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 hospital clinicians, seventy-four general practitioners and a control group of novice clinical students completed a multiple choice questionnaire concerned with the costs of medical care. The doctors' knowledge of costs was poor and only marginally better than that of the students. The average number of correct responses obtained to twenty questions was 6.2 by the hospital clinicians, 5.5 by the general practitioners and 4.7 by the students. Performance on questions on overall NHS costs was better (P less than 0.01) than that achieved on questions on diagnostic costs, therapeutic costs and hospital costs. Knowledge of the costs of some commonly prescribed drugs, such as digoxin and ampicillin, was minimal. Ignorance of the financial consequences of clinical decisions may hamper attempts to improve the cost efficiency of medical practice.
journal_name
Med Educjournal_title
Medical educationauthors
Fowkes FGdoi
10.1111/j.1365-2923.1985.tb01150.xsubject
Has Abstractpub_date
1985-03-01 00:00:00pages
113-7issue
2eissn
0308-0110issn
1365-2923journal_volume
19pub_type
杂志文章abstract:OBJECTIVE:To evaluate the impact of 3 years' ethics teaching (30 hours mainly small group teaching in year 1, 14 hours mainly lecture-type teaching in years 2 and 3) on students' proposed behaviour on encountering ethical dilemmas. DESIGN:Cohort design. SETTING:University of Glasgow Medical School. SUBJECTS:A cohort...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01176.x
更新日期:2002-05-01 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:OBJECTIVES:The purpose of this study was to gather information regarding the appropriateness of the length of time allotted for candidates to complete the history taking and physical examination tasks in a high-stakes standardized patient (SP) assessment. DESIGN:Data were collected on actual time used by 1548 examinee...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00752.x
更新日期:2000-10-01 00:00:00
abstract::The development of published material relating to the practice of medicine in multiracial and multicultural Britain is briefly reviewed. The utilization of such information in English medical schools is found to be absent or at a low level of priority. A more detailed study of one region demonstrates that junior hospi...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1986.tb01388.x
更新日期:1986-11-01 00:00:00
abstract:CONTEXT:Prior studies suggest that clinicians can categorise patients in an emergency room as 'sick' or 'not sick' using rapid visual assessment. The rapid nature of these decisions suggests clinicians are relying on pattern recognition or System 1 processing; however, this has not been studied experimentally. In this ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13396
更新日期:2017-11-01 00:00:00
abstract::Medical school teachers must have an accurate idea of the doctor's clinical reasoning process (CRP) in order to provide students with learning experiences and evaluations that will ensure their acquisition of an effective and efficient CRP. It is difficult to derive this understanding from much that has been written o...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00671.x
更新日期:1987-03-01 00:00:00
abstract:CONTEXT:A challenge for medical educators is to better understand the personal factors that lead to individual success in medical school and beyond. Recently, educational researchers in fields outside medicine have acknowledged the importance of motivation and emotion in students' learning and performance. These affect...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03712.x
更新日期:2010-12-01 00:00:00
abstract::Medical students' levels of anxiety under different conditions of stress were investigated, as well as the stability of anxiety ratings from one examination to another. After completing an end-of-term psychiatry examination, fourth-year medical students at Monash University were asked to score the Visual Analogue Scal...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01259.x
更新日期:1982-09-01 00:00:00
abstract:INTRODUCTION:Capitalising on direct workplace observations of residents by interprofessional team members might be an effective strategy to promote formative feedback in postgraduate medical education. To better understand how interprofessional feedback is conceived, delivered, received and used, we explored both feedb...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14426
更新日期:2020-12-01 00:00:00
abstract:CONTEXT:Despite a growing and influential literature, 'professionalism' remains conceptually unclear. A recent review identified three discourses of professionalism in the literature: the individual; the interpersonal, and the societal-institutional. Although all have credibility and empirical support, there are tensio...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12368
更新日期:2014-04-01 00:00:00
abstract::Associations between language background, English language proficiency and medical communication skills were investigated in a group of 149 third year undergraduate medical students studying at an Australian university. Written and aural English proficiency were assessed with the Screening Test for Adolescent Language...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb02922.x
更新日期:1997-07-01 00:00:00
abstract::An account is given of the introduction of MCQ in an Indian Medical institution in 1974/75. Preliminary results suggest that the reliability coefficient of MCQs rises with their difficulty, and that Pearson-type coefficient indicates a higher degree of correlation with essay marks than do Spearman coefficients. A 'stu...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1978.tb00352.x
更新日期:1978-07-01 00:00:00
abstract:OBJECTIVES:The attitudes towards the basic sciences of medical students enrolled in either of 2 different curricula at the University of Utrecht Medical School in The Netherlands were investigated. The purpose of this study was threefold: first, to compare students (beginning clerks) in a conventional and an innovative...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01371.x
更新日期:2002-12-01 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: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:CONTEXT:Progress tests, in which learners are repeatedly assessed on equivalent content at different times in their training and provided with feedback, would seem to lend themselves well to a competency-based framework, which requires more frequent formative assessments. The objective structured clinical examination (...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12942
更新日期:2016-03-01 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:CONTEXT AND OBJECTIVE:In many countries, medical training must be completed by presentation of a thesis. We report publication patterns of French medical theses. MATERIALS:We drew a random sample of theses presented in the 36 French medical universities between 1 January 1993 and 31 December 1997. The sample was strat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00768.x
更新日期:2001-01-01 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::Supervised role-play is presented as a method for teaching the process of the medical consultation. The process of the consultation is reviewed and a brief description of supervised role-play is given with some of its advantages and disadvantages. Some simple devices used in the method are explained with examples. The...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00102.x
更新日期:1991-11-01 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:CONTEXT:Education is a complex intervention which produces different outcomes in different circumstances. Education researchers have long recognised the need to supplement experimental studies of efficacy with a broader range of study designs that will help to unpack the 'how' and 'why' questions and illuminate the man...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04045.x
更新日期:2012-01-01 00:00:00
abstract::Established in 1858, the General Medical Council was responsible, inter alia, for improving the standard of medical education in Britain. It was agreed on all hands that there were serious deficiencies: there was far too much book-learning and not enough practical knowledge; students graduated who were wholly ignorant...
journal_title:Medical education
pub_type: 历史文章,杂志文章
doi:10.1111/j.1365-2923.1989.tb01573.x
更新日期:1989-11-01 00:00:00
abstract::The University of Washington School of Medicine (UWSM) has initiated new efforts to build a regional minority applicant pool and to expand its educational programmes to accommodate students from disadvantaged backgrounds. Specific interventions include: establishment of medical career planner position to coordinate re...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00760.x
更新日期:1988-07-01 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:CONTEXT:Electives are part of most Western medical school curricula. It is estimated that each year 3000-4000 undergraduate medical students from the UK alone undertake an elective in a developing country. The impact of these electives has given some cause for concern, but the views of elective hosts are largely missin...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12727
更新日期:2015-06-01 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:To: (i) identify key assumptions of the scientific 'paradigm' that shapes clinical communication research and education in cancer care; (ii) show that, as general rules, these do not match patients' own priorities for communication; and (iii) suggest how the paradigm might change to reflect evidence better a...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13204
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To determine whether improvements gained in general practitioners' (GPs') self-perceived competency, attitudes and knowledge after an intervention in adolescent health care designed with evidence-based strategies in continuing medical education, are maintained longterm, 5 years post intervention. The interven...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02172.x
更新日期:2005-06-01 00:00:00
abstract:CONTEXT:Medical schools continue to seek robust ways to select students with the greatest aptitude for medical education, training and practice. Tests of general cognition are used in combination with markers of prior academic achievement and other tools, although their predictive validity is unknown. This study compar...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04078.x
更新日期:2012-02-01 00:00:00