Abstract:
:This study reports on the generalizability of different skills assessed in the oral certification examinations in Internal Medicine of the Royal College of Physicians and Surgeons of Canada. Assessments from the 1992 examination were examined prospectively to determine (i) inter-rater reliability, (ii) correlation from morning to afternoon sessions, and (iii) overall test reliability. While inter-rater reliability was acceptable and in the range reported from previous studies, the generalizability across sessions was very low, ranging from 0.30 to 0.47, presumably reflecting content specificity. As a consequence, the overall test reliability was low, ranging from 0.57 to 0.69. Collapsing the overall scores into three decision categories (pass, borderline, fail) lowered the test reliability still further. Strategies to resolve this problem are suggested.
journal_name
Med Educjournal_title
Medical educationauthors
Turnbull J,Danoff D,Norman Gdoi
10.1111/j.1365-2923.1996.tb00718.xsubject
Has Abstractpub_date
1996-01-01 00:00:00pages
56-9issue
1eissn
0308-0110issn
1365-2923journal_volume
30pub_type
杂志文章abstract:OBJECTIVES:(i) To design a new, quick and efficient method of assessing specific cognitive aspects of trainee clinical communication skills, to be known as the Objective Structured Video Exam (OSVE) (Study 1); (ii) to prepare a scoring scheme for markers (Study 2); and (iii) to determine reliability and evidence for va...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00792.x
更新日期:2000-11-01 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 aim of the study was to explore the different ways in which doctors have learned to teach and train. INTRODUCTION:There is no coherent theory of medical teacher development. Doctors are experts in what they teach; most have had little or no training in how they teach. Research has mostly concentrated on the ac...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02335.x
更新日期:2005-12-01 00:00:00
abstract::Medical students' attitudes to the elderly were compared at the start and finish of a 5-week clinical attachment in health care of the elderly at the Christchurch School of Medicine. The study investigated students in their first clinical year (fourth year of their medical course) over five terms using a questionnaire...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00171.x
更新日期:1992-07-01 00:00:00
abstract:CONTEXT:Each clinical encounter represents an amazing series of psychological events: perceiving the features of the situation; quickly accessing relevant hypotheses; checking for signs and symptoms that confirm or rule out competing hypotheses, and using related knowledge to guide appropriate investigations and treatm...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2007.02924.x
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:We developed a 1-hour teaching seminar for medical students on anti-smoking health promotion for adolescents. We report the development of the programme and a performance-based evaluation. AIM:To develop a seminar for medical students with the objective of improving medical student inquiry into smoking and ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01560.x
更新日期:2003-08-01 00:00:00
abstract:OBJECTIVES:To compare 2 educational programmes for teaching evidence-based medicine (EBM). DESIGN:Prospective randomised controlled trial accompanied by a qualitative evaluation. SETTING:University of Oslo, Norway, 2002-03. PARTICIPANTS:A total of 175 students entered the study. All tenth semester medical students f...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2929.2005.02268.x
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To determine whether postgraduate students are able to assess the quality of undergraduate medical examinations and to establish whether faculty can use their results to troubleshoot the curriculum in terms of its content and evaluation. SUBJECTS:First and second year family medicine postgraduate students. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01403.x
更新日期:2003-02-01 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::In 1978, the second-year pre-clinical Behavioural Sciences course at Monash University Medical School was restructured to improve monitoring of, and feedback on, the development of interpersonal relationships between individual students and individual old age pensioners they were studying. Results indicate that integr...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02314.x
更新日期:1981-01-01 00:00:00
abstract::Quantitative methods of evaluating the outcomes of medical education may not always deliver the information which course organizers and teachers most need in order to improve their courses. Qualitative methods of research could provide such information. However, the use of qualitative methods has been limited by the d...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb01575.x
更新日期:1989-11-01 00:00:00
abstract:CONTEXT:Evidence supports the substitution of both clinical placement time and traditional educational activities with simulation-based education (SBE). However, lack of resources can be a barrier to SBE implementation. Peer simulation provides an alternative to simulated patient (SP)-based SBE by educating students to...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14058
更新日期:2020-05-01 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::The development and maintenance of expertise in any domain requires extensive, sustained practice of the necessary skills. However, the quantity of time spent is not the only factor in achieving expertise; the quality of this time is at least as important. The development and maintenance of expertise requires extensiv...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00831.x
更新日期:2001-01-01 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: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: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::This study was initiated in response to the availabilty of unlimited access to MEDLINE via the PaperChase interface at the host institution. The goal of the study was to analyse the usage of MEDLINE by medical students during their third-year clinical clerkship in paediatrics. This was achieved by first giving them a ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02816.x
更新日期:1995-03-01 00:00:00
abstract:CONTEXT:Reflection has been considered crucial to learning. Engaging in reflection while solving problems is expected to foster identification of knowledge gaps and interest in learning more about them, the latter being a major motivational force in learning. Although theoretically sound, this assumption still lacks em...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13491
更新日期:2018-05-01 00:00:00
abstract::An elective modules programme in the behavioural sciences was designed for the undergraduate medical curriculum at The Ohio State University College of Medicine. The programme provides a mechanism by which a broad range of behavioural science content can be introduced into the curriculum without increased allocation o...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01469.x
更新日期:1984-01-01 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::Beginning medical students spend numerous hours every week attending basic science lectures and taking notes. Medical faculty often wonder whether they should give students pre-printed instructors' notes before lectures. Proponents of this strategy argue that provided notes enhance learning by facilitating the accurat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01167.x
更新日期:2002-04-01 00:00:00
abstract:INTRODUCTION:The perception of whether a given behaviour is abusive differs between students and teachers. We speculated that attitudes towards reporting abusive and discriminatory behaviour may vary by specialty as well as by gender. METHODS:We report a cross-sectional survey of incoming medical students, medical stu...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00561.x
更新日期:2000-04-01 00:00:00
abstract::Primary health care has been held to be the foundation of any rational health system. The principle was fully endorsed by the Alma-Ata Conference in 1978, and has become the main policy of the World Health Organization. Important implications are involved for the education and training of doctors and other health care...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1983.tb00653.x
更新日期:1983-05-01 00:00:00
abstract::An improved teaching package is described which aims to help general practice trainees manage somatized presentations of psychological distress. The package comprises a training videotape in which a reattribution model is demonstrated, with material for role-play of new skills and small-group video feedback of consult...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00139.x
更新日期:1992-03-01 00:00:00
abstract:BACKGROUND:In medical education, assessment of medical competence and performance, important changes have taken place in the last 5 decades. These changes have affected the basic concepts in all 3 domains. DEVELOPMENTS IN EDUCATION AND ASSESSMENT:In education constructivism has provided a completely new view on how st...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.01851.x
更新日期:2004-08-01 00:00:00
abstract:CONTEXT:Selected-response (SR) formats (e.g. multiple-choice questions) and constructed-response (CR) formats (e.g. short-answer questions) are commonly used to test the knowledge of examinees. Scores on SR formats are typically higher than scores on CR formats. This difference is often attributed to examinees being cu...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12296
更新日期:2014-03-01 00:00:00
abstract::The importance of the personality of the dentist in the dental treatment of the anxious patient has been recognized for some time. However, there has been little research into the emotional reactions of dental students in similar stressful situations. This investigation, using specific psychological tests, examined th...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01135.x
更新日期:1985-01-01 00:00:00
abstract:INTRODUCTION:Despite several unique aspects of the medical teacher's role compared to other teachers in higher education, there has been little research in this area. In particular there have been few studies which have explored teachers' perspectives on their role. This study aimed to elicit teachers' perceptions of t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01437.x
更新日期:2003-03-01 00:00:00
abstract::Medical students on an in-patient service and residents working in an ambulatory care clinic have regularly evaluated their clinical tutors over the 5 years 1985-1989. Both groups of raters reliably and predictably evaluated their tutors and both emphasize between-tutor comparisons more than actual rating values for i...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00228.x
更新日期:1993-01-01 00:00:00