Abstract：
CONTEXT:Academic journals represent shared spaces wherein the significance of thematic areas, methodologies and paradigms are debated and shaped through collective engagement. By studying journals in their historical and cultural contexts, the academic community can gain insight into the ways in which authors and audiences propose, develop, harness, revise and discard research subjects, methodologies and practices. METHODS:Thirty top-cited articles published in Medical Education between 1986 and 2014 were analysed in a two-step process. First, a descriptive classification of articles allowed us to quantify the frequency of content areas over the time span studied. Secondly, a discourse analysis was conducted to identify the continuities, disruptions and tensions within the three most prominent content areas. RESULTS:The top-cited articles in Medical Education focused on three major areas of interest: problem-based learning, simulation and assessment. In each of these areas of interest, we noted a tension between the desire to produce and apply standardised tools, and the recognition that the contexts of medical education are highly variable and influenced by political and financial considerations. The general preoccupation with achieving efficiency may paradoxically jeopardise the ability of medical schools to address the contextual needs of students, teachers and patients. CONCLUSIONS:Understanding the topics of interest for a journal's scholarly audience and how these topics are discursively positioned, provides important information for researchers in deciding how they wish to engage with the field, as well as for educators as they assess the relevance of educational products for their local contexts.
journal_name
Med Educjournal_title
Medical educationauthors
Rangel JC,Cartmill C,Martimianakis MA,Kuper A,Whitehead CRdoi
10.1111/medu.13349subject
Has Abstractpub_date
2017-09-01 00:00:00pages
918-934issue
9eissn
0308-0110issn
1365-2923journal_volume
51pub_type
历史文章,杂志文章,评审abstract：CONTEXT:Ethnography has been gaining appreciation in the field of health professions education (HPE) research, yet it remains misunderstood. Our article contributes to this growing literature by describing some of the key tensions with which both aspiring and seasoned ethnographers should productively struggle. METHOD...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.14033
更新日期：2020-03-01 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 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：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：OBJECTIVES:Increasing numbers of educational institutions in the medical field choose to replace their conventional admissions interviews with a multiple mini-interview (MMI) format because the latter has superior reliability values and reduces interviewer bias. As the MMI format can be adapted to the conditions of eac...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.12535
更新日期：2014-12-01 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：PURPOSE:Implementing problem-based learning (PBL) in the clinical years of a medical degree presents particular challenges. This study investigated the effectiveness of using an online Clinical Reasoning Guide to assist integration of PBL in the clinical setting and promote further development of students' clinical rea...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2004.01839.x
更新日期：2004-06-01 00:00:00
abstract：:This study compared the communication skills of randomly chosen first- and final-year medical students. The intention was to follow up previous research, conducted over 10 years ago, into the effects of the medical curriculum on communication skills. It was hypothesized that there would be little improvement in such s...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1992.tb00203.x
更新日期：1992-11-01 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：OBJECTIVES:Internationally, there are a number of universities at which medical and dental education programmes share common elements. There are no studies about the experiences of medical and dental students enrolled in different programmes who share significant amounts of learning and teaching. METHODS:Semi-structur...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2008.03280.x
更新日期：2009-03-01 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：OBJECTIVE:To follow the progress of young female adolescents, as risk-taking standardised patients (SPs), and to monitor for adverse affects that role-playing may have on the adolescents. METHODS:A prospective design was used in which 11 female adolescents, aged 13-15 years, were recruited from 2 schools. The adolesce...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2005.02343.x
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVES:Multi-source feedback (MSF) enables performance data to be provided to doctors from patients, co-workers and medical colleagues. This study examined the evidence for the validity of MSF instruments for general practice, investigated changes in performance for doctors who participated twice, 5 years apart, an...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2008.03127.x
更新日期：2008-10-01 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: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：CONTEXT:Despite increasing numbers of publications, science often fails to significantly improve patient care. Clinician-scientists, professionals who combine care and research activities, play an important role in helping to solve this problem. However, despite the ascribed advantages of connecting scientific knowledg...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.13241
更新日期：2017-06-01 00:00:00
abstract：:Since its first implementation in a medical programme at McMaster University, Canada, problem-based learning (PBL) has become a well-established means of teaching and learning medicine. Extensive research has been conducted and a number of strengths of the method are well supported. Several items, however, remain uncl...
journal_title：Medical education
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1046/j.1365-2923.1999.00289.x
更新日期：1999-02-01 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：INTRODUCTION:Medical students' personal and professional behaviours have been assessed poorly in medical schools. No research exists exploring the acceptability of 360-degree judgements as a method of assessing such behaviours. This study aims to explore students' and assessors' views and experiences of 360-degree judg...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2004.02032.x
更新日期：2005-01-01 00:00:00
abstract：:This paper describes a teaching programme, for use in general practice vocational training, which provides a theoretical and practical framework for exploring key aspects of the consultation with trainees. A particular emphasis is on the educational or 'cognitive' outcomes of the consultation and skills for improving ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1984.tb01022.x
更新日期：1984-07-01 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：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：BACKGROUND:While the literature shows the clinical value for medical practitioners of skill in communicating with patients in an empathetic manner, objective evaluations of methods to teach empathy are few. PURPOSES:This paper describes a method of teaching entry-level medical students the elements of effective commun...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2000.00463.x
更新日期：2000-02-01 00:00:00
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 w...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.13280
更新日期：2017-06-01 00:00:00
abstract：INTRODUCTION:Learning to value ethnic diversity is the appreciation of how variations in culture and background may affect health care. It involves acknowledging and responding to an individual's culture in its broadest sense. This requires learning the skills to negotiate effective communication, a heightened awarenes...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.1999.00474.x
更新日期：1999-08-01 00:00:00
abstract：OBJECTIVES:Using a novel longitudinal tracking project, this study develops and evaluates the performance of a predictive model and index of rural medical practice intention based on the characteristics of incoming medical students. METHODS:Medical school entry survey data were obtained from the Medical Schools Outcom...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2009.03506.x
更新日期：2009-10-01 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：CONTEXT:Considerable research has been conducted recently into the notion of patient-centred consulting. The primary goal of this approach is to establish a clear understanding of the patient's perspective on his or her problem, and to allow this understanding to inform both the explanation and planning stages of the c...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2007.02789.x
更新日期：2007-07-01 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：OBJECTIVES:To compare 2 educational programmes for teaching evidence-based medicine (EBM). DESIGN:Prospective randomised controlled trial accompanied by a qualitative evaluation. SETTING:University of Oslo, Norway, 2002-03. PARTICIPANTS:A total of 175 students entered the study. All tenth semester medical students f...
journal_title：Medical education
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2005-10-01 00:00:00
