Abstract:
:There is national and international interest in increasing the community-based component of undergraduate medical education, but more research is needed on its potential, practicability and effectiveness. The objective of the study was to examine the feasibility and efficacy of general practitioners teaching basic clinical skills to first year clinical medical students in the community. The structure and methods of evaluation of the programme are described. Evaluation tools included semistructured interviews of general practitioner tutors; student questionnaires; assessment of student performance; and costs of the programme. The great majority of the students found the programme enjoyable (81 out of 81, 100%) and educational (79 out of 81, 97%). Students' performance in the end of rotation Objective Structured Clinical Examination suggested that clinical skills are acquired at least as well in the community as in the hospital. Tutors identified the personal benefits of this teaching as development of their own clinical skills and the stimulation of teaching. The programme has been successfully expanded from 24 students to 230 students annually and has demonstrated that community-based teaching can usefully contribute to undergraduate medical education in the area of clinical skills teaching. Key practical issues for schools contemplating similar initiatives are presented.
journal_name
Med Educjournal_title
Medical educationauthors
Murray E,Todd C,Modell Mdoi
10.1046/j.1365-2923.1997.00678.xsubject
Has Abstractpub_date
1997-09-01 00:00:00pages
369-74issue
5eissn
0308-0110issn
1365-2923journal_volume
31pub_type
杂志文章abstract:INTRODUCTION:Learning to value ethnic diversity is the appreciation of how variations in culture and background may affect health care. It involves acknowledging and responding to an individual's culture in its broadest sense. This requires learning the skills to negotiate effective communication, a heightened awarenes...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00474.x
更新日期:1999-08-01 00:00:00
abstract::The purpose of this study was to assess the degree of consistency in student ratings of teacher effectiveness during the first year of medical school. Student ratings of teaching effectiveness represent a commonly used source of information that enters into the academic decision-making process. In medical school, stud...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00419.x
更新日期:1988-03-01 00:00:00
abstract:CONTEXT:Intraprofessional collaboration (intraPC) between primary care (PC) doctors and medical specialists (MSs) is becoming increasingly important. Patient safety issues are often related to intraPC. In order to equip doctors well for their task of providing good quality and continuity of care, intraPC needs explicit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14279
更新日期:2020-12-01 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:CONTEXT:Academic journals represent shared spaces wherein the significance of thematic areas, methodologies and paradigms are debated and shaped through collective engagement. By studying journals in their historical and cultural contexts, the academic community can gain insight into the ways in which authors and audie...
journal_title:Medical education
pub_type: 历史文章,杂志文章,评审
doi:10.1111/medu.13349
更新日期:2017-09-01 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:CONTEXT:Health care trainees demonstrate implicit (automatic, unconscious) and explicit (conscious) bias against people from stigmatised and marginalised social groups, which can negatively influence communication and decision making. Medical schools are well positioned to intervene and reduce bias in new physicians. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12770
更新日期:2015-10-01 00:00:00
abstract::Evaluation of courses tends to emphasize individual teacher behaviour and/or student reaction to the course. To avoid this approach a technique to determine student expectations and the degree to which the expectations were or were not met by the course was used. In addition, student perceptions of laboratory teaching...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1986.tb01173.x
更新日期:1986-05-01 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::Student assessment in community settings presents problems for medical teachers, e.g., difficulties in assessing the contribution of individual members to group work, and lack of test standardization due to varying field conditions. The Faculty of Medicine, University of Gezira, Sudan is a community-oriented, communit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00151.x
更新日期:1998-01-01 00:00:00
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 bot...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02407.x
更新日期:1981-03-01 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:CONTEXT:Medical students are expected to self-regulate their learning within complex and unpredictable clinical learning environments. Research increasingly focuses on the effects of social interactions on the development of self-regulation in workplace settings, a notion embodied within the concept of co-regulated lea...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14018
更新日期:2020-03-01 00:00:00
abstract::In order to provide "horizontal" integration of related clinical subjects, a combined teaching course in community medicine, general practice, geriatric medicine and mental health has been devised. The course lasts 12 weeks and is divided between joint teaching of topics of common interest and clinical clerkships in i...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01074.x
更新日期:1982-05-01 00:00:00
abstract:OBJECTIVES:These were to measure the uptake and use of an electronic learning portfolio to support reflective continuing professional development, and to characterize attitudes towards its use and obstacles to its adoption. DESIGN:Uncontrolled, longitudinal intervention study with quantitative and qualitative evaluati...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01278.x
更新日期:2002-08-01 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::The major functions of examinations are noted and a scheme of multiple choice testing is outlined which distinguishes between the certification function and the grading function of examinations. This scheme has been in operation since January 1976 in the Department of Anatomy, University of Cape Town, and preliminary ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb01200.x
更新日期:1979-11-01 00:00:00
abstract:CONTEXT:Simulated clinical immersion (SCI), in which clinical situations are simulated in a realistic environment, safely and gradually exposes novices to complex problems. Given their limited experience, undergraduate students can potentially be quite overwhelmed by SCI learning tasks, which may result in misleading l...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13748
更新日期:2019-04-01 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::Scripts of a short answer Final MB examination paper were re-marked by the original examiner and three colleagues. While individual question marks varied considerably, most examiners agreed quite well as to the overall rank order of candidates--although not about absolute total marks--but a few disagreed considerably....
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb00999.x
更新日期:1984-05-01 00:00:00
abstract:CONTEXT:The function of medical school entities that determine student advancement or dismissal has gone largely unexplored. The decision making of 'academic progress' or student promotions committees is examined using a theoretical framework contrasting ethics of justice and care, with roots in the moral development w...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13280
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:Remediation is usually offered to medical students and doctors in training who underperform on written or clinical examinations. However, there is uncertainty and conflicting evidence about the effectiveness of remediation. The aim of this systematic review was to synthesise the available evidence to clarify...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.12052
更新日期:2013-03-01 00:00:00
abstract::This booklet is a guide to using observational research methods in medical and health-care education. Emphasis is given to the role of observation in providing concrete, detailed descriptions of how educational events unfold. It is suggested that observational methods have a valuable contribution to make to our unders...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02521.x
更新日期:1990-03-01 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::A new computerized system for the allocation of pre-registration house-officer appointments to medical graduates at the Welsh National School of Medicine is described. The need to withdraw an earlier system, used through much of the 1970s, is explained, and the advantages possessed by the new system are discussed. ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01253.x
更新日期:1982-07-01 00:00:00
abstract:OBJECTIVES:There are recognised difficulties in teaching and assessing intimate examination skills that relate to the sensitive nature of the various examinations and the anxiety faced by novice learners. This systematic review provides a summary of the evidence for the involvement of real patients (RPs) and simulated ...
journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2009.03608.x
更新日期:2010-04-01 00:00:00
abstract::Although the cueing effects inherent in conventional multiple choice questions (MCQs) present serious limitations, this format continues to dominate testing programmes. The present study was undertaken to estimate the effects of cueing when MCQs are used to test medical students, and to evaluate the reliability, valid...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00284.x
更新日期:1993-07-01 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:CONTEXT:The unbiased selection of images representing a spectrum of diagnostic difficulty is an important first step in designing effective assessment and teaching interventions for X-ray interpretation. OBJECTIVES:This study aimed to develop a scale that would reliably differentiate more difficult X-rays from those t...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03311.x
更新日期:2009-05-01 00:00:00
abstract:CONTEXT:Despite increasing numbers of publications, science often fails to significantly improve patient care. Clinician-scientists, professionals who combine care and research activities, play an important role in helping to solve this problem. However, despite the ascribed advantages of connecting scientific knowledg...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13241
更新日期:2017-06-01 00:00:00