Abstract:
:Medical schools vary by nation and by culture but, for students, the experience appears to be very similar. Also, despite a half-century of radical changes in medical practice, education as a process of socialization for the profession is relatively unchanged. At the same time, medical educators have frequently instituted curricular reforms. To analyse this history of reform without change, this paper first establishes what the content and structure of medical education is, and how it came to be that way; second it traces a process whereby the scientific mission of academic medicine has crowded out its social responsibility to train for society's most basic health-care delivery needs. The main argument is that medical education's manifest humanistic mission is little more than a screen for the research mission that is the major thrust of the institution's social structure.
journal_name
Med Educjournal_title
Medical educationauthors
Bloom SWdoi
10.1111/j.1365-2923.1989.tb01538.xsubject
Has Abstractpub_date
1989-05-01 00:00:00pages
228-41issue
3eissn
0308-0110issn
1365-2923journal_volume
23pub_type
杂志文章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:BACKGROUND:Although several studies (Anat Sci Educ, 8 [6], 525, 2015) have shown that computer-based anatomy programs (three-dimensional visualisation technology [3DVT]) are inferior to ordinary physical models (PMs), the mechanism is not clear. In this study, we explored three mechanisms: haptic feedback, transfer-app...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13683
更新日期:2018-11-01 00:00:00
abstract::A system for administering multiple choice questions and for providing immediate feedback via microcomputer was designed and field-tested by three groups of paediatric residents. Only minor technical problems were encountered, and these can be resolved easily. Attitudes towards the system were strongly positive. Resid...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01279.x
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND:Modernization of medical regulation has included the introduction of the Professional Performance Procedures by the UK General Medical Council in 1995. The Council now has the power to assess any registered practitioner whose performance may be seriously deficient, thus calling registration (licensure) into ...
journal_title:Medical education
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract::It is important to provide an epidemiological presence when teaching clinical medicine to undergraduate medical students in order to supply the underlying facts about disease. A series of pictorial or tabular presentations which together make up a 'master set' of Data Boards has been designed to give the medical stude...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00480.x
更新日期:1976-11-01 00:00:00
abstract::In 119 patients with diabetes, student nurses, social workers, dietitians and medical students a pretest was carried out with multiple-choice questions on the subject of diabetes diet. The group was then exposed to programmed diet instruction with a teaching machine. There was a significant learning effect as measured...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00482.x
更新日期:1976-11-01 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:OBJECTIVE:To describe a pilot course in personal and professional development, entitled 'Becoming a doctor: the first step' and our suggestions for what might be incorporated into future courses. SETTING AND CONTEXT:Leeds Medical School begins a new curriculum in September 1999 with a proportion of the first 3 years b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00575.x
更新日期:2000-02-01 00:00:00
abstract::Neuroanatomical laboratory material was presented to first-year medical students in a series of six self-instructional stations. Each station was designed to emphasize one major objective and to be completed without reference to any other station. Upon completion of a station the students filled out a response questio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02623.x
更新日期:1980-03-01 00:00:00
abstract::Recent psychological research suggests how to simplify texts and translate quantitative concepts into the language of clinical medicine. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00371.x
更新日期:1987-07-01 00:00:00
abstract:CONTEXT:The challenge of ensuring 'fair' selection processes confronts all medical schools around the globe. In the UK, historical analyses suggest applicants who are male, non-White, and from less advantaged socio-economic and school backgrounds have been less likely to be offered a place at medical school. We provide...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12981
更新日期:2016-06-01 00:00:00
abstract:CONTEXT:High-income country (HIC) trainees are undertaking global health experiences in low- and middle-income country (LMIC) host communities in increasing numbers. Although the benefits for HIC trainees are well described, the benefits and drawbacks for LMIC host communities are not well captured. OBJECTIVES:This st...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13106
更新日期:2016-11-01 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:OBJECTIVE:To compare outcomes when answers to objective type problem-solving questions are marked with and without consideration of students' explanations of their answers. DESIGN:Students answered six multiple-part problem-solving questions on the final examination for a course in clinical biochemistry. Each part req...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00382.x
更新日期:1999-11-01 00:00:00
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
更新日期:1994-05-01 00:00:00
abstract:CONTEXT:As part of curriculum evaluation, management and quality assurance strategies, many undergraduate medical schools are in the process of constructing computer-based curriculum maps. METHODS:A survey was distributed to Canadian and UK medical schools to determine the current status, characteristics, and challeng...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2008.03093.x
更新日期:2008-08-01 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::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
abstract:OBJECTIVES:This article explores the concept of resilience and its potential relevance to medicine. It also looks at the dimensions of resilience and its ethical importance for effective professional practice, and considers whether a focus on resilience might be useful in medical training. METHODS:An applied literatur...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2011.04188.x
更新日期:2012-04-01 00:00:00
abstract::The present study was conducted to provide in-depth information on the reliabilities of measures of the separate components of clinical competence (e.g. data collection, test interpretation, diagnosis, etc.) assessed by a performance-based examination consisting of standardized-patient cases administered to five class...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00071.x
更新日期:1991-07-01 00:00:00
abstract:CONTEXT:About 40% of British General Practitioners (GPs) train formally in a psychiatric post as part of their general practice training, but such training may not fully meet the needs of future GPs. A specific course in psychiatry for family doctors has run in Manchester for more than a decade. METHOD:Semi-structured...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00343.x
更新日期:1999-06-01 00:00:00
abstract::For many years student ratings have been used to assess the strengths and weaknesses of various courses and the teaching abilities of the instructors involved. Investigators have either supported or attacked the validity of this assessment procedure on the basis of the direction and degree of the relationship found be...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1978.tb00337.x
更新日期:1978-05-01 00:00:00
abstract::The purpose of this paper is to examine similarities and differences between graduating medical students who do and do not match through the National Internship and Resident Matching Programme (NIRMP). Data from graduates of 3- and 4-year undergraduate curricula were examined separately. A two way analysis of variance...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb01530.x
更新日期:1979-09-01 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: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: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::Practice inevitably narrows over time. Therefore, testing of established doctors requires that their assessment be tailored to a far narrower practice than is appropriate for testing of new doctors who have not yet differentiated. In this paper, we address the conceptual challenges of tailoring physician assessment to...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01310.x
更新日期:2002-10-01 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:Adequate medical education has 3 interrelated aspects: theoretical knowledge, practical skills and the personal attitude of the doctor. The current emphasis on medical science diverts attention from the importance of the attitude aspect of medical education. We argue that the integration of palliative care into...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01635.x
更新日期:2003-10-01 00:00:00
abstract::In response to the increased need to train well-rounded general practitioners within a limited time schedule, the teaching staff developed a self-instructional videotape programme devoted to suicide assessment. This tape, if successful, was to serve as a pilot for a full series of 18 tapes devoted to the assessment an...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02609.x
更新日期:1980-01-01 00:00:00