Abstract:
PROBLEM:Clinical procedural skills are formally taught to medical students in clinical skills centers using mannequins. Exposure to procedural skills involving patients and opportunities to practice under the supervision of doctors are limited. INTERVENTION:A bedside supervision program was piloted at a district general hospital in the United Kingdom. The supervision model was chosen as the method to increase medical students' practice in basic procedural skills because it allowed safe practice with patients. CONTEXT:The program was an optional component of the medical students' clinical clerkships. Off-duty junior doctors were recruited as voluntary trainers. The trainers obtained requests for procedural tasks from the on-call doctors and ward nurses, following which the trainers supervised medical students performing the basic procedures with patient consent. OUTCOME:The pilot program was successfully run for 4 weeks. Fourteen students took part, and 9 (64%) completed a postintervention feedback questionnaire. The students' confidence (rating scale = 1-5) in performing procedural skills improved from a mean of 3.0 (SD ± 0.9) to 4.7 (SD ± 0.5) following a supervision session. Although the range of skills was limited to opportunistic encounters, the students reported high satisfaction and felt supervision enabled them to identify areas for improvement. LESSONS LEARNED:It is feasible to implement a junior doctor-delivered bedside program to supplement procedural skills training provided by medical schools. The challenges include reconciling the tension between junior doctors' service work and their teaching commitment, logistical issues such as recruiting a sufficient number of trainers and ensuring adequate coverage of training tasks.
journal_name
Teach Learn Medjournal_title
Teaching and learning in medicineauthors
Mughal Z,Noory Sdoi
10.1080/10401334.2015.1077130subject
Has Abstractpub_date
2015-01-01 00:00:00pages
417-21issue
4eissn
1040-1334issn
1532-8015journal_volume
27pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:Our study examined whether GRIEV_ING improved death notification skills of medical students, whether pretesting with simulated survivors primed learners and improved results of the intervention, and whether feedback on the simulated encounter improved student performance. METHODS:GRIEV_ING train...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330903018450
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:A systematized approach to descriptive evaluation of clinical performance using a vocabulary of global descriptors in the setting of formal evaluation and feedback sessions has been shown to be reliable and valid. The feasibility of this method beyond the institution at which it was developed has not been st...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1401_3
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Many medical schools require a family medicine clerkship, yet little is known about the quantity and diversity of the diagnoses encountered by the students. PURPOSE:This study examines patients encountered with psychiatric diagnoses using quantitative data collected by students in a family practice clerkshi...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1303_6
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Computer-based learning has gained widespread acceptance in medical curricula, but can it replace faculty-led teaching. PURPOSE:To investigate the effectiveness of independent computer-based learning of pulmonary auscultation alone and in combination with faculty-led teaching. METHODS:The first method invo...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1601_6
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Geriatric clinical clerkships in Israel teach mostly about the hospitalized elder patient with almost no ambulatory experience. Meanwhile, primary care physicians provide most of the health care to the elderly in the community. This article describes an innovation in the curriculum of the 5th-year family med...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1502_09
更新日期:2003-04-01 00:00:00
abstract:PROBLEM:Systems-based practice focuses on the organization, financing, and delivery of medical services. The American Association of Medical Colleges has recommended that systems-based practice be incorporated into medical schools' curricula. However, experiential learning in systems-based practice, including practical...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1146606
更新日期:2016-01-01 00:00:00
abstract:UNLABELLED:NEGEA 2015 CONFERENCE ABSTRACT (EDITED): Measuring an Organization's Culture of Feedback: Can It Be Done? Steven Rougas and Brian Clyne. CONSTRUCT: This study sought to develop a construct for measuring formative feedback culture in an academic emergency medicine department. Four archetypes (Market, Adhocrac...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1077133
更新日期:2015-01-01 00:00:00
abstract::Phenomenon: With scholarly collaborations come questions about the order of authorship. Authorship order is an important consideration because it often used as an indicator of seniority, expertise, leadership, and scholarly productivity. As a result, authorship order factors into decisions about hiring, salary, resour...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1533836
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Studies have shown that medical student attitudes decline as students progress through school. Controversy persists about the meaning and generalizability of these findings because studies have not been longitudinal and many were conducted prior to an influx of female students. Much of medical education occu...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm0904_2
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Qualitative markers of performance are routinely used for medical student assessment, though the extent to which such markers can be readily translated to actionable pieces of information remains uncertain. PURPOSE:To explore (a) the perceived value to be indicated by descriptor phrases commonly used for de...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.741545
更新日期:2013-01-01 00:00:00
abstract::Theory: Self-compassion has been identified as a promising interventional target enabling medical learners to respond effectively to stressors and challenges of medical training. Determining factors in the learning environment that support self-compassion is critical for developing such interventions. What is already ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1667241
更新日期:2020-04-01 00:00:00
abstract:THEORY:Clerkship evaluation and grading practices vary widely between U.S. medical schools. Grade inflation continues to exist, and grade distribution is likely to be different among U.S. medical schools. HYPOTHESES:Increasing the number of available grades curtails "grade inflation." METHOD:A national survey of all ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1164605
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Multiple variables affect medical specialty choice, including temperament, sociodemographic factors, and personal experiences. Many studies address specific variables for specific specialties, but few assess the relative impact of each factor. PURPOSE:To identify the relative influence of temperament in cho...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1602_6
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:Ultrasound is increasingly recognized as a valuable addition to medical school curriculum. PURPOSE:In this study, we tested the ability of rising second year students to learn and conduct an ultrasound examination of vertical liver span at the point of care. METHODS:Six patients from a GI clinic volunteere...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2012.741535
更新日期:2013-01-01 00:00:00
abstract::In 1999, the University of Michigan Medical School (UMMS) initiated a new career development program (CDP). The CDP incorporates the 4-phase career development model described by the Association of American Medical Colleges (AAMC) Careers in Medicine (CiM). The CDP offers self-assessment exercises with guidance from t...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330709336624
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Prior research on reducing variation in housestaff handoff procedures have depended on proprietary checkout software. Use of low-technology standardization techniques has not been widely studied. PURPOSE:We wished to determine if standardizing the process of intern sign-out using low-technology sign-out too...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330902791354
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Although medical school typically lasts 4 years, little attention has been devoted to the structure of the educational experience that takes place during the final year of medical school. SUMMARY:In this perspectives paper, we outline goals for the 4th year of medical school to facilitate a transition from ...
journal_title:Teaching and learning in medicine
pub_type: 社论
doi:10.1080/10401334.2014.945027
更新日期:2014-01-01 00:00:00
abstract::Phenomenon: An increasing number of refugees in recent years has led to changes in healthcare delivery. Historically, health care providers did not receive systematic and longitudinal training in refugee health. There is increasing interest among educators in developing educational opportunities for medical students t...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1779071
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Many medicine residency training programs include a lecture-based preclinic conference series as part of the ambulatory educational curriculum when more effective teaching formats might be available. Our institution has replaced this lecture-based teaching format with an ambulatory morning report modeled aft...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1301_9
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Residency programs must prepare physicians to practice in the current health care environment. This mandate is reflected in 3 of the 6 competency domains now required by the Accreditation Council for Graduate Medical Education: systems-based practice, interpersonal skills and communication, and practice-base...
journal_title:Teaching and learning in medicine
pub_type: 共识发展会议,杂志文章,评审
doi:10.1207/s15328015tlm1601_16
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Medical residents frequently participate in code status discussions, yet their competency in this role has not been evaluated. PURPOSE:The objective is to determine the quality of code status discussions from the perspective of both resident and patient. METHODS:We conducted a cross-sectional survey of con...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2010.512537
更新日期:2010-10-01 00:00:00
abstract::Phenomenon: This scoping literature review summarizes current Canadian health science education and training aimed to lessen health gaps between Aboriginal and non-Aboriginal peoples. APPROACH:Keyword searches of peer-reviewed and gray literature databases, websites, and resources recommended by local Aboriginal comm...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,评审
doi:10.1080/10401334.2016.1234960
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:A survey was conducted in 1996 to assess the perceptions of medical school graduates concerning alcohol and drug problems among their patients, and their attitudes and comfort toward addressing these issues. Survey questionnaires were sent to all individuals who graduated from Wright State University School ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1202_2
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:Full-time clinician educators are becoming more predominant in China, yet their effect is unknown. PURPOSES:The purpose of this study was to compare the teaching quality of full-time (FT) faculty with that of part-time (PT) faculty in one Chinese medical school. METHODS:In 3 consecutive years, 881 3rd year...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章,随机对照试验
doi:10.1080/10401334.2014.892393
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Limited studies have examined the factors associated with the implementation of team-based learning (TBL). PURPOSE:The purpose of this study was to identify faculty reactions (successes and challenges) associated with the implementation of a modified TBL in undergraduate anatomy teaching. METHOD:To obtain ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.797343
更新日期:2013-01-01 00:00:00
abstract::Construct: The McMaster Modular Assessment Program (McMAP) is a programmatic workplace-based assessment (WBA) system that provides emergency medicine trainees with competency judgments through frequent task-specific and global daily assessments. Background: The longevity of McMAP relative to other programmatic WBA sys...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1574581
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Although publishing in scientific journals has an educational component, the educational role of journals in medicine has not been evaluated. PURPOSE:To assess whether tutoring authors in a medical scientific journal could be related to their long-term scientific publications and academic advancement. METH...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1802_6
更新日期:2006-04-01 00:00:00
abstract::Problem: Although motivational interviewing is an effective patient-centered counseling method that healthcare providers can adopt to promote positive behavior change among patients, motivational interviewing is not routinely taught in medical schools. Intervention: A 3.5-hour motivational interviewing workshop was de...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2019.1681273
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:The Accreditation Council on Graduate Medical Education (ACGME) Outcomes Project has endorsed the in-training examination (ITE) as an example of a multiple-choice question examination that is a valid measure of a resident's attainment of medical knowledge. An outcome measure for performance on the ITE would ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330801991642
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Prominent authorities believe that managed care and governmental policies are compromising the clinical education of future physicians. PURPOSE:This study sought the views of clinical teachers to quantify the extent to which managed care and governmental policies have changed clinical education. METHODS:Qu...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1402_03
更新日期:2002-04-01 00:00:00