ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02413.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

‘Oh, what happened to you,Whatever happened to me.What became of the people we used to be?'†SummaryA study is made of the post‐graduate careers of the 106 medical graduates of the University of Edinburgh who, during the period 1869‐1969, were awarded (or shared) the Ettles scholarship for the most distinguished medical graduate of the year. It is noted that the receipt of this award does not always provide a reliable predictor of subsequent academic or professional dist

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02414.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryDespite concern over the concentration on science in pre‐medical education and the selection of medical students in the United States, no major changes have been made. The present study compares attrition rates and clinical competence levels of medical students who vary in pre‐medical training, age, and sex, in order to determine the risk attached to accepting applicants with different background characteristics. No differences were found in levels of clinical competence, although the groups varied in average science scores on the medical college admission tests (MCATs). Students with non‐science undergraduate majors had lower scores on this test than science majors. Younger women had relatively high attrition rates, but high performance on the MCAT science sub‐test and in medical school science courses. It was concluded that all groups had adequate science preparation for medical school, and there was no greater risk of producing doctors with low levels of clinical competence associated with accepting students from groups with lower science perf

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02415.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryTwelve students were selected from each of the three clinical undergraduate years, two from each year interviewing one of six simulated patients. The interviews were video recorded and scored by two clinicians on a rating system involving sixteen criteria. In addition to the expected differences between individual students, when the scores were placed in rank order a pattern of differences between years of study emerged. Students of the third clinical year performed better than those of the first year and both were better than those of the intermediate second year. Junior students displayed more personal concern for the patients, while senior students tended to conduct a more controlled and structured interview.

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02416.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryThe validity of students' rating of clinical instruction was correlated with students' performance in a clinical examination. One‐way analysis of variance showed that the students' ratings discriminated among instructors, and that the instructors were a significant source of variance in their students' adjusted examination scores on a written clinical simulation. There was no significant correlation between students' performance in the examinations and their ratings of the clinical instructor

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02417.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummarySeventy‐five students, at the end of their final year, responded to a postal questionnaire designed to assess their views on their medical curriculum. The responses of those intending to enter general practice were compared with those of intending hospital doctors and comparisons were also made between respondents who had enrolled for a 6‐year course and those who had enrolled for the newer 5‐year c

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02418.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryA model case‐study for imparting knowledge of the principles of emergency medical referrals to medical students is described. The case‐study, which is undertaken by small syndicate groups of students, effectively combines the advantages of group interraction with those inherent in a problem‐solving approach. It has helped not only to stimulate student interest in a subject which many have found rather boring and theoretical, as with most other subjects related to organization of health services, but is also a pointer to the effectiveness of case methods as teaching

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02419.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryTeaching in clinical medicine must often be opportunistic, using unpredicted clinical situations as they arise. To teach effectively in such settings demands considerable skill especially where tutorial‐type teaching (one student to one doctor) is concerned. To develop his skills the doctor needs some method of evaluating his teaching. The present paper describes one such method which has been found to be practicable and, apparently, usefu

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02420.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryRegular discussion groups for all students were introduced at a new clinical medical school to enable students to discuss freely their responses to patients. The main aim was to prevent the alleged dehumanizing effect of medical education. The groups were monitored by attendance records, questionnaires and tape‐recordings.In fact, the majority of students stopped attending so that only two of the five groups survived longer than 6 months. Despite improvements in organization and styles of conducting the groups, a similar fall in attendance occurred in the next year's intake. Paradoxically, in most meetings there was a lively and apparently beneficial discussion on the students' reactions to their contacts with patients, so it was difficult to explain the overall drop in attendance.It was concluded that, while organizational details and inappropriate styles of conducting the groups were partly responsible, the main problem was the apparent conflict in attitudes between the students medical teachers and their group conductors (who were mainly psychiatrists),i.e.between the concepts of modern technological medicine and those of psycho‐social medicine. This induced a conflict of motivation in the students, who naturally need to identify with their teachers, which most of them resolved by avoiding the groups. It is suggested that more effective integration between general medical teachers and the organizers of such groups is needed, and that group conductors should include general practitioners and clinical supervisors as well as psychiatri

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02421.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryA unique 8‐year training programme for 110 family medicine residents is described. The psychiatrist works in a family medicine setting with the staff doctors, residents, and patients. The approach evolved because patients wanted a brief problem intervention, and because doctors wanted rapid and efficient methods to identify and treat problems, without using a psychodynamic model. For empirical data collection and clear problem description, a behavioural model is employed. For assessment and therapy, a problem‐orientated approach is emphasized, which is rapidly acquired and effectively applied. ‘Diagnoses’ are not used unless relevant, and paradigms or methods of handling common patient problems are employed. The residents learn in groups and develop skills through supervision of actual patient encounters. There is a phased progression of skill acquisition which is reinforced by the staff doctors. Eighty‐seven per cent of the residents achieve the required objectives, and can apply and utilize an approach geared to the needs and realities of everyday

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02422.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID