of the arguments that patients have an obligation to participate in medical education are convincing. We believe that patients participate in training largely out of altruism rather than obligation. Where possible, sick patients should be substituted for by healthy patients or simulations.
journal_name
Med Educjournal_title
Medical educationauthors
Lowe M,Kerridge I,McPhee J,Hart Cdoi
10.1111/j.1365-2923.2007.02948.xsubject
Has Abstractpub_date
2008-03-01 00:00:00pages
237-41issue
3eissn
0308-0110issn
1365-2923pii
MED2948journal_volume
42pub_type
杂志文章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：:The General Medical Council's document 'Tomorrow's Doctors' (1993, GMC, London) recommended major changes in the undergraduate curricula of UK medical schools. In Nottingham, the fourth-year psychiatric attachment became shorter in duration, and interactive, problem-oriented, workshop-based learning replaced lectures....
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.1998.00162.x
更新日期：1998-03-01 00:00:00
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
更新日期：2001-01-01 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：OBJECTIVES:This study aims to identify whether non-science graduates perform as well as science graduates in Basic and Clinical Sciences (B & CS) assessments during Years 1-3 of a four-year graduate-entry programme at the University of Sydney (the 'USydMP'). METHODS:Students were grouped into five categories: Health P...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2004.02043.x
更新日期：2004-11-01 00:00:00
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
更新日期：1992-11-01 00:00:00
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
更新日期：1997-03-01 00:00:00
abstract：:Although computer marking of MCQ papers is common practice and is popular because of its accuracy, speed and the fact that detailed statistical analysis can be carried out painlessly, there is still a major role for hand-scoring. A computer and computer time are not always immediately available and some form of data c...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1983.tb01111.x
更新日期：1983-03-01 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：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
更新日期：2020-10-01 00:00:00
abstract：OBJECTIVES:The objective of this study was to determine whether Medical Informatics education among house staff is included in the current residency curriculum, and to present ways in which this type of education may be improved. DESIGN:During autumn 1996 a mailed survey was distributed to chief residents of American ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.1999.00424.x
更新日期：1999-10-01 00:00:00
abstract：CONTEXT:Significant shortcomings have been noted in the literature in communication skills training for practising doctors. Given the importance of competent communication to the doctor-patient relationship and health care in general, these shortcomings should be addressed in future research. OBJECTIVE:Research into p...
journal_title：Medical education
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2923.2002.01331.x
更新日期：2002-11-01 00:00:00
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
更新日期：2002-07-01 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：OBJECTIVE:Recent UK policy has been to increase substantially the number of graduate entrants to medical schools. Our aim was to study whether graduate and non-graduate entrants have different long-term career preferences. METHODS:We conducted postal questionnaire surveys of medical qualifiers from all UK medical scho...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2007.02706.x
更新日期：2007-04-01 00:00:00
abstract：:Medical students in Germany have to write a research thesis to acquire the title of medical doctor. This study evaluates the contribution of student research to the Medline-indexed publications of a German medical faculty. A 1993-1995 Medline-publication list, on which medical students among authors should be marked, ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.1998.00255.x
更新日期：1998-07-01 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：CONTEXT:Adequate medical education has 3 interrelated aspects: theoretical knowledge, practical skills and the personal attitude of the doctor. The current emphasis on medical science diverts attention from the importance of the attitude aspect of medical education. We argue that the integration of palliative care into...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2003.01635.x
更新日期：2003-10-01 00:00:00
abstract：BACKGROUND:Modernization of medical regulation has included the introduction of the Professional Performance Procedures by the UK General Medical Council in 1995. The Council now has the power to assess any registered practitioner whose performance may be seriously deficient, thus calling registration (licensure) into ...
journal_title：Medical education
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：:Reasons for choosing dentistry as a profession were analysed among first-year dental students at the University of Toronto. The motivations of various sub-groups were also examined. It was found that an extrinsic motivation, financial rewards, was the most widespread, although the other widely chosen motivations refer...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1977.tb00578.x
更新日期：1977-03-01 00:00:00
abstract：:Applicants for admission to St Mary's Hospital Medical School in 1986 were short-listed for interview by one of four assessors, who each made their assessments on a nine-item pro forma. One short-lister had also been studied in detail during 1981. Short-listers used the full range of possible judgements, in approximat...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1989.tb00877.x
更新日期：1989-03-01 00:00:00
abstract：CONTEXT:Clinical context may act as both an aid to decision making and a source of bias contributing to medical error. The effect of clinical history, a form of clinical context, on the diagnostic accuracy of the physical examination is unknown. METHODS:We randomised internal medicine residents to receive either no hi...
journal_title：Medical education
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1365-2923.2010.03896.x
更新日期：2011-04-01 00:00:00
abstract：BACKGROUND:Since the introduction of problem-based learning (PBL) at McMaster University in 1969, many medical schools in the USA, Canada and Europe have included PBL in their curricula. In the past decade, many medical schools in Asia have also done so. However, so far no one has questioned whether the outcomes expect...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2003.01489.x
更新日期：2003-05-01 00:00:00
abstract：:The University of Washington School of Medicine (UWSM) has initiated new efforts to build a regional minority applicant pool and to expand its educational programmes to accommodate students from disadvantaged backgrounds. Specific interventions include: establishment of medical career planner position to coordinate re...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1988.tb00760.x
更新日期：1988-07-01 00:00:00
abstract：:This report considers the implications for medical education of a global survey of the knowledge, behaviour and attitudes of medical students regarding tobacco. This was conducted in 42 countries derived from all continents. A total of 9326 students (44% women) from 51 medical schools replied anonymously to a multiple...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1994.tb02697.x
更新日期：1994-05-01 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：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 interactio...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2005.02171.x
更新日期：2005-06-01 00:00:00
abstract：CONTEXT:Understanding self-regulated learning (SRL) is complicated due to the different measures used to identify the key SRL processes. There is a growing trend in applying event measures of SRL (microanalysis and trace) but aptitude measures (questionnaires) continue to be widely used in medical education. A major co...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.14079
更新日期：2020-08-01 00:00:00
abstract：:British medical school teachers of medical statistics aspire to teach statistical concepts without requiring medical students to undertake every statistical technique in the book. In the typical course of 20 to 30 hours, about 50 topics are taught, usually requiring the student to perform a technique. In a survey of c...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1994.tb02686.x
更新日期：1994-01-01 00:00:00
abstract：:South Africa is undergoing tremendous political and social change affecting every sphere of society, including medical education and the delivery of health services. The legacy of its history created a health system that in some respects can be compared to the best in the world, but one also characterized by inequity,...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.1999.00545.x
更新日期：1999-10-01 00:00:00
