Abstract:
:This study reports the nature of non-emergency, day-to-day practice-related questions which arose in rural practice and were phoned in to a medical information system (MIS). The usefulness of these questions, and their responses, to clinical decision-making is outlined. Sixty-seven practitioners from 10 rural communities enrolled in the project. In response to each inquiry two or three articles were sent to the practitioner and to a consultant for validation. At the conclusion of the study the questions posed, and their responses, were examined. Forty-six per cent of the questions received were categorized as diagnostic; 30% as management; and 24% as therapeutic. Questions were classified using the ICD.9.CM. Those most frequently posed were in the nervous system/sense organs (13%), injury/poisoning (9%), and genito-urinary (9%) categories. Interviews with doctors and consultants were conducted to assess the usefulness of the service. Study findings suggest that an MIS can provide helpful information for improving daily aspects of clinical care, doctor-patient communication, administrative decision-making, and physician education. Practitioners, consultants, and medical librarians reported benefits from this service.
journal_name
Med Educjournal_title
Medical educationauthors
Jennett PA,Kishinevsky M,Parboosingh IT,Lockyer JM,Maes WRdoi
10.1111/j.1365-2923.1991.tb00057.xsubject
Has Abstractpub_date
1991-05-01 00:00:00pages
238-42issue
3eissn
0308-0110issn
1365-2923journal_volume
25pub_type
杂志文章abstract:OBJECTIVES:To describe the ways in which total resources available for the Service Increment for Teaching (SIFT) have been determined and related to numbers of undergraduate medical students; and the development and current arrangements for allocating SIFT to the providers of service support for teaching. DESIGN:The d...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00310.x
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVES:Teaching at the bedside during attending rounds is considered to be fundamental to medical education. We conducted an ethnographic case study to investigate such teaching in general paediatrics as a social phenomenon and to explore change over time in both the meaning of rounds and the context in which round...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03767.x
更新日期:2010-11-01 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:OBJECTIVES:The attitudes towards the basic sciences of medical students enrolled in either of 2 different curricula at the University of Utrecht Medical School in The Netherlands were investigated. The purpose of this study was threefold: first, to compare students (beginning clerks) in a conventional and an innovative...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01371.x
更新日期:2002-12-01 00:00:00
abstract:CONTEXT:A recent study has suggested that assessors judge performance comparatively rather than against fixed standards. Ratings assigned to borderline trainees were found to be biased by previously seen candidates' performances. We extended that programme of investigation by examining these effects across a range of p...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12254
更新日期:2013-09-01 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:BACKGROUND:Computerised learning clearly offers exciting potential for improving student learning, either as an aid to or as a replacement for traditional formats, or for the development of innovative approaches. However, rigorous evaluation of the utility of computer-aided learning (CAL) in enhancing student learning ...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2929.2004.01892.x
更新日期:2004-08-01 00:00:00
abstract::Ten psychiatrists and 15 family doctors were asked to score videotapes of patient-doctor encounters before and after each of two training periods. One period focused on the theory of assessment of doctors' interpersonal skills, while the other was purely practical. Results indicate that after one training session in e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02454.x
更新日期:1990-07-01 00:00:00
abstract:BACKGROUND:All general practitioners (GPs) are expected to have an appraisal from 2002 and the first cohort will experience revalidation in 2005. Although there is a link between appraisal and revalidation, this has yet to be clarified. OBJECTIVE:To investigate the knowledge, attitudes and beliefs of GPs towards reval...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01469.x
更新日期:2003-09-01 00:00:00
abstract::In achieving a more effective use of resources in the National Health Service (NHS), the medical profession has a role to play by improving cost efficiency in clinical practice. This role implies that doctors should have some knowledge of medical costs. In order to determine the extent of this knowledge, sixty-seven h...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01150.x
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVE:This instalment in the series on professional assessment provides an introduction to methods of setting standards. METHOD:A standard is a special score that serves as a boundary between those who perform well enough and those who do not. The practical steps in selecting it include: deciding on the type of st...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01495.x
更新日期:2003-05-01 00:00:00
abstract:CONTEXT:The recommendations of the General Medical Council in Tomorrow's Doctors renewed efforts to define core knowledge in undergraduate medical education. They also encouraged better use of the medical knowledge base in nurturing clinical judgement, critical thinking, and reflective practice. What then does the medi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00428.x
更新日期:2000-01-01 00:00:00
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:CONTEXT:Basic surgical skills are needed throughout the medical profession, but current training is haphazard and unpredictable. There is increasing pressure to provide transparency about training and performance standards. There is a clear need for inexperienced learners to build a framework of basic skills before car...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00997.x
更新日期:2001-09-01 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:INTRODUCTION:We describe the steps taken to develop an appropriate list of 'clinical problems' used to define the content of the objective structured clinical examination (OSCE) component of the Professional and Linguistic Assessments Board (PLAB) examination. METHOD:A blueprint and list of 255 clinical problems was c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00553.x
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The training of caring physicians represents an important goal of medical education. Little is known however, on whether medical faculty constitute good role models for teaching humanistic skills to medical students. In this study, we examined to what extent medical students at innovative and ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00543.x
更新日期:2000-08-01 00:00:00
abstract::The importance of the personality of the dentist in the dental treatment of the anxious patient has been recognized for some time. However, there has been little research into the emotional reactions of dental students in similar stressful situations. This investigation, using specific psychological tests, examined th...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01135.x
更新日期:1985-01-01 00:00:00
abstract:CONTEXT:Medical schools are increasingly using novel tools to select applicants. The UK Clinical Aptitude Test (UKCAT) is one such tool and measures mental abilities, attitudes and professional behaviour conducive to being a doctor using constructs likely to be less affected by socio-demographic factors than traditiona...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13082
更新日期:2016-10-01 00:00:00
abstract:PURPOSE:Implementing problem-based learning (PBL) in the clinical years of a medical degree presents particular challenges. This study investigated the effectiveness of using an online Clinical Reasoning Guide to assist integration of PBL in the clinical setting and promote further development of students' clinical rea...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.01839.x
更新日期:2004-06-01 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:OBJECTIVES:The long and demanding course of medical education may be accompanied by distress with serious consequences. This study was conducted to assess the multidimensional health-related quality of life (HR-QoL) in medical students in different stages of medical education and its associations with behavioural and s...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/medu.12247
更新日期:2013-10-01 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::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
abstract:INTRODUCTION:Reflective ability is an important skill for enhancing professionalism and developing communication skills. To improve reflective ability, medical educators encourage use of written reflective journals, for which feedback is important. It is difficult for educators to anticipate how their feedback will be ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14406
更新日期:2020-11-03 00:00:00
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
更新日期:1986-03-01 00:00:00
abstract:CONTEXT:The supervision of specialty registrars during on-call shifts is essential to ensure the quality of both health care and medical education, but has been identified as a major novelty and stressor for new consultants in the transition from specialty training. There is a paucity of research on how consultants dea...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12129
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Progress testing is a form of longitudinal examination which, in principle, samples at regular intervals from the complete domain of knowledge considered a requirement for medical students on completion of the undergraduate programme. Over the course of the programme students improve their scores on the test...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.02060.x
更新日期:2005-02-01 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::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