摘要:

SUMMARYA postal survey of 434 clinicians at four local hospitals was undertaken in order to identify the methods by which clinicians learn how to request permission for hospital autopsies and to assess the preferred techniques and timing of relevant communication skills training. The majority of 128 responding clinicians had learnt through personal experience with some assistance from senior colleagues and peers. Few clinicians appeared to have learnt through formal training. The preferred methods for the provision of communication skills training were training in small groups (such as seminars or tutorials) and observation of clinicians at work. The most desirable time for the provision of this training was considered to be between the beginning of the final undergraduate year and the end of the pre‐registration house officer year. The communication skills training provided within medical education is in need of improvement. More emphasis should be given to clinical‐task‐ or situation‐specific applications such as requesting permission for au

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02836.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

摘要:

SUMMARYThe European Community has played a key role in organizing student mobility programmes and in emphasizing the need for a European medical culture. The need for a common core of medical principles and efforts to strengthen inter‐European cooperation nurture the philosophy of these exchanges. The Faculty of Medicine of Oviedo has been working on student mobility programmes for the last 7 years. As a result of this activity, about four hundred medical students have participated in various exchanges. This experience is highly positive both for the students and for the institutions taking part in it. The students have the chance to become acquainted with a different country, language, culture and medical training system. Meanwhile, the institutions benefit from their students’ experience as well as having the opportunity of starting further cooperative program

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02837.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

摘要:

SUMMARYWith increasing numbers of general practitioners wishing to provide child health surveillance during the 1980s and the expected further increase with the 1990 General Practice Contract, a course in child health surveillance was developed. The content of the course was determined by a needs assessment of Welsh general practitioners in combination with the expectations of paediatricians already involved in educating doctors in community child health. A multicentre course with prepared materials was developed. Teaching methods reflected adult learning needs, included practical clinical competencies and was centred in small groups each led by local tutors. The course was held annually on three occasions, with 220 participants in total. The materials and teaching methods were highly acceptable to the participants, and evaluation demonstrated a significant increase in knowledge and confidence. All participants reached the required clinical competence, six after further teaching. The content, teaching methods, and evaluation methods were altered in the light of feedback, resulting in a ‘stand alone’ course with built‐in evaluation, which is now being provided by local tutors. This study has demonstrated the feasibility of providing a course for large numbers of doctors, using predominantly small‐group teaching and discussion with local tutors. We are grateful to all the participants and especially the

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02838.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

摘要:

SUMMARYTechnical clinical procedures constitute an important part of the work of general practitioners. Assessment of competence in the relevant skills is important from the perspective of quality assurance. In this study, the psychometric characteristics of three different methods for assessment of competence in technical clinical skills in general practice were evaluated. A performance‐based test (8 stations), a written knowledge test of skills (125 items) and a self‐assessment questionnaire (41 items) on technical clinical skills were administered to 49 GPs and 47 trainees in general practice. The mean scores on the performance‐based test and the written knowledge test of skills showed no substantial differences between GPs and trainees, whereas the GPs scored higher on the self‐assessment questionnaire. While the correlation of the score on the knowledge test of skills with the score on the performance‐based test was moderately high, the score on the self‐assessment questionnaire showed a rather low correlation with the performance‐based test. Although performance‐based testing is obviously the best method to assess proficiency in hands‐on skills, a written test can serve as a reasonable alternative, particularly for screening and

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02839.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02840.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02841.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02842.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02843.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02844.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02845.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID