Abstract：
:The present study was undertaken to evaluate the competence of rotating residents in handling clinical problems, falling under the purview of the major clinical disciplines, which they come across during their routine work. Three hundred and one rotating residents (55% of the total) who graduated in June 1981 from the four universities of Iraq, namely, Mustansiryia, Basrah, Mosul and Baghdad, and were currently undergoing their residency posting in the various hospitals of Iraq were selected for the study. Two approaches were used to assess the level of competence: first, on the basis of the resident's responses to fifty simulated patient-management problems and, secondly, their critical performance in patient care adjudged by their respective supervisors. A minimum passing level (MPL) was fixed for patient management problems (PMP). The score for the consultant's observations could range from -70 to +100 to represent the very poor and the very good performance. Only 2% of the residents were found to have reached the minimum pass level of competence taking their overall performance in the various disciplines. No significant variation in performance was observed in relation to the university of graduation. None of the residents could reach the MPL in the case of obstetrics and gynaecology. In the case of medicine and medical emergency the findings were almost similar. The residents put up a much better performance in orthopaedics and paediatrics (45.0% and 27.5% respectively). According to the supervisors' assessment nearly two-thirds of the residents secured at least 50% of the maximum score. The study underscores the need to redefine our educational objectives specifically, with aim of developing competences at a defined level in the learner befitting the needs of the health system through a competency-based curriculum.
journal_name
Med Educjournal_title
Medical educationauthors
Al-Chalabi TS,Al-Na'ama MR,Al-Thamery DM,Alkafajei AM,Mustafa GY,Joseph G,Sugathan TNdoi
10.1111/j.1365-2923.1983.tb01124.xsubject
Has Abstractpub_date
1983-11-01 00:00:00pages
378-84issue
6eissn
0308-0110issn
1365-2923journal_volume
17pub_type
杂志文章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:Interprofessional education (IPE) aspires to enable collaborative practice. Current IPE offerings, although rapidly proliferating, lack evidence of efficacy and theoretical grounding. OBJECTIVES:Our research aimed to explore the historical emergence of the field of IPE and to analyse the positioning of this ac...
journal_title：Medical education
pub_type： 历史文章,杂志文章
doi：10.1111/medu.12668
更新日期：2015-04-01 00:00:00
abstract：:How contract learning may be used in the introduction to clinical medicine is described, with the goal to develop and enhance self-directed learning skills and attitudes of first- and second-year medical students. Essential tasks associated with successful self-directed learning are cited, and the contract method is d...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1983.tb01458.x
更新日期：1983-07-01 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：OBJECTIVES:Teaching at the bedside during attending rounds is considered to be fundamental to medical education. We conducted an ethnographic case study to investigate such teaching in general paediatrics as a social phenomenon and to explore change over time in both the meaning of rounds and the context in which round...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2010.03767.x
更新日期：2010-11-01 00:00:00
abstract：:The educational programme reported was an experiment in the vocational training scheme of the department of General Practice, Erasmus University, Rotterdam, Holland, and is now part of the course. The programme focused on the training in team function (co-operation) given to trainee GPs and social workers. It became c...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1979.tb00916.x
更新日期：1979-01-01 00:00:00
abstract：:The General Medical Council's document 'Tomorrow's Doctors' (1993, GMC, London) recommended major changes in the undergraduate curricula of UK medical schools. In Nottingham, the fourth-year psychiatric attachment became shorter in duration, and interactive, problem-oriented, workshop-based learning replaced lectures....
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.1998.00162.x
更新日期：1998-03-01 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：CONTEXT:Early clinical encounters help medical and nursing students build professional competencies. However, there is a necessary emphasis on patient autonomy and appropriate consent. Although most individuals do not object to student involvement in clinical encounters, there are occasions when personal preference and...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.12751
更新日期：2015-07-01 00:00:00
abstract：CONTEXT:Longitudinal integrated clerkships (LICs) have been widely implemented in both rural and urban contexts, as is now evident in the wealth of studies published internationally. This narrative literature review aims to summarise current evidence regarding the outcomes of LICs for student, clinician and community s...
journal_title：Medical education
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2923.2012.04331.x
更新日期：2012-11-01 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：: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：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：:Educational programmes for family practice should develop family counselling skills of students to moderate levels of competence. Few specific training programmes are part of the regular curriculum and of these few are evaluated. Twenty-three residents enrolled in a 2-year family practice programme in Toronto, Canada ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1990.tb02656.x
更新日期：1990-09-01 00:00:00
abstract：OBJECTIVES:To establish teaching objectives, methods and assessment for a paediatric induction programme. DESIGN:Action research over a 2-year period. PARTICIPANTS:88 doctors from three hospitals. MAIN OUTCOME MEASURES:These were end-of-course evaluations, using Likert scales, and free comments; independent evaluati...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2001.00982.x
更新日期：2001-08-01 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
abstract：:The aims of this study were to gain an understanding of the concerns of those in control in Canadian Family Medicine, and to gain an understanding of the experiences of trainees in the traditional postgraduate year 2 (PGY-2) and in a flexible PGY-2 at the University of Toronto (U of T) Department of Family and Communi...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1996.tb00852.x
更新日期：1996-09-01 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：: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：INTRODUCTION:Globally, people with the academic and personal attributes to successfully study medicine experience disadvantages associated with sociodemographic factors. Governments have attempted to address this issue via macrolevel policies aimed at widening participation (WP) to medicine. These policies differ by co...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.14442
更新日期：2020-12-21 00:00:00
abstract：OBJECTIVES:To study changes in student approaches to learning following the introduction of computer-supported, problem-based learning. SETTING:Medical students at the University of Oslo undertake a 12-week period of clinical placement during their 10th term. In this period they continue to undertake problem-based lea...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2004.01786.x
更新日期：2004-04-01 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：OBJECTIVE:This instalment in the series on professional assessment provides an introduction to methods of setting standards. METHOD:A standard is a special score that serves as a boundary between those who perform well enough and those who do not. The practical steps in selecting it include: deciding on the type of st...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2003.01495.x
更新日期：2003-05-01 00:00:00
abstract：OBJECTIVES:The long and demanding course of medical education may be accompanied by distress with serious consequences. This study was conducted to assess the multidimensional health-related quality of life (HR-QoL) in medical students in different stages of medical education and its associations with behavioural and s...
journal_title：Medical education
pub_type： 杂志文章,多中心研究
doi：10.1111/medu.12247
更新日期：2013-10-01 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：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：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：:A postal survey about opinions of quality assurance and the methods used to teach this subject was sent to all family practice course organizers in England, Wales and Scotland, and to all family practice residency directors in the USA. Opinions of quality assurance were more positive from the American responders. A wi...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1990.tb00010.x
更新日期：1990-05-01 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 recurrent failure to adequately conceptualize the medical meaning of 'diease' is explained as a function of the way this is taught in the curriculum. It is not transmitted within the formal curriculum but within the internal structural relationships of the medical course. The limits of this particular definition e...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1977.tb00603.x
更新日期：1977-07-01 00:00:00
