Abstract：
:The work of five principals in a teaching general practice was audited to examine differences in prescribing, investigation and follow-up between teaching and service work over a 3-week period. The patients seen in clinical teaching were found to be representative of those consulting in normal service sessions for both morbidity and age. Some big differences in clinical management were found including a strong tendency to prescribe less but investigate and follow up more when teaching. The prescribing differences were variable between morbidity groups. It is suggested that large differences correlated with areas where the doctors were least confident in their behavior, such as the use of antibiotics for respiratory illness and the use of tranquillizers for problems without a psychological diagnosis. It is concluded that while reductions in prescribing probably reflect better patient care, increases in investigations are more for the students' benefit.
journal_name
Med Educjournal_title
Medical educationauthors
Freeman GKdoi
10.1111/j.1365-2923.1981.tb02407.xsubject
Has Abstractpub_date
1981-03-01 00:00:00pages
110-5issue
2eissn
0308-0110issn
1365-2923journal_volume
15pub_type
杂志文章abstract：CONTEXT:The challenges of maintaining comprehensive banks of valid checklists make context-specific checklists for assessment of clinical procedural skills problematic. OBJECTIVES:This paper reports the development of a tool which supports generic holistic assessment of clinical procedural skills. METHODS:We carried ...
journal_title：Medical education
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2923.2008.03023.x
更新日期：2008-06-01 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：OBJECTIVE:To investigate the relationship between psychological constructs related to professional and research integrity and moral reasoning among medical students. METHODS:Medical students, 2nd-year (n = 208, 85.6% of 243 enrolled students), answered the moral reasoning test-defining issues test 2 (DIT2) and the Mac...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2006.02391.x
更新日期：2006-03-01 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
abstract：:Audit is an important part of clinical practice, and has been promoted as a core aspect of undergraduate and postgraduate medical education. Few examples of how audit is taught in the undergraduate curriculum exist. This article presents a model for student teaching using innovative methods, which include an extended ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.1998.00240.x
更新日期：1998-11-01 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：CONTEXT:The challenge of ensuring 'fair' selection processes confronts all medical schools around the globe. In the UK, historical analyses suggest applicants who are male, non-White, and from less advantaged socio-economic and school backgrounds have been less likely to be offered a place at medical school. We provide...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.12981
更新日期：2016-06-01 00:00:00
abstract：:For many years student ratings have been used to assess the strengths and weaknesses of various courses and the teaching abilities of the instructors involved. Investigators have either supported or attacked the validity of this assessment procedure on the basis of the direction and degree of the relationship found be...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1978.tb00337.x
更新日期：1978-05-01 00:00:00
abstract：CONTEXT:The accreditation of medical school programmes and the licensing and revalidation (or recertification) of doctors are thought to be important for ensuring the quality of health care. Whereas regulation of the medical profession is mandated in most jurisdictions around the world, the processes by which doctors b...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.12286
更新日期：2014-01-01 00:00:00
abstract：:Medical students' attitudes toward psychiatry before and after their final (sixth) year psychiatric clerkship at a large psychiatric hospital were measured. We anticipated that exposure to severe, chronic psychiatric illness would affect student attitudes, and we undertook this study to investigate the direction and p...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1995.tb02870.x
更新日期：1995-11-01 00:00:00
abstract：AIM:The study's first aim was to assess the emotional impact of cadaver dissection on first year medical students using the newly developed Appraisal of Life Events Scale (ALE). Its secondary aim was to evaluate the validity of the ALE by comparing it with the Impact of Events Scale (IOE). SETTING:Division of Biomedic...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2002.01235.x
更新日期：2002-06-01 00:00:00
abstract：:This report considers the implications for medical education of a global survey of the knowledge, behaviour and attitudes of medical students regarding tobacco. This was conducted in 42 countries derived from all continents. A total of 9326 students (44% women) from 51 medical schools replied anonymously to a multiple...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1994.tb02697.x
更新日期：1994-05-01 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：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:Admissions interviews are unreliable and have poor predictive validity, yet are the sole measures of non-cognitive skills used by most medical school admissions departments. The low reliability may be due in part to variation in conditional reliability across the rating scale. OBJECTIVES:To describe an empiric...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2006.02634.x
更新日期：2007-01-01 00:00:00
abstract：:This paper compares the opportunities for flexible (part-time) specialist training in the UK and elsewhere in the EU in the overall context of the rising numbers of women doctors across Europe. Few other EU countries appear to provide the same opportunities for flexible training as the UK, despite high percentages of ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.1998.00236.x
更新日期：1998-09-01 00:00:00
abstract：CONTEXT:The recommendations of the General Medical Council in Tomorrow's Doctors renewed efforts to define core knowledge in undergraduate medical education. They also encouraged better use of the medical knowledge base in nurturing clinical judgement, critical thinking, and reflective practice. What then does the medi...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2000.00428.x
更新日期：2000-01-01 00:00:00
abstract：OBJECTIVES:The use of logbooks in the education of medical undergraduate students is not well-established. Traditionally, logbooks are used simply as a means for students to document their activities. This report examines whether logbooks used as an interactive vehicle between students and tutors can assist both studen...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2002.01163.x
更新日期：2002-07-01 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：: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：: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:Critical reflection may improve health professionals' performance of the social roles of care (eg collaboration) in indeterminate zones of practice that are ambiguous, unique, unstable or value-conflicted. Research must explore critical reflection in practice and how it is developed. In this study, we explored ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.14032
更新日期：2020-04-01 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：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：OBJECTIVE:To compare the teaching value of one session of computer-guided solo instruction in exposure therapy for phobias with that of one face-to-face small-group tutorial. DESIGN:Non-blind, randomized, controlled study. SETTING:King's College Hospital Medical School, London. PARTICIPANTS:Thirty-seven third-year m...
journal_title：Medical education
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1046/j.1365-2923.2002.01210.x
更新日期：2002-05-01 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：OBJECTIVE:This study investigated the relationship between perceived family support and coping efficacy in premedical (i.e. prior to entering medical school) students, an understudied subset of undergraduate students who are particularly at risk for academia- related stress. The relationships between students' perceive...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2008.03091.x
更新日期：2008-06-01 00:00:00
abstract：CONTEXT:The explicit, intentional and systematic application of continuous quality improvement (QI) in medical education practice and research can improve medical education and help it achieve its goals. Quality improvement and medical education share a foundation centred on learning-experiencing, reflecting, thinking ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.14351
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVES:This study analyses and discusses recent changes in young Japanese doctors' career paths, in terms of their distribution in different types of facilities and specialties, following changes to the postgraduate clinical training system in 2004. METHODS:Data from the National Survey of Physicians, Dentists and...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2009.03582.x
更新日期：2010-03-01 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
