Abstract:
CONTEXT:Education is a complex intervention which produces different outcomes in different circumstances. Education researchers have long recognised the need to supplement experimental studies of efficacy with a broader range of study designs that will help to unpack the 'how' and 'why' questions and illuminate the many, varied and interdependent mechanisms by which interventions may work (or fail to work) in different contexts. METHODS:One promising approach is realist evaluation, which seeks to establish what works, for whom, in what circumstances, in what respects, to what extent, and why. This paper introduces the realist approach and explains why it is particularly suited to education research. It gives a brief introduction to the philosophical assumptions underlying realist methods and outlines key principles of realist evaluation (designed for empirical studies) and realist review (the application of realist methods to secondary research). DISCUSSION:The paper warns that realist approaches are not a panacea and lists the circumstances in which they are likely to be particularly useful.
journal_name
Med Educjournal_title
Medical educationauthors
Wong G,Greenhalgh T,Westhorp G,Pawson Rdoi
10.1111/j.1365-2923.2011.04045.xsubject
Has Abstractpub_date
2012-01-01 00:00:00pages
89-96issue
1eissn
0308-0110issn
1365-2923journal_volume
46pub_type
杂志文章abstract:OBJECTIVES:The objectives of this study were to determine the extent to which clinician-educators agree on definitions of critical thinking and to determine whether their descriptions of critical thinking in clinical practice are consistent with these definitions. METHODS:Ninety-seven medical educators at five medical...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03910.x
更新日期:2011-06-01 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::This study set out to determine the long-term benefits of teaching psychiatric interview skills. Nine established general practitioners, eight of whom were also trainers, took part some 18 months after attending a problem-based interviewing course. Interview skills were assessed by rating behaviour during 10-minute vi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00125.x
更新日期:1992-01-01 00:00:00
abstract:CONTEXT:There exists a disparity between the views of physicians and the views of their patients on end-of-life decisions. However, the timing of when the end-of-life preferences of physicians and non-medically-trained individuals diverge is currently unknown. The objective of this paper is to characterise how preferen...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12938
更新日期:2016-02-01 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:Programme evaluation is perpetually mandated in health professions education. Correspondingly, there has been an expansion in prescriptive methodological guides about 'how' to engage in various best practices in evaluation. However, what has gained less attention is an examination of the 'value' that different ...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.14281
更新日期:2020-12-01 00:00:00
abstract::This study compares the predictive values of written-knowledge tests and a standardized multiple-station examination for the actual medical performance of general practitioners (GPs) in order to select effective assessment methods to be used in quality-improvement activities. A comprehensive assessment was performed i...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00280.x
更新日期:1999-03-01 00:00:00
abstract:CONTEXT:arts-based interventions, which aim to foster understanding of the patient's perspective and to enhance communication skills, have been part of the medical curriculum for several years. This review aims to evaluate the available evidence base for their effectiveness and to suggest the nature of future work. ME...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2010.03848.x
更新日期:2011-02-01 00:00:00
abstract::The planning and implementation of a curriculum for a department of family and community health in a new medical school in a developing country presents special problems. The evolution of the programme at Sultan Qaboos University in the Sultanate of Oman is described and discussed. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02510.x
更新日期:1990-03-01 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::Many factors play a part in determining the performance of students in examinations, but the extent to which students use library facilities does not appear to have been recently considered as a factor, in medicine or in any other academic subject. In this study, the number of books borrowed from the library by underg...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1996.tb00732.x
更新日期:1996-03-01 00:00:00
abstract:CONTEXT:An important part of a doctor's identity is the social position he or she adopts relative to patients. Dialogic theory predicts that medical school discourses influence the positions students incorporate into their professional identities. As this may affect how students later exercise power in doctor-patient r...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14074
更新日期:2020-07-01 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
abstract:OBJECTIVES:This research aims to identify the influences contributing to students' decisions to study medicine and to apply the findings to the design and targeting of outreach activities aimed at widening participation. METHODS:Semi-structured interviews were carried out with 15 medical students at a UK medical schoo...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02798.x
更新日期:2007-08-01 00:00:00
abstract::The specific anxieties of 74 medical students beginning their clinical training were assessed by means of a questionnaire at the start of the clinical introductory course at St Mary's Hospital Medical School, London. Situations differed in the amount of anxiety that they engendered, and students also differed in the n...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00116.x
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:Objective structured clinical examination (OSCE) standard-setting procedures are not well developed and are often time-consuming and complex. We report an evaluation of a simple 'contrasting groups' method, applied to an OSCE conducted simultaneously in three separate schools. SUBJECTS:Medical students unde...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.01041.x
更新日期:2001-11-01 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::In October 1994 a project was initiated by the General Practice Continuing Medical Education Tutors in the Department of General Practice at Sheffield University. The project sought to evaluate the efficiency (effort expended) and effectiveness (distance travelled) of a model of continuing professional development for...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb00038.x
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:This study sought to determine the relative contributions made by transferable skills and content-specific skills to Year 2 medical student performance in a clinical skills examination. METHODS:Correlated trait-correlated method models were constructed to describe the performance of 2 year groups of students...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03020.x
更新日期:2008-06-01 00:00:00
abstract::This paper describes the development and structure of an Electronic Study Guide for Oncology (LETSGO) for undergraduate medical students. LETSGO is aimed at clinical students learning about cancer. The subject of the guide is breast cancer and learning objectives cover structure and function, behavioural science, publ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02860.x
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVE:To investigate the current status of teaching on spirituality in medicine in UK medical schools and to establish if and how medical schools are preparing future doctors to identify patients' spiritual needs. METHODS:We carried out a national questionnaire survey using a 2-part questionnaire. Section A contai...
journal_title:Medical education
pub_type: 杂志文章,多中心研究,评审
doi:10.1111/j.1365-2923.2007.02980.x
更新日期:2008-02-01 00:00:00
abstract::Medical students are allocated little curriculum time for exposure to expert systems. ESTA, a computer model of an expert system, was developed to make best use of this time. The nature of the students' interaction with ESTA is described, and their reactions to the expert system concepts and the place of expert system...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00418.x
更新日期:1988-03-01 00:00:00
abstract::Established in 1858, the General Medical Council was responsible, inter alia, for improving the standard of medical education in Britain. It was agreed on all hands that there were serious deficiencies: there was far too much book-learning and not enough practical knowledge; students graduated who were wholly ignorant...
journal_title:Medical education
pub_type: 历史文章,杂志文章
doi:10.1111/j.1365-2923.1989.tb01573.x
更新日期:1989-11-01 00:00:00
abstract::To determine whether admission interviews could differentiate applicants on their personal qualities (such as integrity, empathy and commitment) 456 applicants from two medical schools were tested on the Defining Issues Test (DIT), which measures the amount of principled or post-conventional moral reasoning. No differ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01297.x
更新日期:1984-11-01 00:00:00
abstract:PURPOSE:Computers with 50-inch, wall-mounted plasma screens and broadband Internet access were installed in all small group tutorial rooms at Harvard Medical School. This study examines how the introduction of this educational technology impacted on the problem-based learning tutorials. METHOD:A total of 37 tutorial g...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02105.x
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:To examine teachers' views of the first batch of graduates of a revised medical curriculum in Asia. METHODS:A cross-sectional study using a structured questionnaire was carried out to obtain the views of all the clinical teachers involved in teaching final year students of the old curriculum in 2000-01 and t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.01910.x
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Rapid advances in the field of genetics continue to present medical educators with significant challenges. Whilst there is undoubtedly a pressing need to educate doctors about genetic disorders, research and therapies, there is a parallel need to provide a context for all of these. CONTENT:An interdisciplin...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01433.x
更新日期:2003-02-01 00:00:00
abstract:CONTEXT:The assessment of ethical problem solving in medicine has been controversial and challenging. The purposes of this study were: (i) to create a new instrument to measure doctors' decisions on and reasoning approach towards resolving ethical problems; (ii) to evaluate the scores generated by the new instrument fo...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03516.x
更新日期:2009-12-01 00:00:00
abstract:CONTEXT:Longitudinal integrated clerkships (LICs) have been widely implemented in both rural and urban contexts, as is now evident in the wealth of studies published internationally. This narrative literature review aims to summarise current evidence regarding the outcomes of LICs for student, clinician and community s...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2012.04331.x
更新日期:2012-11-01 00:00:00
abstract::This study was initiated in response to the availabilty of unlimited access to MEDLINE via the PaperChase interface at the host institution. The goal of the study was to analyse the usage of MEDLINE by medical students during their third-year clinical clerkship in paediatrics. This was achieved by first giving them a ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02816.x
更新日期:1995-03-01 00:00:00