Abstract:
CONTEXT:The function of medical school entities that determine student advancement or dismissal has gone largely unexplored. The decision making of 'academic progress' or student promotions committees is examined using a theoretical framework contrasting ethics of justice and care, with roots in the moral development work of theorists Kohlberg and Gilligan. OBJECTIVES:To ascertain promotions committee members' conceptualisation of the role of their committee, ethical orientations used in member decision making, and student characteristics most influential in that decision making. METHODS:An electronic survey was distributed to voting members of promotions committees at 143 accredited allopathic medical schools in the USA. Descriptive statistics were calculated and data were analysed by gender, role, institution type and class size. RESULTS:Respondents included 241 voting members of promotions committees at 55 medical schools. Respondents endorsed various promotions committee roles, including acting in the best interest of learners' future patients and graduating highly qualified learners. Implementing policy was assigned lower importance. The overall pattern of responses did not indicate a predominant orientation toward an ethic of justice or care. Respondents indicated that committees have discretion to take individual student characteristics into consideration during deliberations, and that they do so in practice. Among the student characteristics with the greatest influence on decision making, professionalism and academic performance were paramount. Eighty-five per cent of participants indicated that they received no training. CONCLUSIONS:Promotions committee members do not regard orientations of justice and care as being mutually exclusive and endorse an array of statements regarding the committee's purpose that may conflict with one another. The considerable variance in the influence of student characteristics and the general absence of committee member training indicate a need for clear delineation of the medical profession's priorities in terms of justice and care, and of the specific student characteristics that should factor into deliberations.
journal_name
Med Educjournal_title
Medical educationauthors
Green EP,Gruppuso PAdoi
10.1111/medu.13280subject
Has Abstractpub_date
2017-06-01 00:00:00pages
621-632issue
6eissn
0308-0110issn
1365-2923journal_volume
51pub_type
杂志文章abstract:CONTEXT:Rural community-based medical education (RCBME), in which medical student learning activities take place within a rural community, requires students, clinical teachers, patients, community members and representatives of health and government sectors to actively contribute to the educational process. Therefore, ...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13580
更新日期:2018-08-01 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::Many factors play a part in determining the performance of students in examinations, but the extent to which students use library facilities does not appear to have been recently considered as a factor, in medicine or in any other academic subject. In this study, the number of books borrowed from the library by underg...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1996.tb00732.x
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to determine whether Medical Informatics education among house staff is included in the current residency curriculum, and to present ways in which this type of education may be improved. DESIGN:During autumn 1996 a mailed survey was distributed to chief residents of American ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00424.x
更新日期:1999-10-01 00:00:00
abstract::An instrument has been developed to assess tutor performance in problem-based tutorial groups. This tutor evaluation questionnaire consists of 13 statements reflecting the tutor's behaviour. The statements are based on a description of the tasks set for the tutor. This study reports results on the validity and reliabi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02735.x
更新日期:1994-11-01 00:00:00
abstract::The view, background and motivation of providers of medical education was studied using a structured questionnaire which was sent to all those who organized courses for the Postgraduate Education Allowance in the West of Scotland. Two hundred and twenty-five replies were received from 254 course providers, giving an 8...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00300.x
更新日期:1993-09-01 00:00:00
abstract:CONTEXT:Resources for medical education are becoming more constrained, whereas accountability in medical education is increasing. In this constrictive environment, medical schools need to consider and justify their selection procedures in terms of costs and benefits. To date, there have been no studies focusing on this...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13698
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVES:Since their introduction, workplace-based assessments (WBAs) have proliferated throughout postgraduate medical education. Previous reviews have identified mixed findings regarding WBAs' effectiveness, but have not considered the importance of user-tool-context interactions. The present review was conducted t...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.14221
更新日期:2020-11-01 00:00:00
abstract:CONTEXT:The number of women entering medical school has increased substantially in recent years. However, practising female doctors still report gender-associated professional challenges. We focused on female medical students to characterise how gender shapes the range of their professional experiences during the pre-c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03856.x
更新日期:2011-03-01 00:00:00
abstract:CONTEXT:At the Katholieke Universiteit Leuven, Belgium, final year medical students participate in 70 problem-solving clinical seminars over a period of 2 months, concentrating on clinical reasoning for formulating differential diagnoses. The clinical seminars end in an examination consisting of 200 extended-matching q...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02627.x
更新日期:2006-12-01 00:00:00
abstract:CONTEXT:The supervision of specialty registrars during on-call shifts is essential to ensure the quality of both health care and medical education, but has been identified as a major novelty and stressor for new consultants in the transition from specialty training. There is a paucity of research on how consultants dea...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12129
更新日期:2013-04-01 00:00:00
abstract::There is evidence that nurses fulfil the requirements of objective judgement better than doctors. Simulation of Initial Medical Problem-Solving (SIMP), a paper-and-pencil test for the assessment of medical problem-solving, consists of case histories, followed by an open-ended question. The scoring of open-ended questi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb01564.x
更新日期:1989-07-01 00:00:00
abstract:BACKGROUND:Educational approaches are thought to have facilitative or hindering effects on students' critical thinking development. The aim of this study was to compare the effects of problem-based learning (PBL) and lecturing approaches on the development of students' critical thinking. METHODS:All 79 Year 1 undergra...
journal_title:Medical education
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1365-2929.2006.02481.x
更新日期:2006-06-01 00:00:00
abstract::This paper describes a strategy for helping students to learn about laboratory and radiological investigations in diagnosis and management, and to make decisions about the use of investigations, taking into account such features as safety, patient comfort and cost. Learning takes place through the use of a programmed ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02310.x
更新日期:1981-01-01 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:OBJECTIVES:To investigate the values and practices of assessment of the clinical practice of dental students by a sample of teachers in restorative dentistry. DESIGN:A questionnaire, based on the above objectives, was designed, piloted and redesigned. Its content was based on evidence-based good practice in assessment...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00733.x
更新日期:2001-04-01 00:00:00
abstract:UNLABELLED:Communicating "bad news" to patients and their families can be difficult for physicians. OBJECTIVE:This qualitative study aimed to examine residents' perceptions of barriers to delivering bad news to patients and their family members. DESIGN:Two focus groups consisting of first- and second-year medical and...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00766.x
更新日期:2001-03-01 00:00:00
abstract::In 1978, the second-year pre-clinical Behavioural Sciences course at Monash University Medical School was restructured to improve monitoring of, and feedback on, the development of interpersonal relationships between individual students and individual old age pensioners they were studying. Results indicate that integr...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02314.x
更新日期:1981-01-01 00:00:00
abstract:OBJECTIVE:To explore the medical school experiences of students who self-identify as coming from a working-class or impoverished family background. METHODS:A questionnaire was administered to Year 3 medical students at a Canadian medical school and in-depth interviews were held with 25 of these students (cohort 1). Th...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02225.x
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:Modern postgraduate medical training requires both accurate and reliable selection procedures. An essential first step is to conduct detailed job analysis studies. This paper reports data on a series of job analyses to develop a competency model for three secondary care specialties (anaesthesia, obstetrics an...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2008.03174.x
更新日期:2008-12-01 00:00:00
abstract:CONTEXT:Small declines in patient-centred attitudes during medical education have caused great concern. Although some of the self-report scales applied have solid psychometric foundations, validity evidence for the interpretation of attitude erosion during clerkships remains weak. OBJECTIVES:We sought to address this ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12102
更新日期:2013-05-01 00:00:00
abstract:CONTEXT:Health care trainees demonstrate implicit (automatic, unconscious) and explicit (conscious) bias against people from stigmatised and marginalised social groups, which can negatively influence communication and decision making. Medical schools are well positioned to intervene and reduce bias in new physicians. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12770
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:The goals of this study were three-fold: to explore the reasons why some clinical teachers regularly attend centralised faculty development activities; to compare their responses with those of colleagues who do not attend, and to learn how we can make faculty development programmes more pertinent to teachers...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03746.x
更新日期:2010-09-01 00:00:00
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...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12943
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:To explore the impact of research governance on medical students' ability to gain an understanding of research methodology, as required by the General Medical Council. METHODS:We carried out a qualitative study based on semi-structured interviews, in 3 medical schools in the UK, with 12 interviewees includin...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2007.02776.x
更新日期:2007-08-01 00:00:00
abstract:CONTEXT:Near-peer and faculty staff tutors may facilitate problem-based learning (PBL) through different means. Near-peer tutors are thought to compensate for their lack of subject matter expertise with greater adeptness at group facilitation and a better understanding of their learners. However, theoretical explanatio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12969
更新日期:2016-07-01 00:00:00
abstract::The diagnostic thinking process is often described as one of hypothesis generation and testing. Yet descriptions of the clinical problem solver's thinking prior to generation of the first diagnostic hypothesis are lacking. This paper reports a study of this phase in students, house officers and registrars. Theories of...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01214.x
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVE:To describe the perceptions of medical students and clinical teachers of teaching and learning in the clinical setting. DESIGN:Qualitative study of focus groups with undergraduate medical students and semistructured interviews with hospital consultant clinical teachers. SETTING:The School of Medicine, Unive...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01675.x
更新日期:2003-11-01 00:00:00
abstract::The Wellcome Tropical Institute has assisted countries in the tropics to establish viable systems of continuing medical education, particularly for young doctors practising in rural areas. As part of this strategy the Institute has developed material for use in distance learning. The first attempt to apply the problem...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00192.x
更新日期:1992-09-01 00:00:00
abstract::Many epidemiological studies have shown the magnitude and seriousness of mental disorders in developing countries. However, mental health care remains unsatisfactory owing to lack of skilled manpower and many other social and medical priorities. General practitioners and other health personnel can significantly help i...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1986.tb01374.x
更新日期:1986-07-01 00:00:00