Abstract:
:The undergraduate medical curriculum at Linköping was changed and problem-based learning introduced in 1986. As a consequence the need for new examinations arose. To assess the students' consultation skills, ability to use theory in practice and skills in problem-based learning, a new examination called 'phase examination' was designed and introduced. The examination results of a 4-year student cohort are presented here, including descriptive statistics and correlations between phase examinations 1 and 2, as well as a semester examination consisting of modified essay questions and an objective structured clinical examination. The construct validity of the phase examination was tested by factor analysis. In general, low correlation between the three examinations were found, and interpreted as a result of inter-case and inter-rater variability. The factor analysis identified two factors in both phase examinations--one representing the solving of a learning task, the other consultation skills. The variables concerning the use of knowledge had an intermediate position, more connected to the solving factor in phase 1 and the consultation factor in phase 2. With the close connection of theory and practice in the phase examination, both by its design and the pairing of examiners (one general practitioner and one basic scientist), these examinations can be an important learning experience for both students and teachers. The deficiencies in the reliability of the phase examinations is, in our view, compensated by its directing and supporting effect on students' learning and its face and construct validity.
journal_name
Med Educjournal_title
Medical educationauthors
Foldevi M,Svedin CGdoi
10.1111/j.1365-2923.1996.tb00842.xsubject
Has Abstractpub_date
1996-09-01 00:00:00pages
326-32issue
5eissn
0308-0110issn
1365-2923journal_volume
30pub_type
杂志文章abstract::Medical schools vary by nation and by culture but, for students, the experience appears to be very similar. Also, despite a half-century of radical changes in medical practice, education as a process of socialization for the profession is relatively unchanged. At the same time, medical educators have frequently instit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb01538.x
更新日期:1989-05-01 00:00:00
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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:INTRODUCTION:We describe the steps taken to develop an appropriate list of 'clinical problems' used to define the content of the objective structured clinical examination (OSCE) component of the Professional and Linguistic Assessments Board (PLAB) examination. METHOD:A blueprint and list of 255 clinical problems was c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00553.x
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVES:Educational interventions may ultimately impact on patient care as well as affecting individuals' learning. Critical evaluation of educational literature by those involved in designing and developing educational interventions is therefore important. A checklist instrument for critically appraising reports of...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00479.x
更新日期:1999-12-01 00:00:00
abstract:CONTEXT:Empathy towards patients is associated with improved health outcomes. However, quantitative studies using self-reported data have not provided an in-depth opportunity to explore the lived experiences of medical students concerning empathy. OBJECTIVES:This study was designed to investigate undergraduate medical...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04152.x
更新日期:2012-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1989.tb01564.x
更新日期:1989-07-01 00:00:00
abstract:CONTEXT:Concept maps have been used to promote meaningful learning and critical thinking. Although these are crucially important in all disciplines, evidence for the benefits of concept mapping for learning in medicine is limited. METHODS:We performed a randomised crossover study to assess the benefits of online testa...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/medu.12422
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Educational approaches are thought to have facilitative or hindering effects on students' critical thinking development. The aim of this study was to compare the effects of problem-based learning (PBL) and lecturing approaches on the development of students' critical thinking. METHODS:All 79 Year 1 undergra...
journal_title:Medical education
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1365-2929.2006.02481.x
更新日期:2006-06-01 00:00:00
abstract::The University of Washington School of Medicine (UWSM) has initiated new efforts to build a regional minority applicant pool and to expand its educational programmes to accommodate students from disadvantaged backgrounds. Specific interventions include: establishment of medical career planner position to coordinate re...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00760.x
更新日期:1988-07-01 00:00:00
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::The teaching of ethics to medical students has recently become a topic of much importance to all concerned with medical education. However, those most involved, the students themselves, have been consulted very little. This paper reports the views of a sample of medical students at Oxford University on what ethics tea...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00401.x
更新日期:1988-01-01 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:CONTEXT:The banner of patient-centredness flies over many academic institutions; however, the practice and teaching of medicine remain oriented to disease. This incongruence is the result of an original Flexnerian dichotomy between the basic and clinical sciences and is maintained by a more recent distinction between d...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02905.x
更新日期:2007-12-01 00:00:00
abstract::Medical students in Germany have to write a research thesis to acquire the title of medical doctor. This study evaluates the contribution of student research to the Medline-indexed publications of a German medical faculty. A 1993-1995 Medline-publication list, on which medical students among authors should be marked, ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00255.x
更新日期:1998-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1977.tb00575.x
更新日期:1977-03-01 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:CONTEXT:Continuity of supervision (CoS) is generally accepted as an important element of competency-based medical education (CBME). However, collecting and interpreting evidence for its effectiveness are a challenge because we lack a shared understanding of CoS. Translating the available evidence about CoS into practic...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14378
更新日期:2020-09-14 00:00:00
abstract:OBJECTIVES:This study represents an initial evaluation of the first year (F1) of the Foundation Assessment Programme (FAP), in line with Postgraduate Medical Education and Training Board (PMETB) assessment principles. METHODS:Descriptive analyses were undertaken for total number of encounters, assessors and trainees, ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03249.x
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:This paper aims to summarise the evidence supporting the role of experience-based, non-analytic reasoning (NAR) or pattern recognition as a central feature of expert medical diagnosis. METHODS:The authors examine a series of studies, primarily from their own research programme at McMaster University, that de...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2007.02914.x
更新日期:2007-12-01 00:00:00
abstract:INTRODUCTION:Despite the wealth of literature surrounding communication curricula within medical education, there is a lack of in-depth research into medical students' perceptions of communication skills assessment. This study aims to address this gap in the research literature. METHODS:Five focus group discussions we...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01300.x
更新日期:2002-09-01 00:00:00
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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
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12102
更新日期:2013-05-01 00:00:00
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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: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::This paper outlines one component, the project, which in 4 years became an integral part of the Human Ecology course at the Department of Community Medicine at the University of Glasgow. Although it is to be retained in some form, it would seem that the full potential of the device for medical undergraduates has not b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01012.x
更新日期:1984-07-01 00:00:00
abstract::In a new educational scheme introduced in Malta in 1978, university students spend half of the academic year studying and the other half as workers in various departments. During their work phase, students designed and made working models as teaching aids for the study of physiology. The value of these models was asse...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01277.x
更新日期:1984-09-01 00:00:00
abstract::The present study was conducted to provide in-depth information on the reliabilities of measures of the separate components of clinical competence (e.g. data collection, test interpretation, diagnosis, etc.) assessed by a performance-based examination consisting of standardized-patient cases administered to five class...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00071.x
更新日期:1991-07-01 00:00:00
abstract:CONTEXT:Considerable research has been conducted recently into the notion of patient-centred consulting. The primary goal of this approach is to establish a clear understanding of the patient's perspective on his or her problem, and to allow this understanding to inform both the explanation and planning stages of the c...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02789.x
更新日期:2007-07-01 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::The skill of inquiry is central to the task of the doctor confronted with a patient problem. Despite its importance this skill is not given appropriate emphasis in the education of medical students or in research concerning the clinical reasoning skills of doctors. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02428.x
更新日期:1990-01-01 00:00:00