Abstract:
BACKGROUND:Producing a medical profession which is fit for the demands and expectations of society involves ensuring that practitioners learn what it means to behave in a 'professional' way. Codes of professional conduct have been developed for medical students in the UK, but the literature on how medical schools actually apply these is small. More detail is needed to evaluate approaches to assessing professionalism, or to analyse the extent to which students 'fail' this aspect. AIM:To describe one UK medical school's approach to monitoring and assessing aspects of professional behaviour; quantify the prevalence and severity of behaviours recognised as cause of concern in the first 6 years of the programme; evaluate whether there is evidence of any association between professional and academic underperformance and draw conclusions for further development of fitness to practice procedures. METHODS:Mixed methods utilising exam board and administrative data for statistical and descriptive analysis. RESULTS:Even under detailed scrutiny, only 3% of students received formal warnings for behavioural problems over the course of a 5-year programme, and notifications decreased as students entered the senior years. There was a trend towards association between academic and professional underperformance. CONCLUSION:Creating clear expectations, providing positive role models and monitoring student behaviour makes explicit what is expected of students as 'professionals in the making', and contributes to overall low rates of misdemeanour. The predictive value of recurrent and serious behavioural problems is not yet known as it is too soon for these graduates to have established careers. Students who are struggling academically may also present with unprofessional behaviours but the cause of this is unclear. Further research is needed to benchmark systems across the UK, and to know whether formalising expectations of undergraduates result in less problems in subsequent practice.
journal_name
Med Teachjournal_title
Medical teacherauthors
Howe A,Miles S,Wright S,Leinster Sdoi
10.3109/01421591003698018subject
Has Abstractpub_date
2010-01-01 00:00:00pages
837-44issue
10eissn
0142-159Xissn
1466-187Xjournal_volume
32pub_type
杂志文章相关文献
MEDICAL TEACHER文献大全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
更新日期:2013-04-01 00:00:00
abstract::Medical schools have the serious responsibility of choosing new students who will do well in training, and go on to become competent and ethical practitioners. Current methods of selection stress scientific and academic competence, somewhat to the detriment of other essential attributes. Among the other qualities that...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/01421590412331272300
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:In studies exploring the patient mixes of general practitioner (GP) trainees, gaps were repeatedly found, as there were disparities between the patient mixes of GP trainers and trainees. This reduces the opportunities of trainees to acquire enough competence. AIMS:To investigate whether steering the patient...
journal_title:Medical teacher
pub_type: 杂志文章,随机对照试验
doi:10.3109/0142159X.2013.759197
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Until recently, Japanese legislative guidelines dictated that undergraduate clinical training consisted of students' observations of clinicians' work. In 2006, Tokyo Medical and Dental University initiated a reform of their traditional undergraduate clinical curriculum. The reform integrated students into pa...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/01421590902799302
更新日期:2009-10-01 00:00:00
abstract:CONTEXT:This study aimed to develop a near-patient, e-learning tool and explore student views on how utilization of such a tool influenced their learning. METHODS:Third year medical students from Monash University in Melbourne, Australia were invited to trial a novel, near-patient, e-learning tool in two separate pilo...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/0142159X.2014.955842
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Understanding surface anatomy and surface markings are integral for introducing clinical sciences. AIM:This study aimed to assess which learning approach is effective in learning surface anatomy. METHOD:First-year medical students were randomly assigned into two groups and asked to complete an MCQs quiz co...
journal_title:Medical teacher
pub_type: 杂志文章,随机对照试验
doi:10.3109/0142159X.2011.530704
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Introduction into the clinical environment can be a daunting experience for medical students, especially in the operating theatre. Prior knowledge of how to prepare for theatre and cope with surgical placements is advantageous, as learning opportunities can be maximised from the start. AIM:This article prov...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/0142159X.2014.932899
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Modernizing Medical Careers (MMC) is an ambitious project to change the training of UK doctors. A key to its successful implementation is the ways that MMC is perceived and operationalized by senior doctors who act as local educational leaders and supervisors. AIMS:To analyse hospital consultants' perceptio...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/01421590801929976
更新日期:2008-01-01 00:00:00
abstract::Physicians require good communication skills to develop effective patient-physician relationships. Externally funded international medical graduates (IMGs) move directly from their home countries to complete residency training at the University of Ottawa, Canada. They must learn quickly how to work with patients, fami...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/01421590310001653982
更新日期:2004-03-01 00:00:00
abstract::Professional attitudes and behaviours have only recently been explicitly recognized by medical educators as legitimate and necessary components of global competence, although the idea of Fitness to Practice has always presupposed acceptable professional behaviour. Medical schools have recently begun to introduce teach...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/01421590600625619
更新日期:2006-08-01 00:00:00
abstract::The five year Bachelor of Medicine (BM5) programme of the University of Southampton commenced in 1971. In keeping with other medical schools, the Southampton BM5 programme has been involved in a number of incremental curriculum reforms over the years. Complementing the School's annual pre-registration house officer (P...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/01421590600627425
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:The Dundee Ready Educational Environment Measure (DREEM) was specifically designed to measure the undergraduate medical educational environment. This study seeks to review the adoption of DREEM internationally, and its association with different learning contexts and learner factors in order to better suppor...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/0142159X.2018.1426842
更新日期:2018-12-01 00:00:00
abstract::In an era of increasing scrutiny of the performance of graduates in the workplace, there can be frustrations when decisions about learners with borderline or poor performance in formal assessments are over-turned in appeal processes. This article addresses the approach to reducing the uncertainty about assessment deci...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/0142159X.2014.943711
更新日期:2015-05-01 00:00:00
abstract:INTRODUCTION:Physicians identify teaching as a factor that enhances performance, although existing data to support this relationship is limited. PURPOSE:To determine whether there were differences in clinical performance scores as assessed through multisource feedback (MSF) data based on clinical teaching. METHODS:MS...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/0142159X.2015.1112895
更新日期:2016-08-01 00:00:00
abstract::The College of Medicine and Medical Sciences of the Arabian Gulf University (CMMS-AGU) in Bahrain is, in its innovativeness, unique in the region in that a problem-based strategy is used in the planning and implementation of the curriculum. The first batch of graduates have completed their internship programme in the ...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/01421599109089905
更新日期:1991-01-01 00:00:00
abstract:AIM:Real patients are generally recruited to participate in assessment of medical students all over the world in their clinical examinations. In the past, such voluntary patients were taken for granted. However, this is no longer true nowadays. METHOD:A questionnaire survey was conducted on 72 patients who participate...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/01421590903398224
更新日期:2010-01-01 00:00:00
abstract::Introduction: Faculty development has played a significant role in health professions education over the last 40 years. The goal of this perspective is to present a portrait of faculty development in Medical Teacher since its inception and to highlight emerging trends moving forward.Method: All issues of Medical Teach...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/0142159X.2019.1688769
更新日期:2020-04-01 00:00:00
abstract::Most studies of simulator-based surgical skills training have focused on the acquisition of psychomotor skills, but surgical procedures are complex tasks requiring both psychomotor and cognitive skills. As skills training is modelled on expert performance consisting partly of unconscious automatic processes that exper...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/0142159X.2012.687480
更新日期:2012-01-01 00:00:00
abstract::Introduction: Experience in palliative medicine provides a beneficial learning opportunity for doctors-in-training. There is, however, a gap in understanding which aspects of learning are most useful, which are problematic and how learning can best be facilitated. This study addresses that gap using the 'threshold con...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/0142159X.2019.1687868
更新日期:2020-04-01 00:00:00
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
更新日期:2005-08-01 00:00:00
abstract:INTRODUCTION:This literature review summarizes the current evidence on educational interventions to develop healthcare worker resilience. METHODS:Electronic databases were systematically searched using the search terms: education OR training OR medical students AND resilience. The initial search was refined using crit...
journal_title:Medical teacher
pub_type: 杂志文章,评审
doi:10.1080/0142159X.2016.1210111
更新日期:2016-12-01 00:00:00
abstract::Faculty of Medicine (FOM), King Abdulaziz University (KAU), requested for international recognition by the Laison Committee of Canadian Medical Education (LCME) during the period 2008-2010. Selection of medical students was a must standard in LCME. After obtaining a written permission from higher administration at KAU...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/0142159X.2013.765543
更新日期:2013-01-01 00:00:00
abstract::This is a prospective study to find out whether an interactive large-group case-based teaching approach combined with small-group bedside teaching improves student satisfaction and learning outcome in a practical dermatology course. During two consecutive terms a rotating system of large-group interactive case-study-m...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/01421590601034241
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:There are two drivers for encouraging undergraduate students to undertake rural general practice placements - first, the need to increase the number of clinical placements available and second, the importance of exposing medical students to rural health care as a career choice. This is the first study to exp...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/0142159X.2011.557409
更新日期:2011-01-01 00:00:00
abstract::Each issue, someone connected with medical education will present a diary of a week in his or her life. The contributor this issue is Hamilton Hall, Assistant Professor in the Department of Surgery, University of Toronto, Canada. ...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/01421597909019405
更新日期:1979-01-01 00:00:00
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
更新日期:2002-07-01 00:00:00
abstract::Educating medical students represents a thrilling yet challenging task. In an era of research breakthroughs but also global health setbacks, there is a risk that scientists and educators focus on highly specialized areas of knowledge, neglecting interrelated systemic issues. Here, we argue that the education of medica...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/0142159X.2020.1774529
更新日期:2020-06-12 00:00:00
abstract::Assessment of clinical competence is facing a paradigm shift in more than one sense. The shift relates to test content, which increasingly covers a broader spectrum of competences than mere medical expertise, and to test methods, with an increasing focus on testing performance in realistic settings. Also there is a sh...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/0142159021000061431
更新日期:2003-01-01 00:00:00
abstract::Changing demographic, social, economic and technological trends have impacted the expectations of the Academic Health Center in preparing physicians to serve the needs of the American society, resulting in revisions to current curricula. In addition to the traditional basic sciences and clinical disciplines, accredite...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.1080/01421590701288564
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:A previous study found that in Austria 50.3% physicians (m: 43.2%, f: 58.6%) have not attained their chosen specialty. We aimed to explore the policy - and attitude-related reasons for gender disparity in training post allocation. METHODS:This cross-sectional study used a quantitative and a qualitative metho...
journal_title:Medical teacher
pub_type: 杂志文章
doi:10.3109/01421590903202488
更新日期:2010-01-01 00:00:00