The impact of learning environment disruption on medical student performance.

Abstract:

OBJECTIVES:This study aimed to quantify the effects of two distinct and separate disruptions caused by earthquakes to a medical school learning environment on two separate cohorts of Year 5 medical students. METHODS:The first disruption was caused by an earthquake of magnitude 7.1 that occurred near the end of the academic year but caused minimal physical damage. The second disruption, to a different cohort of students, was caused by a magnitude 6.3 aftershock that occurred at the beginning of the academic year, caused loss of life and widespread damage to the city, and resulted in the closure of the medical school building for 2 years. Using students from the same class, who spent their year in different unaffected cities, as control subjects, and students from previous years in the same city as historic controls, we developed models to compare actual and predicted performances on end-of-year examinations in each of the two cohorts with those in the three previous unaffected year groups. RESULTS:The predictive models fitted the data well with multiple correlations for the written (R range: 0.69-0.79) and clinical (R range: 0.52-0.69) examinations. Students in the first cohort, for whom the disruption occurred close to end-of-year examinations but had a mild effect on the physical environment, performed slightly (-1.5% to -2.0%) but significantly (p < 0.05) worse than predicted for all three outcomes. Students in the second cohort, who experienced major disruption of their physical environment, performed as expected. CONCLUSIONS:An unexpected disruption that occurred close to examinations, but which had less physical environmental effect, had a greater impact on assessment performance than a more severe disruption and series of disruptions to which students had time to adapt and which they could work around. Two theories are offered to explain the observations.

journal_name

Med Educ

journal_title

Medical education

authors

Wilkinson TJ,Ali AN,Bell CJ,Carter FA,Frampton CM,McKenzie JM

doi

10.1111/medu.12065

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

210-3

issue

2

eissn

0308-0110

issn

1365-2923

journal_volume

47

pub_type

杂志文章
  • Medical students' note-taking in a medical biochemistry course: an initial exploration.

    abstract::Beginning medical students spend numerous hours every week attending basic science lectures and taking notes. Medical faculty often wonder whether they should give students pre-printed instructors' notes before lectures. Proponents of this strategy argue that provided notes enhance learning by facilitating the accurat...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2002.01167.x

    authors: Morrison EH,McLaughlin C,Rucker L

    更新日期:2002-04-01 00:00:00

  • Medical education on tobacco: implications of a worldwide survey. Tobacco and Health Committee of the International Union against Tuberculosis and Lung Disease (IUATLD).

    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

    authors: Crofton JW,Fréour PP,Tessier JF

    更新日期:1994-05-01 00:00:00

  • Teaching medical students about family planning: experiences from a primary health care course in Lagos, Nigeria.

    abstract::In 1979, the College of Medicine, Lagos, Nigeria embarked on a new curriculum, which places more emphasis on primary health care in line with the needs of the country. This paper discusses one aspect of the primary health care course, family planning, which involves teaching a practical subject to a large number of st...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1986.tb01040.x

    authors: Olukoya AA,Oyediran MA

    更新日期:1986-01-01 00:00:00

  • Teaching medical students alcohol intervention skills: results of a controlled trial.

    abstract:OBJECTIVE:To assess the relative effectiveness of videotape feedback and lecture methods for teaching alcohol brief intervention skills. DESIGN:In a controlled trial, two student blocks received a manual, lecture and demonstration about the principles and practice of brief alcohol intervention. In addition, experiment...

    journal_title:Medical education

    pub_type: 临床试验,杂志文章

    doi:10.1046/j.1365-2923.1999.00378.x

    authors: Walsh RA,Sanson-Fisher RW,Low A,Roche AM

    更新日期:1999-08-01 00:00:00

  • Pre-registration house officers' views on studying under a reformed medical curriculum in the UK.

    abstract::In 1996 the University of Liverpool introduced a new curriculum based on the recommendations published in Tomorrow's Doctors. This work examines how graduates of that course view their undergraduate curriculum and whether they consider it prepared them well for the pre-registration year. Five focus groups were arrange...

    journal_title:Medical education

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2929.2006.02545.x

    authors: Watmough S,Garden A,Taylor D

    更新日期:2006-09-01 00:00:00

  • 'You're certainly relatively competent': assessor bias due to recent experiences.

    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

    authors: Yeates P,O'Neill P,Mann K,W Eva K

    更新日期:2013-09-01 00:00:00

  • Problem-based learning versus lecture-based learning in a course of basic pharmacology: a controlled, randomized study.

    abstract::Since its first implementation in a medical programme at McMaster University, Canada, problem-based learning (PBL) has become a well-established means of teaching and learning medicine. Extensive research has been conducted and a number of strengths of the method are well supported. Several items, however, remain uncl...

    journal_title:Medical education

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2923.1999.00289.x

    authors: Antepohl W,Herzig S

    更新日期:1999-02-01 00:00:00

  • Speaking up, support, control and work engagement of medical residents. A structural equation modelling analysis.

    abstract:OBJECTIVES:Medical residents can play key roles in improving health care quality by speaking up and giving suggestions for improvements. However, previous research on speaking up by medical residents has shown that speaking up is difficult for residents. This study explored: (i) whether two main aspects of medical resi...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.13951

    authors: Voogt JJ,Taris TW,van Rensen ELJ,Schneider MME,Noordegraaf M,van der Schaaf MF

    更新日期:2019-11-01 00:00:00

  • Everyday classism in medical school: experiencing marginality and resistance.

    abstract:OBJECTIVE:To explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background. METHODS:A questionnaire was administered to Year 3 medical students at a Canadian medical school and in-depth interviews were held with 25 of these students (cohort 1). Th...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2005.02225.x

    authors: Beagan BL

    更新日期:2005-08-01 00:00:00

  • Realist methods in medical education research: what are they and what can they contribute?

    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 man...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2011.04045.x

    authors: Wong G,Greenhalgh T,Westhorp G,Pawson R

    更新日期:2012-01-01 00:00:00

  • Evaluation of teaching on interpersonal interactions.

    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

    authors: Jones KV,Hornblow AR,Tiller JW

    更新日期:1981-01-01 00:00:00

  • Teaching and learning in the clinical setting: a qualitative study of the perceptions of students and teachers.

    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

    authors: Stark P

    更新日期:2003-11-01 00:00:00

  • The Community Project: the teaching implications of applied epidemiology.

    abstract::The use of the epidemiological method in primary health care (PHC) has become an accepted part of the service. The team will utilize community-oriented data in order to assess the health needs of the population, perform continued surveillance of changes in the health of the people served and for service evaluation. Th...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1983.tb01091.x

    authors: Epstein LM,Tamir A,Spenser T,Perlman S

    更新日期:1983-01-01 00:00:00

  • An internet-based learning portfolio in resident education: the KOALA multicentre programme.

    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

    authors: Fung MF,Walker M,Fung KF,Temple L,Lajoie F,Bellemare G,Bryson SC

    更新日期:2000-06-01 00:00:00

  • Changes in the preferences of US physicians-in-training for medical interventions throughout medical education.

    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

    authors: Valentino MA,Chervoneva I,Diemer GA

    更新日期:2016-02-01 00:00:00

  • Towards a rational approach to student evaluation by examinations.

    abstract::The major functions of examinations are noted and a scheme of multiple choice testing is outlined which distinguishes between the certification function and the grading function of examinations. This scheme has been in operation since January 1976 in the Department of Anatomy, University of Cape Town, and preliminary ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1979.tb01200.x

    authors: Fredman M

    更新日期:1979-11-01 00:00:00

  • Surgical skills training: simulation and multimedia combined.

    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

    authors: Kneebone R,ApSimon D

    更新日期:2001-09-01 00:00:00

  • Pre-registration appointment in the 1980s--a replacement for a well-tried computerized system.

    abstract::A new computerized system for the allocation of pre-registration house-officer appointments to medical graduates at the Welsh National School of Medicine is described. The need to withdraw an earlier system, used through much of the 1970s, is explained, and the advantages possessed by the new system are discussed. ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1982.tb01253.x

    authors: Johns KA,Dean CE

    更新日期:1982-07-01 00:00:00

  • Current status of teaching on spirituality in UK medical schools.

    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

    authors: Neely D,Minford EJ

    更新日期:2008-02-01 00:00:00

  • Educational supervisors evaluate the preparedness of graduates from a reformed UK curriculum to work as pre-registration house officers (PRHOs): a qualitative study.

    abstract:INTRODUCTION:In 1996 the University of Liverpool introduced an integrated problem-based learning (PBL) medical curriculum incorporating the recommendations of Tomorrow's Doctors. This paper investigates whether the PRHO (pre-registration house officer) educational supervisors who supervise Liverpool graduates believe t...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2929.2006.02563.x

    authors: Watmough S,Taylor D,Garden A

    更新日期:2006-10-01 00:00:00

  • Influence of new educational technology on problem-based learning at Harvard Medical School.

    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

    authors: Kerfoot BP,Masser BA,Hafler JP

    更新日期:2005-04-01 00:00:00

  • Medical faculty as humanistic physicians and teachers: the perceptions of students at innovative and traditional medical schools.

    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

    authors: Maheux B,Beaudoin C,Berkson L,Côté L,Des Marchais J,Jean P

    更新日期:2000-08-01 00:00:00

  • Cognitive flow in health care settings: A systematic review.

    abstract:INTRODUCTION:The state of cognitive flow, colloquially known as being 'in the zone', has been linked with enhanced performance, happiness, career satisfaction and decreased burnout. However, the concept has not been adopted strongly in health care training, continuing professional development, or daily practice. A syst...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.14435

    authors: McQueen S,Jiang S,McParland A,Hammond Mobilio M,Moulton CA

    更新日期:2020-12-12 00:00:00

  • "Phase examination" an assessment of consultation skills and integrative knowledge based in general practice.

    abstract::The undergraduate medical curriculum at Linköping was changed and problem-based learning introduced in 1986. As a consequence the need for new examinations arose. To assess the students' consultation skills, ability to use theory in practice and skills in problem-based learning, a new examination called 'phase examina...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1996.tb00842.x

    authors: Foldevi M,Svedin CG

    更新日期:1996-09-01 00:00:00

  • How clinical supervisors develop trust in their trainees: a qualitative study.

    abstract:CONTEXT:Clinical supervisors oversee trainees' performance while granting them increasing opportunities to work independently. Although the factors contributing to supervisors' trust in their trainees to conduct clinical work have been identified, how the development of trust is shaped by these factors remains less cle...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12745

    authors: Hauer KE,Oza SK,Kogan JR,Stankiewicz CA,Stenfors-Hayes T,Cate OT,Batt J,O'Sullivan PS

    更新日期:2015-08-01 00:00:00

  • Continuing education courses in dentistry: assessing impact on practice.

    abstract:INTRODUCTION:In the context of movement towards mandatory continuing dental education, this paper describes how a delayed postal questionnaire can be used in course evaluation. Specifically, the value of the questionnaire as a tool for assessing the impact of short course attendance on general dental practice is examin...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.1999.00355.x

    authors: Bullock AD,Belfield CR,Butterfield S,Ribbins PM,Frame JW

    更新日期:1999-07-01 00:00:00

  • The life long challenge of expertise.

    abstract::The development and maintenance of expertise in any domain requires extensive, sustained practice of the necessary skills. However, the quantity of time spent is not the only factor in achieving expertise; the quality of this time is at least as important. The development and maintenance of expertise requires extensiv...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2001.00831.x

    authors: Guest CB,Regehr G,Tiberius RG

    更新日期:2001-01-01 00:00:00

  • Online testable concept maps: benefits for learning about the pathogenesis of disease.

    abstract:CONTEXT:Concept maps have been used to promote meaningful learning and critical thinking. Although these are crucially important in all disciplines, evidence for the benefits of concept mapping for learning in medicine is limited. METHODS:We performed a randomised crossover study to assess the benefits of online testa...

    journal_title:Medical education

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/medu.12422

    authors: Ho V,Kumar RK,Velan G

    更新日期:2014-07-01 00:00:00

  • Test-enhanced learning and its effect on comprehension and diagnostic accuracy.

    abstract:CONTEXT:In health professions education, tests have traditionally been used to assess the skills and knowledge of learners. More recently, research in psychology and education has shown that tests can also be used to enhance student memory; a phenomenon called the 'testing effect'. Much of the research in this domain h...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12302

    authors: Baghdady M,Carnahan H,Lam EW,Woods NN

    更新日期:2014-02-01 00:00:00

  • Do OSCE progress test scores predict performance in a national high-stakes examination?

    abstract:CONTEXT:Progress tests, in which learners are repeatedly assessed on equivalent content at different times in their training and provided with feedback, would seem to lend themselves well to a competency-based framework, which requires more frequent formative assessments. The objective structured clinical examination (...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12942

    authors: Pugh D,Bhanji F,Cole G,Dupre J,Hatala R,Humphrey-Murto S,Touchie C,Wood TJ

    更新日期:2016-03-01 00:00:00