ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02875.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.tb02876.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.tb02877.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.tb02878.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

摘要:

SUMMARYWith the class of 1996, Dalhousie University Faculty of Medicine instituted a totally revised curriculum. The revisions transformed an entirely traditional curriculum to a student‐centred curriculum, which is based on learning in context, and incorporates a problem‐based approach to the entire curriculum. This paper describes our experience in the actual implementation of our revised curriculum, in the context of the Association of American Medical CollegesAssessing Change in Medical Education — The Road to Implementation(ACME‐TRI)

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02794.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.tb02879.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.tb02880.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

摘要:

SUMMARYThe major focus in the selection of entrants for medical school has traditionally been on academic achievement in school‐leaving examinations in which certain science subjects are a requirement. A longitudinal study of 413 successful applicants was undertaken to determine the relationship of these admission criteria to subsequent performance. The findings supports a correlation between overall marks in the school‐leaving examination and the annual Grade Point Averages. Those students in the top quartile for marks showed a significant advantage in terms of achievement but only in the preclinical years. Despite the significant correlations no predictions could be made on the basis of overall marks. No correlation was found with levels of clinical competence during the ward clerkships or with the interdisciplinary objective structured clinical examination (OSCE) in the final examination. Marks in individual school‐leaving examination subjects correlated with performance during different parts of the course but only those entrants in the top quartile for marks in physics and biology showed an advantage through to the clinical years. English marks were the least correlated and failed to confer an advantage in any year of the course. None of the correlations between school‐leaving marks and grades in medical school exceeded 0.4. The predictive value of school‐leaving examination marks therefore accounted for only 16% of the variance in subsequent examinations. Selection of medical students on the basis of academic criteria alone is inadequate and should be accompanied by assessment of personal qualities. This School no longer uses school‐leaving marks as the primary selection instrument. Measurement of personal qualities, motivation and life experiences by structured interviews is combined with intellectual ability to rank applicants. Correlational or predictive studies cannot of themselves decide which individual subjects should be prerequisites. However, the failure of any one subject to demonstrate greater correlation or prediction tends to support the study of a broader range of subjects by potential

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02795.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID

摘要:

SUMMARYThe last few decades have witnessed dramatic changes, not only in health, but also in all aspects of human life. From the social point of view, the individual and family are again becoming the focus of attention, and there is an increasing concern about socio‐economic conditions and human rights. From the health point of view, morbidity and mortality patterns are changing and many people live longer and fewer people die. The reasons behind these changes are mainly the expansion in knowledge and technology and the concern about our lifestyles. These changes impact heavily on both medical education, the delivery of health services, and the cost of health care. Medical schools should respond by introducing changes in the medical education process and ensure the proper training of a new generation of doctors who are community‐ and socially oriented, capable of relating to the community and its needs. The health care system should also respond to these changes by restructuring its organization and finance to ensure quality in health care and that health services are not rationed according to an individual's ability to pay. There are apparent advantages in establishing close links between medical education and health care. Both systems and the community stand to gain from these links. Full integration of the two systems could be the final objective but should be preceded by careful study and experimentat

ISSN:0737-3805    

DOI:10.1111/j.1365-2923.1995.tb02881.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.tb02882.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: OVID