Abstract:
CONTEXT:The incidence of medical error, adverse clinical events and poor quality health care is unacceptably high and there are data to suggest that poor coordination of care, or teamwork, contributes to adverse outcomes. So, can we assume that increased collaboration in multidisciplinary teams improves performance and health care outcomes for patients? METHODS:In this essay, the authors discuss some reasons why we should not presume that collective decision making leads to better decisions and collaborative care results in better health care outcomes. RESULTS:Despite an exponential increase in interventions designed to improve teamwork and interprofessional education (IPE), we are still lacking good quality data on whether these interventions improve important outcomes. There are reasons why some of the components of 'effective teamwork', such as shared mental models, team orientation and mutual trust, could impair delivery of health care. For example, prior studies have found that brainstorming results in fewer ideas rather than more, and hinders rather than helps productivity. There are several possible explanations for this effect, including 'social loafing' and cognitive overload. Similarly, attributes that improve cohesion within groups, such as team orientation and mutual trust, may increase the risk of 'groupthink' and group conformity bias, which may lead to poorer decisions. CONCLUSIONS:In reality, teamwork and IPE are not inherently good, bad or neutral; instead, as with any intervention, their effect is modified by the persons involved, the situation and the interaction between persons and situation. Thus, rather than assume better outcomes with teamwork and IPE interventions, as clinicians and educators we must demonstrate that our interventions improve the delivery of health care.
journal_name
Med Educjournal_title
Medical educationauthors
Kaba A,Wishart I,Fraser K,Coderre S,McLaughlin Kdoi
10.1111/medu.12943subject
Has Abstractpub_date
2016-04-01 00:00:00pages
400-8issue
4eissn
0308-0110issn
1365-2923journal_volume
50pub_type
杂志文章abstract:BACKGROUND:Computerised learning clearly offers exciting potential for improving student learning, either as an aid to or as a replacement for traditional formats, or for the development of innovative approaches. However, rigorous evaluation of the utility of computer-aided learning (CAL) in enhancing student learning ...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2929.2004.01892.x
更新日期:2004-08-01 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
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abstract:INTRODUCTION:Limited data illuminate how resident doctors view their important roles as teachers, supervisors and role models. Analysing qualitative data about resident teachers' self-perceptions can offer helpful insights. METHODS:One year after a randomised trial of a residents-as-teachers curriculum at a university...
journal_title:Medical education
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doi:10.1111/j.1365-2929.2004.02063.x
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abstract::This paper outlines one component, the project, which in 4 years became an integral part of the Human Ecology course at the Department of Community Medicine at the University of Glasgow. Although it is to be retained in some form, it would seem that the full potential of the device for medical undergraduates has not b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01012.x
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doi:10.1111/j.1365-2923.2009.03582.x
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abstract::Interactive video is a new teaching medium that has much potential in medical education. Hitherto, the realization of this potential has been restrained by lack of awareness among medical teachers of the advantageous features provided and how to implement them, while computer specialists lack the required medical know...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00044.x
更新日期:1991-03-01 00:00:00
abstract:CONTEXT:The challenges of maintaining comprehensive banks of valid checklists make context-specific checklists for assessment of clinical procedural skills problematic. OBJECTIVES:This paper reports the development of a tool which supports generic holistic assessment of clinical procedural skills. METHODS:We carried ...
journal_title:Medical education
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更新日期:2008-06-01 00:00:00
abstract::In achieving a more effective use of resources in the National Health Service (NHS), the medical profession has a role to play by improving cost efficiency in clinical practice. This role implies that doctors should have some knowledge of medical costs. In order to determine the extent of this knowledge, sixty-seven h...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01150.x
更新日期:1985-03-01 00:00:00
abstract::Undergraduate medical education in Britain has been in a state of change since before the introduction of the National Health Service. Since then the changes in the General Medical Councils's recommendations concerning the medical curriculum (1947, 1957, 1967) have accompanied attention to curricular content, and the ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb01484.x
更新日期:1976-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02105.x
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03183.x
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14162
更新日期:2020-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00479.x
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2013-07-01 00:00:00
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journal_title:Medical education
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journal_title:Medical education
pub_type: 杂志文章,评审
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更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Positive interpersonal relationships between teachers and learners increase the quality of learning. The purpose of this study was to investigate psychological size (perceived status) and psychological distance (perceived emotional connectedness) in medical teaching interactions and their impact on the teach...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.01952.x
更新日期:2004-10-01 00:00:00
abstract::Student assessment in community settings presents problems for medical teachers, e.g., difficulties in assessing the contribution of individual members to group work, and lack of test standardization due to varying field conditions. The Faculty of Medicine, University of Gezira, Sudan is a community-oriented, communit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00151.x
更新日期:1998-01-01 00:00:00
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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::Undergraduate medical students of the Ben Gurion University were evaluated upon completion of their fourth- and sixth-year medical clerkships by a 17-item rating scale, a multiple choice question (MCQ) test and a patient-oriented oral examination by two academic staff members. Pearson's correlation coefficient between...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb01406.x
更新日期:1987-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:1983-05-01 00:00:00
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journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Medical education
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journal_title:Medical education
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更新日期:2011-08-01 00:00:00
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