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 pattern recognition are seriously questioned. It is shown that these subjects make immediate active interpretative or evaluative responses to initial items of clinical information elicited. These responses cannot be described as 'diagnostic hypotheses', but are important working interpretations. Implications for teaching are discussed.
journal_name
Med Educjournal_title
Medical educationauthors
Gale J,Marsden Pdoi
10.1111/j.1365-2923.1982.tb01214.xsubject
Has Abstractpub_date
1982-01-01 00:00:00pages
22-6issue
1eissn
0308-0110issn
1365-2923journal_volume
16pub_type
杂志文章abstract::A survey was conducted of the dental schools in the UK, inquiring about the teaching of psychology, sociology, epidemiology and psychiatry to dental undergraduates. Epidemiology was the most frequently taught and assessed subject, followed by psychology and sociology. Overall, the results indicate an increased concern...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00674.x
更新日期:1987-03-01 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::A system for linked tutorial teaching involving several groups of students at different locations has been introduced successfully into the teaching resources of the University of Wales College of Medicine. It utilizes standard telephone equipment supplemented by specially prepared videocassette material. The results ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01344.x
更新日期:1985-09-01 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:OBJECTIVES:In the present state of flux affecting UK medical undergraduate education, there is a pressing need for evaluative methods which will identify relevant outcomes both expected and unanticipated. The student perspective is now legitimately accepted to form part of any evaluative exercise but qualitative method...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00288.x
更新日期:1999-01-01 00:00:00
abstract::This paper describes the development and structure of an Electronic Study Guide for Oncology (LETSGO) for undergraduate medical students. LETSGO is aimed at clinical students learning about cancer. The subject of the guide is breast cancer and learning objectives cover structure and function, behavioural science, publ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02860.x
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVES:The General Medical Council has recommended that medical students should gain more experience in general practice. The study set out to determine patients' reactions to consultations conducted by a medical student alone prior to seeing their GP. DESIGN:A random sample of patients attending general practice ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00410.x
更新日期:1999-09-01 00:00:00
abstract:CONTEXT:In relation to pre-registration house officer (PRHO) rotations incorporating general practice, previous research has recommended that where possible, no PRHO should undertake general practice as the first placement, because of the difficulties encountered. It was recognized that logistically, this could make su...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00922.x
更新日期:2001-06-01 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::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:CONTEXT:The adverse patient event is an inherent component of surgical practice, but many surgeons are unprepared for the profound emotional responses these events can evoke. This study explored surgeons' reactions to adverse events and their impact on subsequent judgement and decision making. METHODS:Using a construc...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/medu.12058
更新日期:2012-12-01 00:00:00
abstract:INTRODUCTION:A mythical Pyramid of Learning, usually attributed to Edgar Dale (or the National Training Laboratories [NTL]) and giving student learning retention rates, has been cited in a wide range of educational literature. A 2013 literature review indicated that medical education literature similarly cites this Pyr...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13813
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Positive interpersonal relationships between teachers and learners increase the quality of learning. The purpose of this study was to investigate psychological size (perceived status) and psychological distance (perceived emotional connectedness) in medical teaching interactions and their impact on the teach...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.01952.x
更新日期:2004-10-01 00:00:00
abstract::The housemanship performance of the first two classes of the University of Gezira Medical School was assessed on 107 occasions by using a questionnaire administered to the senior doctors (consultants) in the units in which they worked and the data, which covered 32% of all housemanship rotations taken by these graduat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00159.x
更新日期:1992-05-01 00:00:00
abstract:OBJECTIVE:To investigate the current status of teaching on spirituality in medicine in UK medical schools and to establish if and how medical schools are preparing future doctors to identify patients' spiritual needs. METHODS:We carried out a national questionnaire survey using a 2-part questionnaire. Section A contai...
journal_title:Medical education
pub_type: 杂志文章,多中心研究,评审
doi:10.1111/j.1365-2923.2007.02980.x
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:To examine teachers' views of the first batch of graduates of a revised medical curriculum in Asia. METHODS:A cross-sectional study using a structured questionnaire was carried out to obtain the views of all the clinical teachers involved in teaching final year students of the old curriculum in 2000-01 and t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.01910.x
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVES:Prescribing practices impact greatly on drug use and expenditure. The situation in developing countries is often compounded by a limited health budget. Furthermore, because of role substitution in these countries, prescribers are often not formally trained in rational prescribing. The study described in this...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2923.2001.01000.x
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The training of caring physicians represents an important goal of medical education. Little is known however, on whether medical faculty constitute good role models for teaching humanistic skills to medical students. In this study, we examined to what extent medical students at innovative and ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00543.x
更新日期:2000-08-01 00:00:00
abstract::In Europe, tropical pathology is usually taught in special short courses, intended for those planning to practise in developing countries. The theoretical knowledge to be assimilated during this short period is considerable, and turning such newly acquired knowledge into competence is difficult. Kabisa is a computer-b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb02568.x
更新日期:1997-05-01 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::Undergraduate medical education in Britain has been in a state of change since before the introduction of the National Health Service. Since then the changes in the General Medical Councils's recommendations concerning the medical curriculum (1947, 1957, 1967) have accompanied attention to curricular content, and the ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb01484.x
更新日期:1976-09-01 00:00:00
abstract:OBJECTIVE:To describe a pilot course in personal and professional development, entitled 'Becoming a doctor: the first step' and our suggestions for what might be incorporated into future courses. SETTING AND CONTEXT:Leeds Medical School begins a new curriculum in September 1999 with a proportion of the first 3 years b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00575.x
更新日期:2000-02-01 00:00:00
abstract::The present study was designed to analyse the evolution of student populations--undergraduates and graduates--in the 11 Belgian medical schools from 1969 to 1982. During this period, an overall 44% drop in the number of entrants was observed, while the number of medical graduates continued to rise until 1977, when it ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb00810.x
更新日期:1989-01-01 00:00:00
abstract:CONTEXT:The assessment of ethical problem solving in medicine has been controversial and challenging. The purposes of this study were: (i) to create a new instrument to measure doctors' decisions on and reasoning approach towards resolving ethical problems; (ii) to evaluate the scores generated by the new instrument fo...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03516.x
更新日期:2009-12-01 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:OBJECTIVES:This study aimed to examine the nature and extent of use of the social networking service Facebook by young medical graduates, and their utilisation of privacy options. METHODS:We carried out a cross-sectional survey of the use of Facebook by recent medical graduates, accessing material potentially availabl...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03720.x
更新日期:2010-08-01 00:00:00
abstract:PURPOSE:Understanding how students resolve professional conflict is essential to teaching and evaluating professionalism. The purpose of this study was to refine an existing coding structure of rationalizations of student behaviour, and to further our understanding of students' reasoning strategies in the face of perce...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01326.x
更新日期:2003-04-01 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:BACKGROUND:Portfolios are increasingly advocated in medical education. Qualitative studies have suggested their value in stimulating experiential learning, promoting deep learning and encouraging reflection. This study explored the use of educational portfolios in reflective learning by general practice (GP) registrars...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2004.01737.x
更新日期:2004-01-01 00:00:00
abstract::Ten psychiatrists and 15 family doctors were asked to score videotapes of patient-doctor encounters before and after each of two training periods. One period focused on the theory of assessment of doctors' interpersonal skills, while the other was purely practical. Results indicate that after one training session in e...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02454.x
更新日期:1990-07-01 00:00:00