Abstract：
:The objective of this study was to investigate whether or not education about the concept of uncertainty reduced variability in treatment decision-making. Three small groups of dentists in North York, Canada were asked to make restorative treatment decisions about simulated bitewing radiographs. They subsequently took part in a seminar about variations in perception and judgement and were given explanations of sensitivity, specificity and receiver operating characteristic (ROC) curve analysis. A repeat reading of the radiographs was then performed by both test and control groups. Results indicated that the intervention increased the accuracy, and decreased the variability of dentists' restorative treatment decisions. Kappa statistics were 0.33, 0.34 and 0.31 before the seminar, and 0.40, 0.43 and 0.41 after the seminar. Standard errors for kappas were 0.06, 0.05 and 0.05 before the seminar, and 0.02, 0.02 and 0.05 after the seminar. The area under the ROC curve was 0.7136 before the seminar and 0.7835 after the seminar. The data demonstrate that the dentists' decisions were less variable and more accurate following the educative intervention. This study suggests that there is potential for improving consistency and accuracy in clinical decision-making through education in probabilistic reasoning.
journal_name
Med Educjournal_title
Medical educationauthors
Choi BC,Jokovic A,Kay EJ,Main PA,Leake JLdoi
10.1046/j.1365-2923.1998.00153.xsubject
Has Abstractpub_date
1998-01-01 00:00:00pages
105-11issue
1eissn
0308-0110issn
1365-2923journal_volume
32pub_type
杂志文章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: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：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：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：INTRODUCTION:Limited data illuminate how resident doctors view their important roles as teachers, supervisors and role models. Analysing qualitative data about resident teachers' self-perceptions can offer helpful insights. METHODS:One year after a randomised trial of a residents-as-teachers curriculum at a university...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2929.2004.02063.x
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abstract：OBJECTIVES:The goals of this study were three-fold: to explore the reasons why some clinical teachers regularly attend centralised faculty development activities; to compare their responses with those of colleagues who do not attend, and to learn how we can make faculty development programmes more pertinent to teachers...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2010.03746.x
更新日期：2010-09-01 00:00:00
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journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.13395
更新日期：2018-01-01 00:00:00
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journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1995.tb02860.x
更新日期：1995-11-01 00:00:00
abstract：OBJECTIVES:This research aims to identify the influences contributing to students' decisions to study medicine and to apply the findings to the design and targeting of outreach activities aimed at widening participation. METHODS:Semi-structured interviews were carried out with 15 medical students at a UK medical schoo...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.2007.02798.x
更新日期：2007-08-01 00:00:00
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journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.13095
更新日期：2016-12-01 00:00:00
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journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1976.tb00463.x
更新日期：1976-07-01 00:00:00
abstract：:One hundred and forty-six (93%) of the University of Wales College of Medicine intake of new students completed a personality questionnaire (Cattell 16PF) on registration in October 1988. The students were divided into four groups depending on their academic progress up to and including 2nd MB BCh. Whereas the majorit...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1993.tb00244.x
更新日期：1993-03-01 00:00:00
abstract：BACKGROUND:Since the introduction of problem-based learning (PBL) at McMaster University in 1969, many medical schools in the USA, Canada and Europe have included PBL in their curricula. In the past decade, many medical schools in Asia have also done so. However, so far no one has questioned whether the outcomes expect...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2003.01489.x
更新日期：2003-05-01 00:00:00
abstract：OBJECTIVE:This instalment in the series on professional assessment provides an introduction to methods of setting standards. METHOD:A standard is a special score that serves as a boundary between those who perform well enough and those who do not. The practical steps in selecting it include: deciding on the type of st...
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/j.1365-2923.1991.tb00057.x
更新日期：1991-05-01 00:00:00
abstract：:The academic performance of 104 fourth-year medical students was assessed in relation to their sleep habits reported in a questionary and their scores on the Minnesota Multiphasic Personality Inventory. Poorer academic performance was related significantly to later times of waking up in the morning, particularly at we...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1976.tb00432.x
更新日期：1976-05-01 00:00:00
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. Eigh...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1980.tb02379.x
更新日期：1980-09-01 00:00:00
abstract：:The introduction of the new Open University distance learning pack on coronary heart disease to a selected group of Welsh general practitioners has been evaluated. The most commonly perceived disadvantages were the amount of time required to study the pack, the cost of buying it and the work involved in implementing i...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1988.tb00801.x
更新日期：1988-11-01 00:00:00
abstract：:In response to the increased need to train well-rounded general practitioners within a limited time schedule, the teaching staff developed a self-instructional videotape programme devoted to suicide assessment. This tape, if successful, was to serve as a pilot for a full series of 18 tapes devoted to the assessment an...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1980.tb02609.x
更新日期：1980-01-01 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 view, background and motivation of providers of medical education was studied using a structured questionnaire which was sent to all those who organized courses for the Postgraduate Education Allowance in the West of Scotland. Two hundred and twenty-five replies were received from 254 course providers, giving an 8...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1993.tb00300.x
更新日期：1993-09-01 00:00:00
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journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/medu.13532
更新日期：2018-06-01 00:00:00
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journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2003.01326.x
更新日期：2003-04-01 00:00:00
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journal_title：Medical education
pub_type： 杂志文章
doi：10.1046/j.1365-2923.2003.01538.x
更新日期：2003-06-01 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：: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：:The central premise of this paper is that medical education today is being driven by intellectual and social imperatives to make fundamental changes in the way it prepares students to be the doctors of tomorrow. Fully aware that over the past 50 years at least eight major national commissions in the USA alone have mad...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1995.tb02897.x
更新日期：1995-01-01 00:00:00
abstract：:This paper describes a teaching programme, for use in general practice vocational training, which provides a theoretical and practical framework for exploring key aspects of the consultation with trainees. A particular emphasis is on the educational or 'cognitive' outcomes of the consultation and skills for improving ...
journal_title：Medical education
pub_type： 杂志文章
doi：10.1111/j.1365-2923.1984.tb01022.x
更新日期：1984-07-01 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：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
