Abstract:
:The inconsistency of the marking in clinical examinations is a well documented problem. This project identified some of the factors responsible for this inconsistency. A standardized rating situation was devised. Five students were videotaped as they performed part of a physical examination on simulated patients. Eighteen experienced medical and surgical examiners rated their performances using an objective checklist type of rating form. No differences were evident between physicians and surgeons. The group of examiners was divided into three subgroups, one receiving no training, one limited training and one more extensive training. Examiners re-rated the same students 2 months after the first rating. Inter-rater reliability was satisfactory for the first ratings and training produced no significant improvement. A substantial improvement was achieved by identifying the most inconsistent raters and removing them from the analysis. Training was shown to be unnecessary for consistent examiners and ineffective for examiners who were less consistent. On the basis of these results, only consistent examiners were selected to take part in the interactive component of the objective structured final year examinations. The ratings in these examinations achieved high levels of inter-rater reliability. It was concluded that the combination of an objective check-list rating form, a controlled test situation and the selection of inherently consistent examiners could solve the problem of inconsistent marking in clinical examinations.
journal_name
Med Educjournal_title
Medical educationauthors
Newble DI,Hoare J,Sheldrake PFdoi
10.1111/j.1365-2923.1980.tb02379.xsubject
Has Abstractpub_date
1980-09-01 00:00:00pages
345-9issue
5eissn
0308-0110issn
1365-2923journal_volume
14pub_type
杂志文章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:BACKGROUND:The purpose of incorporating humanities teaching into medical education is to encourage students to develop into more sensitive and caring doctors who communicate well with their patients and colleagues. CONTENT:A unique 4th year student elective at the Medical College of Wisconsin incorporates reflective a...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01538.x
更新日期:2003-06-01 00:00:00
abstract:CONTEXT: Little is known about health professionals' responses to acute stressors encountered in the clinical environment. The goal of this study was to measure the subjective and physiological stress responses of medical students to consultations in familiar (in-hospital) and unfamiliar (ambulatory) settings. We hypot...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.03935.x
更新日期:2011-07-01 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:A new student selection instrument has been designed to assess candidate suitability for a problem-based learning, small group curriculum. OBJECTIVE:To evaluate the performance of the new teamwork selection instrument in terms of its discriminatory power, fairness, validity, reliability and acceptability among...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02086.x
更新日期:2005-03-01 00:00:00
abstract::Continuing education should be convenient, relevant, individualized, systematic and include means of assessment. Educational technology provides the link between teaching and learning; it should accommodate the essential interactions between learner, instructor, environment and material. Media in open learning systems...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01328.x
更新日期:1985-07-01 00:00:00
abstract:CONTEXT:In health professions education, tests have traditionally been used to assess the skills and knowledge of learners. More recently, research in psychology and education has shown that tests can also be used to enhance student memory; a phenomenon called the 'testing effect'. Much of the research in this domain h...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12302
更新日期:2014-02-01 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: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::This study reports the nature of non-emergency, day-to-day practice-related questions which arose in rural practice and were phoned in to a medical information system (MIS). The usefulness of these questions, and their responses, to clinical decision-making is outlined. Sixty-seven practitioners from 10 rural communit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00057.x
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVE:To explore the impact of research governance on medical students' ability to gain an understanding of research methodology, as required by the General Medical Council. METHODS:We carried out a qualitative study based on semi-structured interviews, in 3 medical schools in the UK, with 12 interviewees includin...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2923.2007.02776.x
更新日期:2007-08-01 00:00:00
abstract:CONTEXT:Gender bias has been observed in the authorship and editorship of academic literature in varied medical specialties. This is important as peer-reviewed publications, and participation on editorial boards, are closely related to academic productivity and advancement. The aim of this paper was to examine whether ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14427
更新日期:2020-12-01 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:CONTEXT:The responsibility to determine just who is competent to practice medicine, and at what standard, is great. Whilst there is still a period available for potential remediation, examinations at the completion of year three of the four-year Graduate Entry Medical Programme (GEMP) at Flinders University of South Au...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00690.x
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:Objective structured clinical examination (OSCE) standard-setting procedures are not well developed and are often time-consuming and complex. We report an evaluation of a simple 'contrasting groups' method, applied to an OSCE conducted simultaneously in three separate schools. SUBJECTS:Medical students unde...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.01041.x
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVES:To determine the feasibility and effectiveness of shared hospital and general practice clinical teaching for medical undergraduates. DESIGN:A multifaceted approach employing quantitative and qualitative techniques. SETTING:All medical schools in North Thames Region. SUBJECTS:Students, GP tutors and hospit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00763.x
更新日期:2001-02-01 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:BACKGROUND:Given the complexity of competency frameworks, associated skills and abilities, and contexts in which they are to be assessed in competency-based education (CBE), there is an increased reliance on rater judgements when considering trainee performance. This increased dependence on rater-based assessment has l...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.12973
更新日期:2016-05-01 00:00:00
abstract::Applicants for admission to St Mary's Hospital Medical School in 1986 were short-listed for interview by one of four assessors, who each made their assessments on a nine-item pro forma. One short-lister had also been studied in detail during 1981. Short-listers used the full range of possible judgements, in approximat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb00877.x
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND:In 1993 the General Medical Council published its recommendations on undergraduate medical education. AIM:To study the implementation of these recommendations in UK medical schools by means of informal visitations. METHODS:Teams consisting of 3-5 members visited the 25 UK medical schools in a 3-year period...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01152.x
更新日期:2002-03-01 00:00:00
abstract::In October 1994 a project was initiated by the General Practice Continuing Medical Education Tutors in the Department of General Practice at Sheffield University. The project sought to evaluate the efficiency (effort expended) and effectiveness (distance travelled) of a model of continuing professional development for...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb00038.x
更新日期:1997-01-01 00:00:00
abstract:CONTEXT:The incidence of medical error, adverse clinical events and poor quality health care is unacceptably high and there are data to suggest that poor coordination of care, or teamwork, contributes to adverse outcomes. So, can we assume that increased collaboration in multidisciplinary teams improves performance and...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12943
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:Since their introduction, workplace-based assessments (WBAs) have proliferated throughout postgraduate medical education. Previous reviews have identified mixed findings regarding WBAs' effectiveness, but have not considered the importance of user-tool-context interactions. The present review was conducted t...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.14221
更新日期:2020-11-01 00:00:00
abstract::Older clinicians typically engage in reflections on their own early careers and indeed whichever generation of clinician you talk to, their medical school and early career experiences were more challenging than the last. We draw on inspiration from Monty Python and specifically the Four Yorkshiremen to illustrate this...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13098
更新日期:2016-12-01 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:CONTEXT:Widening access to higher education is a political priority. Social trends among medical school applicants are presently monitored using information on parental occupation. However, not all students now provide this information on their university application forms. OBJECTIVES:To compare the demographic charac...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02535.x
更新日期:2006-08-01 00:00:00
abstract::Eighty-two house-physicians filled in a questionnaire concerning the care of self-poisoning patients with special emphasis on training and attitudes. These recently qualified doctors dealt with large numbers of such patients and expressed dissatisfaction with their training in this respect. Hostile attitudes towards t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02500.x
更新日期:1981-09-01 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: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: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