Abstract:
CONTEXT:Complete reporting of research is essential to enable consumers to accurately appraise, interpret and apply findings. Quality appraisal checklists are giving way to tools that judge the risk for bias. OBJECTIVES:We sought to determine the prevalence of these complementary aspects of research reports (completeness of reporting and perceived risk for bias) of randomised studies in health professions education. METHODS:We searched bibliographic databases for randomised studies of health professions education. We appraised two cohorts representing different time periods (2008-2010 and 2014, respectively) and worked in duplicate to apply the CONSORT guidelines and Cochrane Risk of Bias tool. We explored differences between time periods using independent-samples t-tests or the chi-squared test, as appropriate. RESULTS:We systematically identified 180 randomised studies (2008-2010, n = 150; 2014, n = 30). Frequencies of reporting of CONSORT elements within full-text reports were highly variable and most elements were reported in fewer than 50% of studies. We found a statistically significant difference in the CONSORT reporting index (maximum score: 500) between the 2008-2010 (mean ± standard deviation [SD]: 242.7 ± 55.6) and 2014 (mean ± SD: 311.6 ± 53.2) cohorts (p < 0.001). High or unclear risk for bias was most common for allocation concealment (157, 87%) and blinding of participants (147, 82%), personnel (152, 84%) and outcome assessors (112, 62%). Most risk for bias elements were judged to be unclear (range: 51-84%). Risk for bias elements significantly improved over time for blinding of participants (p = 0.007), incomplete data (p < 0.001) and the presence of other sources of bias (p < 0.001). CONCLUSIONS:Reports of randomised studies in health professions education frequently omit elements recommended by the CONSORT statement. Most reports were assessed as having a high or unclear risk for bias. Greater attention to how studies are reported at study outset and in manuscript preparation could improve levels of complete transparent reporting.
journal_name
Med Educjournal_title
Medical educationauthors
Horsley T,Galipeau J,Petkovic J,Zeiter J,Hamstra SJ,Cook DAdoi
10.1111/medu.13130subject
Has Abstractpub_date
2017-01-01 00:00:00pages
61-71issue
1eissn
0308-0110issn
1365-2923journal_volume
51pub_type
杂志文章abstract:CONTEXT:Previous research has shown that general practitioners (GPs) hold negative attitudes towards patients with schizophrenia, which do not simply reflect the nature or chronic aspects of the illness. This study aimed to describe the attitudes and predicted behaviour of medical students towards patients with mental ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03183.x
更新日期:2008-11-01 00:00:00
abstract:CONTEXT:Clinical context may act as both an aid to decision making and a source of bias contributing to medical error. The effect of clinical history, a form of clinical context, on the diagnostic accuracy of the physical examination is unknown. METHODS:We randomised internal medicine residents to receive either no hi...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2923.2010.03896.x
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:The lack of published studies into effective skills teaching in clinical skills centres inspired this study of student views of the teaching behaviours of skills teachers. METHODS:We organised focus group discussions with students from Years 1-3 of a 6-year undergraduate medical curriculum. A total of 30 ra...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03283.x
更新日期:2009-02-01 00:00:00
abstract::The major focus in the selection of entrants for medical school has traditionally been on academic achievement in school-leaving examinations in which certain science subjects are a requirement. A longitudinal study of 413 successful applicants was undertaken to determine the relationship of these admission criteria t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02795.x
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:The study of human factors is a scientific discipline that deals with the interactions between human beings and the elements of a system. This is important because shortcomings in these areas, if unchecked, can result in adverse outcomes. Research into human factors in industries where safety is paramount ha...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.37.s1.5.x
更新日期:2003-11-01 00:00:00
abstract::In Finland primary health care has a long historical background. The local communities, the state and the church have at various times and places been responsible for primary health care during the last few centuries. In 1972, a major reform took place when a new Primary Health Care Act came into force. In the same ye...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00392.x
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVES:This research aims to identify the influences contributing to students' decisions to study medicine and to apply the findings to the design and targeting of outreach activities aimed at widening participation. METHODS:Semi-structured interviews were carried out with 15 medical students at a UK medical schoo...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02798.x
更新日期:2007-08-01 00:00:00
abstract:INTRODUCTION:Collaborative learning, including problem-based learning (PBL), is a powerful learning method. Group interaction plays a crucial role in stimulating student learning. However, few studies on learning processes in medical education have examined group interactions. Most studies on collaboration within PBL u...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02368.x
更新日期:2006-02-01 00:00:00
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
更新日期:2013-09-01 00:00:00
abstract:CONTEXT:arts-based interventions, which aim to foster understanding of the patient's perspective and to enhance communication skills, have been part of the medical curriculum for several years. This review aims to evaluate the available evidence base for their effectiveness and to suggest the nature of future work. ME...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2010.03848.x
更新日期:2011-02-01 00:00:00
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
更新日期:2006-09-01 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::The response of one region to the Department of Health and Social Security recommendations on re-employment of women doctors contained in H.M. 69(6) is described. In many specialities there has been an encouraging return of married women doctors to medical practice within the hospital service. In the field of psychiat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00463.x
更新日期:1976-07-01 00:00:00
abstract:CONTEXT:Recent studies suggest that self-explanation (SE) while diagnosing cases fosters the development of clinical reasoning in medical students; however, the conditions that optimise the impact of SE remain unknown. The example-based learning framework justifies an exploration of students' use of their own SEs combi...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/medu.12623
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVES:Coaching in medical education has recently gained prominence, but minimal attention has been given to key skills and determining how they work to effectively ensure residents are progressing and developing self-assessment skills. This study examined process-oriented and content-oriented coaching skills used ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13818
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVES:To assess the effectiveness of a stress reduction elective on Year 2 medical students and to assess the sustainability of any noted improvement. METHODS:A new elective entitled 'Mind-Body Medicine: an Experiential Elective' was offered to Year 2 medical students. It was based on a course developed by the Ce...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2007.02685.x
更新日期:2007-03-01 00:00:00
abstract::The medical specialties are being intensively reconsidered in the countries of Europe. The important need is for promoting improvement of educational training programmes. Evaluation and improvement of specialist training programmes is the priority and not the setting up of qualifying examinations. The first necessity ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00274.x
更新日期:1993-07-01 00:00:00
abstract:AIM:There are few publications summarising the main issues concerning pathology teaching and learning within undergraduate medical degrees. This article examines the themes that have emerged from the literature over the last 2 decades. METHOD:A literature search was performed using PubMed, which identified 86 relevant...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2004.01775.x
更新日期:2004-03-01 00:00:00
abstract:PURPOSE:To establish which personal and contextual factors are predictive of successful outcomes in postgraduate medical education. METHOD:We performed a follow-up study of 118 doctors on a postgraduate occupational health training programme on the management of mental health problems. The following personal and conte...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.01846.x
更新日期:2004-07-01 00:00:00
abstract::The traditional clinical examination has been shown to have serious limitations in terms of its validity and reliability. The OSCE provides some answers to these limitations and has become very popular. Many variants on the original OSCE format now exist and much research has been done on various aspects of their use....
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2004.01755.x
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVES:We placed anaesthesia teams into a stressful environment in order to explore interactions between members of different professional groups and to investigate their perspectives on the impact of these interactions on team performance. METHODS:Ten anaesthetists, 5 nurses and 5 trained anaesthetic assistants e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02971.x
更新日期:2008-04-01 00:00:00
abstract::The records of 62 men and 43 women, 14-88 years old, admitted to general medical wards in a public teaching hospital during 1991 were examined for discharge medications and for the recording of alcohol-drinking, tobacco-smoking and discharge diagnosis. Drinking and smoking status was unrecorded in 22.9% and 21.9% of p...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00313.x
更新日期:1993-11-01 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::This paper compares the opportunities for flexible (part-time) specialist training in the UK and elsewhere in the EU in the overall context of the rising numbers of women doctors across Europe. Few other EU countries appear to provide the same opportunities for flexible training as the UK, despite high percentages of ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00236.x
更新日期:1998-09-01 00:00:00
abstract:CONTEXT:'Transfer' is the application of a previously learned concept to solve a new problem in another context. Transfer is essential for basic science education because, to be valuable, basic science knowledge must be transferred to clinical problem solving. Therefore, better understanding of interventions that enhan...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13519
更新日期:2018-06-01 00:00:00
abstract::During their first training period in general practice the authors felt that they did not encounter the balanced workload which is the foundation for learning to be a GP. Previous studies confirmed the existence of differences in overall and specific workload between trainees and trainers. From their own experience an...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb02473.x
更新日期:1997-03-01 00:00:00
abstract::Medical teachers' understanding of the vocabulary of medical education has been studied by asking a group of medical teachers whether they understood twenty-two commonly used and important medical educational terms, and whether they could distinguish between the terms. All the words presented some problem of comprehen...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02640.x
更新日期:1981-07-01 00:00:00
abstract:OBJECTIVES:The objectives of this study were to determine the extent to which clinician-educators agree on definitions of critical thinking and to determine whether their descriptions of critical thinking in clinical practice are consistent with these definitions. METHODS:Ninety-seven medical educators at five medical...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03910.x
更新日期:2011-06-01 00:00:00
abstract:CONTEXT:Scholarly experiences have been increasingly employed to support the development of scholarly skills for medical students. How the characteristics of the various scholarly experiences contributes to scholarly outcomes or the complexities of how the experiences build skills warrants further exploration. OBJECTI...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14362
更新日期:2021-02-01 00:00:00
abstract:APPROACH:Theme-oriented discourse analysis looks at how language constructs professional practice. Recordings of naturally occurring interactions are transcribed and combined with ethnographic knowledge. Analytic themes drawn primarily from sociology and linguistics shed light on how meaning is negotiated in interactio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02171.x
更新日期:2005-06-01 00:00:00