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 performance levels. Furthermore, we investigated whether confidence in the rating assigned predicts susceptibility to manipulation and whether prompting consideration of typical performance lessens the influence of recent experience. METHODS:Consultant doctors were randomised to groups within an internet experiment. The descending performance group judged videos of Foundation Year 1 (F1; postgraduate Year 1) doctors in descending order of proficiency; the ascending performance group judged the same videos in ascending order. For all videos, participants rated: (i) trainee competence; (ii) rater confidence and (iii) percentage better (the percentage of other F1 doctors who would perform better on the same task). RESULTS:Overall, the descending performance group assigned lower scores than the ascending performance group (2.97 [95% confidence interval 2.73-3.20] versus 3.50 [95% confidence interval 3.25-3.74]; F(1,47) = 9.80, p = 0.003, d = 0.52). Pairwise comparisons showed differences were significant for good and borderline performances. The percentage better ratings showed a similar pattern (descending performance mean = 57.4 [95% confidence interval 52.5-62.3], ascending performance mean = 43.4 [95% confidence interval 38.4-48.5]; F(1, 46) = 16.0, p < 0.001, d = 0.67). Confidence ratings did not vary by level of performance and showed no relationship with the effect of group. DISCUSSION:Assessors' judgements showed contrast effects at both good and borderline performance levels. Findings suggest that assessors use normative rather than criterion-referenced decision making while judging, and that the norms referenced are weakly represented in memory and easily influenced. Confidence ratings suggested a lack of insight into this phenomenon. Raters' judgements could be importantly influenced in ways that are unfair to candidates.
journal_name
Med Educjournal_title
Medical educationauthors
Yeates P,O'Neill P,Mann K,W Eva Kdoi
10.1111/medu.12254subject
Has Abstractpub_date
2013-09-01 00:00:00pages
910-22issue
9eissn
0308-0110issn
1365-2923journal_volume
47pub_type
杂志文章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::Recent graduates (1989-1990) of a traditional school of Chinese medicine were assessed by observers using a 10-item scale for professional behaviour in the non-cognitive realm. Overall, 10.7% of the graduates had low ratings on this scale. Of those who scored in the top two quartiles on this scale, 71.4% reported that...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02715.x
更新日期:1994-07-01 00:00:00
abstract::The aims of this study were to gain an understanding of the concerns of those in control in Canadian Family Medicine, and to gain an understanding of the experiences of trainees in the traditional postgraduate year 2 (PGY-2) and in a flexible PGY-2 at the University of Toronto (U of T) Department of Family and Communi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1996.tb00852.x
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVES:Advanced cardiac life support (ACLS) skills tend to degrade over time. There is mounting evidence that high-fidelity simulation (HFS) is advantageous to teaching ACLS. The aspects of HFS that enhance learning are not entirely clear, but the anxiety generated by a scenario may enhance retention through well-e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03775.x
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:Increasing numbers of educational institutions in the medical field choose to replace their conventional admissions interviews with a multiple mini-interview (MMI) format because the latter has superior reliability values and reduces interviewer bias. As the MMI format can be adapted to the conditions of eac...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12535
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:Despite several unique aspects of the medical teacher's role compared to other teachers in higher education, there has been little research in this area. In particular there have been few studies which have explored teachers' perspectives on their role. This study aimed to elicit teachers' perceptions of t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01437.x
更新日期:2003-03-01 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:Some medical courses in the UK have many more applicants than places and almost all applicants have the highest possible previous and predicted examination grades. The BioMedical Admissions Test (BMAT) was designed to assist in the student selection process specifically for a number of 'traditional' medical cou...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03367.x
更新日期:2009-06-01 00:00:00
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
更新日期:1999-08-01 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::This study sought to explore the following questions: (1) Do residents perceive training focused on infancy and early childhood care issues as more clinically applicable than training focused on care of older children and adolescents? (2) Do residents at different training levels differ in their evaluation of behaviou...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb00900.x
更新日期:1989-09-01 00:00:00
abstract:CONTEXT:The Faculty of Medicine and Medical Sciences at the University of Aberdeen viewed the use of Computer Assisted Leaning (CAL) and other IT based learning resources as a possible way of coping with an increase in student numbers whilst maintaining or increasing the quality of medical teaching. OBJECTIVES:Our pri...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00270.x
更新日期:1999-04-01 00:00:00
abstract::Despite concern over the concentration on science in pre-medical education and the selection of medical students in the United States, no major changes have been made. The present study compares attrition rates and clinical competence levels of medical students who vary in pre-medical training, age, and sex, in order ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02415.x
更新日期:1981-11-01 00:00:00
abstract::Primary health care has been held to be the foundation of any rational health system. The principle was fully endorsed by the Alma-Ata Conference in 1978, and has become the main policy of the World Health Organization. Important implications are involved for the education and training of doctors and other health care...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1983.tb00653.x
更新日期:1983-05-01 00:00:00
abstract::The teaching of ethics to medical students has recently become a topic of much importance to all concerned with medical education. However, those most involved, the students themselves, have been consulted very little. This paper reports the views of a sample of medical students at Oxford University on what ethics tea...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00401.x
更新日期:1988-01-01 00:00:00
abstract:CONTEXT:Tutors in problem-based learning (PBL) tutorials have a complex role to play in facilitating students' learning. This includes providing support for students' acquisition of content knowledge and skills in critical thinking, coaching of group processes and modelling of reflective practice. Few studies which inv...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03293.x
更新日期:2009-04-01 00:00:00
abstract::A new teaching programme for fourth-year medical students in child health in Harare, Zimbabwe is outlined. A 2-week attachment to a rural district-level hospital is intended to orient the students to primary health care and to the practice of clinical medicine in a low resource environment. The attachment has become p...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00506.x
更新日期:1987-01-01 00:00:00
abstract::The educational programme reported was an experiment in the vocational training scheme of the department of General Practice, Erasmus University, Rotterdam, Holland, and is now part of the course. The programme focused on the training in team function (co-operation) given to trainee GPs and social workers. It became c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb00916.x
更新日期:1979-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to gather information regarding the appropriateness of the length of time allotted for candidates to complete the history taking and physical examination tasks in a high-stakes standardized patient (SP) assessment. DESIGN:Data were collected on actual time used by 1548 examinee...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00752.x
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Portfolios are increasingly advocated in medical education. Qualitative studies have suggested their value in stimulating experiential learning, promoting deep learning and encouraging reflection. This study explored the use of educational portfolios in reflective learning by general practice (GP) registrars...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2004.01737.x
更新日期:2004-01-01 00:00:00
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:OBJECTIVE:To follow the progress of young female adolescents, as risk-taking standardised patients (SPs), and to monitor for adverse affects that role-playing may have on the adolescents. METHODS:A prospective design was used in which 11 female adolescents, aged 13-15 years, were recruited from 2 schools. The adolesce...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02343.x
更新日期:2006-01-01 00:00:00
abstract::Teaching medical ethics in Manchester within the introductory course of obstetrics and gynaecology is a joint activity with the Centre for Social Ethics and Policy. This interdisciplinary teaching has evolved through lecture sessions with small-group discussions dealing with topics of interest in human reproduction. T...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02670.x
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVES:Medical students must develop not only their professional identity but also inclusive social attitudes for effective medical practice in the future. This study explores the elements that contribute to medical students' sense of professional identity and investigates the concept of social exclusivity and how ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04046.x
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Homeless people have greater health care needs than those who are housed, yet often experience difficulty in accessing health care. Evidence suggests that the attitudes of doctors can create significant barriers to health care for homeless people. METHODS:A validated structured questionnaire, the Attitudes ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01625.x
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:The assessment of clinical procedural skills has traditionally focused on technical elements alone. However, in real practice, clinicians are expected to be able to integrate technical with communication and other professional skills. We describe an integrated procedural performance instrument (IPPI), where ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02612.x
更新日期:2006-11-01 00:00:00
abstract::Information about medical students' lifestyles was obtained from 785 second-year students from seven medical schools in Great Britain by a personally administered questionnaire. Fifteen per cent of the students were non-drinkers. Among those who drank, 48% of the men and 38% of the women exceeded sensible weekly limit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00204.x
更新日期:1998-05-01 00:00:00
abstract::An improved teaching package is described which aims to help general practice trainees manage somatized presentations of psychological distress. The package comprises a training videotape in which a reattribution model is demonstrated, with material for role-play of new skills and small-group video feedback of consult...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00139.x
更新日期:1992-03-01 00:00:00
abstract:CONTEXT:A new student selection instrument has been designed to assess candidate suitability for a problem-based learning, small group curriculum. OBJECTIVE:To evaluate the performance of the new teamwork selection instrument in terms of its discriminatory power, fairness, validity, reliability and acceptability among...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02086.x
更新日期:2005-03-01 00:00:00
abstract:CONTEXT:As a contribution to this special issue commemorating the journal's 50th volume, this paper seeks to explore directions for national licensing examinations (NLEs) in medicine. Increases in the numbers of new medical schools and the mobility of doctors across national borders mean that NLEs are becoming even mor...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12810
更新日期:2016-01-01 00:00:00