ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02400.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02401.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryThis paper describes results of a study to asses whether an undergraduate educational curriculum is ‘relevant’. The people surveyed comprised 290 individuals involved in medical education or health service administration. They were asked to suggest five major criteria for judging whether a medical undergraduate programme is relevant or not and to say whether they felt current curricula meet these criteria. Of those sampled, 40 % replied.An analysis of the data from respondents showed that medical school professors and senior administrators of health services in Australia have roughly similar expectations of the outcome of medical education. Both groups were concerned that graduates be conscious of health care requirements and costs, that they have adequate clinical skills, knowledge in medical school subjects and skill in interacting with patients and managing their continuing education. On the various dimensions examined there were frequently strong expressions of dissatisfaction with current achieveme

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02402.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryGrowing concern over the stresses imposed on medical students by their undergraduate educational programme has led to a proliferation of surveys designed to measure students' global perceptions of the medical school as a learning environment. The present study aimed at a comprehensive analysis of the psychometric features of a recently‐introduced questionnaire.Students at four Australian medical schools completed the Medical School Learning Environment Survey (Marshall, 1978). Data on the retest reliability, internal consistency and factorial validity of the MSLES are presented. Its potential usefulness for future evaluations within and between medical schools is discusse

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02403.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryThis paper describes the use of short videotaped doctor‐patient history‐taking encounters, which demonstrate the generated‐hypothesis‐verifying (GHV) method of enquiry.We urge that this method be taught formally to medical students, to complement the classical ‘rigid’ method of his

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02404.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummarySuccess in teaching a course in medical interviewing requires competence on the part of instructors, who also need training, and have to provide a structured approach. Problems encountered by course coordinators at the Department of Family Medicine, University of Miami School of Medicine, Miami, Florida have been: (1) a shortage of skilled teachers; (2) inadequate motivation of instructors for teaching the course; (3) differences in content, teacher's style, and outcomes from small groups; and (4) ambiguities in structure or guidelines provided for teachers. The development of a teacher's guide, giving specific objectives and step‐by‐step methods for teaching significantly improved teacher satisfaction and commitment to the course, as well as student learn

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02405.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryThirty‐two university‐based doctors and sixty‐seven medical students used a visual analogue scale (VAS) to estimate the usefulness of the inspection‐palpation‐percussion‐auscultation (IPPA) approach. Doctors considered IPPA less useful in the examination of the musculoskeletal system than in other systems, both in clinical practice (P<0.01) and as an aid in teaching (P<001). Students rated IPPA less useful in the musculoskeletal examination than in other systems as a learning aid (P<0.001). Based on these findings, an alternative model for physical examination of the musculoskeletal system was devised, using inspection, palpation and other clinical methods only when required to reach a diagnosis. The model focused on the outcome of the diagnostic process (aetiological, anatomical/ pathophysiological and functional diagnoses) rather than on the process itself. Thirteen students taught this method found it a useful learning aid. Those familiar with both methods preferred the outcome‐oriented to the IPPA met

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02406.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryThe 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‐year period. The patients seen in clinical teaching were found to be representative of those consulting in normal service sessions for both morbidity and age. Some big differences in clinical management were found including a strong tendency to prescribe less but investigate and follow up more when teaching. The prescribing differences were variable between morbidity groups. It is suggested that large differences correlated with areas where the doctors were least confident in their behaviour, such as the use of antibiotics for respiratory illness and the use of tranquillizers for problems without a psychological diagnosis. It is concluded that while reductions in prescribing probably reflect better patient care, increases in investigations are more for the students' bene

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02407.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryClinical clerkships in psychiatry are traditionally based on in‐patient services and thus limit student exposure in the main to seriously ill psychiatric patients. Such clerkships have been criticized as having questionable relevance to the primary care careers which are increasingly selected by medical students.The present paper describes a clerkship in which half the students are taught on a traditional in‐patient service while half go to a special medical‐psychiatric unit. In the latter situation, medical and psychiatric patients are housed together and consultation‐liaison experiences play a prominent part in the students' experience. Some comparative data are presented which suggest that the two clerkship experiences are equally satisfactory to the students. It is concluded that a psychiatric clerkship utilizing settings and experiences which are close in character to primary care is educationally f

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02408.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID

摘要:

SummaryThis paper outlines part of a course evaluation which involves two objective tests based on prestated behavioural objectives. The mid‐year test gave cause for satisfaction but the end‐of‐year examination showed a gross decline. An analysis of cognitive levels was done using Bloom's taxonomy as a basis, and it became apparent that in the end‐of‐year examination students were required to function at considerably higher cognitive levels.Care must obviously be taken in ensuring that examination papers accurately reflect both the skills and the cognitive levels which students are expected

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1981.tb02409.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: OVID