摘要:

To test the hypothesis that the clinical skills of many foreign medical graduates entering residencies in the United States are deficient, the Medical Skills Committee of the Educational Commission for Foreign Medical Graduates (ECFMG) developed an examination called the Clinical Skills Assessment. The committee constructed the test after identifying those clinical skills it considered to be suitable for testing in a large-scale examination to be conducted at multiple locations. The test was given to 117 foreign medical graduates (including 37 U.S. citizens) who had been certified by the ECFMG and to a reference sample of 64 graduates of U.S. medical schools. All of the graduates took the test prior to their first postgraduate year of training. Thirty-two percent of the graduates of foreign medical schools who took the examination were found to have inadequate clinical skills when compared with those of graduates of U.S. schools. The committee concluded that a clinical skills examination could be developed and administered successfully.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

A study was conducted that analyzed the relationship between various characteristics of the preclinical curriculum and institutional performance on the Part I examination of the National Board of Medical Examiners (NBME) at a sample of 85 U.S. medical schools. Total scheduled hours per week was the single curriculum characteristic having a positive and significant relationship with institutional NBME examination performance. However, when the data were controlled by medical school selectivity in admissions and institutional policy on the taking of the examination, total scheduled hours per week failed to make a significant contribution to the prediction of performance. The results were viewed as failing to provide support and justification for intense preclinical curriculum loads on the basis that this would enhance NBME examination performance. The authors conclude that simple comparisons of schools on the basis of mean NBME examination performance are meaningless unless the entering abilities of students and school policies on the examination are taken into account. The authors also suggest that those schools that prescribe heavy and intense preclinical curriculum loads should reexamine those policies in light of recommendations of the Project Panel on the General Professional Education of the Physician and College Preparation for Medicine.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Departments of family medicine in U.S. medical schools were surveyed regarding the ongoing contact that occurs between preclinical students and either patients or physicians. Over 90 percent of those surveyed responded. Twenty-six departments provided ongoing contact between preclinical students and both patients and physicians, 42 departments provided ongoing contact with physicians only, and three departments provided ongoing contact with patients only. Based on these results, approximately 3,000 to 5,000 students in each medical school class nationally have some type of ongoing family medicine clinical contact during their first and/or second year. Rigorous evaluation of programs providing clinical exposure to preclinical students is needed to determine their impact on patient care and student learning.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Combined residency training in internal medicine and pediatrics is becoming a popular postgraduate program among graduating medical students. The number of such programs has increased rapidly but with little interchange of ideas and without the benefit of a national data base. In this paper, the authors review the experience of two combined programs. Initially established because of the desire to provide broad-based training in primary care, the programs now offer a curriculum that prepares residents for primary care or education in the subspecialties. The difficulty for residents of achieving competence in two disciplines is compounded by a lack of faculty role models. The two programs offer special advantages to the residents and the departments involved. The career outcomes of program graduates have varied from primary care or subspecialty practice in one or both disciplines to faculty positions in teaching institutions. Whether the program remains successful will depend on the ability of its graduates to offer special talents to academic and clinical practice settings and on the availability of funding.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

In this study, the authors determined how residents in internal medicine allotted their time during patient management rounds (work rounds). Fourteen house staff teams were observed for four days each, and the time spent on all activities was recorded. Of the 56 days studied, work rounds were not conducted on nine days. On the 47 days during which work rounds occurred, only 502 (76.4 percent) of a possible 657 visits to patients were made. Daily time spent on work rounds by each team averaged 49.4 minutes (range: 23.9 to 73.1), or 4.6 minutes (range: 2.3 to 6.6) per patient evaluated. Some part of a physical examination was performed on only 44 percent of the patients. For those patients examined, the average time of an examination was approximately one minute per patient. Vital signs sheets and medication sheets were reviewed infrequently. This study suggests that medical educators should be concerned about the thoroughness of house staff work rounds.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

In the study reported here attending faculty members completed a 14-item rating scale at the end of each clinical rotation in a general pediatrics residency training program. The rating scale items assessed medical knowledge, interpersonal and professional relationships, and attitudes toward education. Significant interrater agreement occurred primarily on those items concerning medical knowledge, and ratings on these items showed significant correlation with the external criterion of scores on the intraining examination of the American Board of Pediatrics. There was also significant interrater agreement for ratings on the item regarding relationship with coworkers. Intercorrelations of ratings on this item with those concerning medical knowledge were relatively low. There was no correlation between scores on the relationship item and subsequent intraining examination scores.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Most students are admitted to medical school with little or no prior training in medical information retrieval. Despite the increasing dependence of physicians on new information tools, such as computer data bases and on-line literature searching, few medical schools have included more than token emphasis on information retrieval skills in their curricula. Reports on information skills courses have revealed that the courses often encounter serious obstacles, including poor student acceptance. The authors here describe a project that attempts to overcome the principal obstacles and to provide an efficient and effective method of teaching information retrieval skills to second-year medical students. The method includes a pretest that contains case scenarios, a diagnosis of individual students' deficiencies in information skills, a self-paced individual learning module, and a posttest. Evaluation of the program showed that the students had deficiencies in information retrieval skills and that the students who used the self-instruction module had significantly higher scores on the posttest than the students who did not.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

The instructional technology of voice recognition, interactive videodisc, and microcomputer offers new opportunities in medical education. The TIME Project is using this technology to create engaging, believable clinical situations that promote experiential learning, discovery learning, and contextual instruction in the medical school classroom. The TIME Project will conduct a field test of three interactive case studies as part of the introduction to clinical medicine curriculum at five medical schools to determine the educational effectiveness of the prototype design and its acceptance by faculty members and students.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

No abstract available.

ISSN:0022-2577    

出版商:OVID    

年代:1986

数据来源: OVID