Abstract:
CONTEXT:The challenges of maintaining comprehensive banks of valid checklists make context-specific checklists for assessment of clinical procedural skills problematic. OBJECTIVES:This paper reports the development of a tool which supports generic holistic assessment of clinical procedural skills. METHODS:We carried out a literature review, focus groups and non-participant observation of assessments with interview of participants, participant evaluation of a pilot objective structured clinical examination (OSCE), a national modified Delphi study with prior definitions of consensus and an OSCE. Participants were volunteers from a large acute teaching trust, a teaching primary care trust and a national sample of National Health Service staff. Results In total, 86 students, trainees and staff took part in the focus groups, observation of assessments and pilot OSCE, 252 in the Delphi study and 46 candidates and 50 assessors in the final OSCE. We developed a prototype tool with 5 broad categories amongst which were distributed 38 component competencies. There was > 70% agreement (our prior definition of consensus) at the first round of the Delphi study for inclusion of all categories and themes and no consensus for inclusion of additional categories or themes. Generalisability was 0.76. An OSCE based on the instrument has a predicted reliability of 0.79 with 12 stations and 1 assessor per station or 10 stations and 2 assessors per station. CONCLUSIONS:This clinical procedural skills assessment tool enables reliable assessment and has content and face validity for the assessment of clinical procedural skills. We have designated it the Leicester Clinical Procedure Assessment Tool (LCAT).
journal_name
Med Educjournal_title
Medical educationauthors
McKinley RK,Strand J,Gray T,Schuwirth L,Alun-Jones T,Miller Hdoi
10.1111/j.1365-2923.2008.03023.xsubject
Has Abstractpub_date
2008-06-01 00:00:00pages
619-27issue
6eissn
0308-0110issn
1365-2923pii
MED3023journal_volume
42pub_type
杂志文章,评审abstract:CONTEXT:Although competence committees (CCs) are most often conceptualised as group decision-making bodies, policy documents forward a more ambitious vision and outline several additional roles for CCs that support the continuous quality improvement of education programmes and promote formative feedback. However, wheth...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14072
更新日期:2020-06-01 00:00:00
abstract:CONTEXT:The number of women entering medical school has increased substantially in recent years. However, practising female doctors still report gender-associated professional challenges. We focused on female medical students to characterise how gender shapes the range of their professional experiences during the pre-c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03856.x
更新日期:2011-03-01 00:00:00
abstract::Many epidemiological studies have shown the magnitude and seriousness of mental disorders in developing countries. However, mental health care remains unsatisfactory owing to lack of skilled manpower and many other social and medical priorities. General practitioners and other health personnel can significantly help i...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1986.tb01374.x
更新日期:1986-07-01 00:00:00
abstract:OBJECTIVE:To describe a pilot course in personal and professional development, entitled 'Becoming a doctor: the first step' and our suggestions for what might be incorporated into future courses. SETTING AND CONTEXT:Leeds Medical School begins a new curriculum in September 1999 with a proportion of the first 3 years b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00575.x
更新日期:2000-02-01 00:00:00
abstract::There is national and international interest in increasing the community-based component of undergraduate medical education, but more research is needed on its potential, practicability and effectiveness. The objective of the study was to examine the feasibility and efficacy of general practitioners teaching basic cli...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1997.00678.x
更新日期:1997-09-01 00:00:00
abstract:CONTEXT:Small declines in patient-centred attitudes during medical education have caused great concern. Although some of the self-report scales applied have solid psychometric foundations, validity evidence for the interpretation of attitude erosion during clerkships remains weak. OBJECTIVES:We sought to address this ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12102
更新日期:2013-05-01 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::An instrument has been developed to assess tutor performance in problem-based tutorial groups. This tutor evaluation questionnaire consists of 13 statements reflecting the tutor's behaviour. The statements are based on a description of the tasks set for the tutor. This study reports results on the validity and reliabi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02735.x
更新日期:1994-11-01 00:00:00
abstract:PURPOSE:Due to the high volume and acuity of mental health issues presented by graduate and professional students nationwide, this study explored specific mental health needs in students in order to identify credible areas for intervention. METHODS:An assessment tool was created for this project, which identified sati...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2929.2004.01812.x
更新日期:2004-05-01 00:00:00
abstract:CONTEXT AND OBJECTIVES:To describe the Computerized Obstetrics and Gynecology Automated Learning Anaalysis (KOALAtrade mark), a multicentre, Internet-based learning portfolio and to determine its effects on residents' perception of their self-directed learning abilities. METHODS:The KOALA programme allows residents to...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00571.x
更新日期:2000-06-01 00:00:00
abstract::Medical education is primarily about training physicians and maintaining their capabilities over time. Given that physicians are the primary focus of the field, there is a need for a clear idea of what physicians are or could be. This paper seeks to explore this issue by posing the simple question: ?Where do physician...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13095
更新日期:2016-12-01 00:00:00
abstract::Supervised role-play is presented as a method for teaching the process of the medical consultation. The process of the consultation is reviewed and a brief description of supervised role-play is given with some of its advantages and disadvantages. Some simple devices used in the method are explained with examples. The...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00102.x
更新日期:1991-11-01 00:00:00
abstract:INTRODUCTION:A mythical Pyramid of Learning, usually attributed to Edgar Dale (or the National Training Laboratories [NTL]) and giving student learning retention rates, has been cited in a wide range of educational literature. A 2013 literature review indicated that medical education literature similarly cites this Pyr...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13813
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:Multi-source feedback (MSF) enables performance data to be provided to doctors from patients, co-workers and medical colleagues. This study examined the evidence for the validity of MSF instruments for general practice, investigated changes in performance for doctors who participated twice, 5 years apart, an...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03127.x
更新日期:2008-10-01 00:00:00
abstract::The academic performance of 104 fourth-year medical students was assessed in relation to their sleep habits reported in a questionary and their scores on the Minnesota Multiphasic Personality Inventory. Poorer academic performance was related significantly to later times of waking up in the morning, particularly at we...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00432.x
更新日期:1976-05-01 00:00:00
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
更新日期:1981-01-01 00:00:00
abstract:OBJECTIVES:Using a novel longitudinal tracking project, this study develops and evaluates the performance of a predictive model and index of rural medical practice intention based on the characteristics of incoming medical students. METHODS:Medical school entry survey data were obtained from the Medical Schools Outcom...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03506.x
更新日期:2009-10-01 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:OBJECTIVE:To describe the perceptions of medical students and clinical teachers of teaching and learning in the clinical setting. DESIGN:Qualitative study of focus groups with undergraduate medical students and semistructured interviews with hospital consultant clinical teachers. SETTING:The School of Medicine, Unive...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01675.x
更新日期:2003-11-01 00:00:00
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
更新日期:1980-05-01 00:00:00
abstract:CONTEXT:Ethnography has been gaining appreciation in the field of health professions education (HPE) research, yet it remains misunderstood. Our article contributes to this growing literature by describing some of the key tensions with which both aspiring and seasoned ethnographers should productively struggle. METHOD...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14033
更新日期:2020-03-01 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::The development of published material relating to the practice of medicine in multiracial and multicultural Britain is briefly reviewed. The utilization of such information in English medical schools is found to be absent or at a low level of priority. A more detailed study of one region demonstrates that junior hospi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1986.tb01388.x
更新日期:1986-11-01 00:00:00
abstract:CONTEXT:Trainees in undergraduate and postgraduate medical education engage in multiple transitions as part of the educational process, including many transitions that occur on both periodic and daily bases within medical education programmes. The clinical rotation, based on either a medical discipline or clinical care...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03847.x
更新日期:2011-01-01 00:00:00
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
更新日期:2017-01-01 00:00:00
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
更新日期:2010-06-01 00:00:00
abstract:CONTEXT:Widening access to higher education is a political priority. Social trends among medical school applicants are presently monitored using information on parental occupation. However, not all students now provide this information on their university application forms. OBJECTIVES:To compare the demographic charac...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02535.x
更新日期:2006-08-01 00:00:00
abstract::At the University of Queensland all medical students in their fifth year rotate through a 2-week attachment to a general practitioner tutor as part of the course in community practice. As a means of learning from this experience each student records information in a log diary on seventy-five consecutive patients seen,...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb00976.x
更新日期:1984-03-01 00:00:00
abstract:OBJECTIVES:This article explores the concept of resilience and its potential relevance to medicine. It also looks at the dimensions of resilience and its ethical importance for effective professional practice, and considers whether a focus on resilience might be useful in medical training. METHODS:An applied literatur...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2011.04188.x
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVES:The use of logbooks in the education of medical undergraduate students is not well-established. Traditionally, logbooks are used simply as a means for students to document their activities. This report examines whether logbooks used as an interactive vehicle between students and tutors can assist both studen...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01163.x
更新日期:2002-07-01 00:00:00