ISSN:0142-159X    

DOI:10.3109/01421599009006628

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

ISSN:0142-159X    

DOI:10.3109/01421599009006629

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

The McMaster University Undergraduate MD Program participated with nine other schools in a pilot self-study of clinical evaluation under the auspices of the Association of American Medical Colleges. Clerkship planners and teaching faculty responded to questionnaires provided by the AAMC Clinical Evaluation Program, dealing with evaluation system problems. Top ranked problems, as perceived by the McMaster faculty, are presented and compared with the major problem areas seen by the overall group of the nine other schools. Two of these items deal with: (I) the lack of transmission of evaluative information about clerks fLom one unit to subsequent ones; and (2) faculty unwillingness to record negative evaluations. The former is seen as a serious problem both at McMaster and at the other schools; the latter only at McMaster. The discussion focuses on attempts to explain why these problems exist at McMaster and offers some suggestions for dealing with them.

ISSN:0142-159X    

DOI:10.3109/01421599009006630

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

A brief second year interviewing course consisting of 9 hours of small group meetings was evaluated by administering the Helping Relationship Inventoy (HRI). Other studies have used the HRI to assess longer interviewing courses that included both small groups and large class lectures. The purpose of this study was to use the HRI to see if objective improvement in communication skills could be found in this relatively brief interviewing course. One hundred and nine students, representing an 80% return rate, completed all questions on the HRI pre-and post-tests. Analysis of pre-and post-test data showed that students became significantly more understanding (p<0.0001) and significantly less‘supportive’or pacihing (p<0.001) by the end of the course. There were no difloences found on pre-and post-test HRI scores comparing males (n = 71) and females (n = 38). This study demonstrates that even brief small group interviewing courses can eflect a positive change in students' communication skills.

ISSN:0142-159X    

DOI:10.3109/01421599009006631

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

Current evaluation of medical students in their clinical clerkships is usually performed by their clinical tutors, and emphasizes knowledge, skills and behavior, However, it is not at all certain that the clinical tutors adequately appreciate the behavioral aspects of the student-patient interrelationship. Since these interactions are not directly observed by the tutors, their evaluation is based largely on second hand information. In the present study, patient opinion regarding student behavior was collected and compared to tutors' evaluation of the student. One hundred and eighty one patients and 31 clinical tutors evaluated 41 medical students during a 6 week internal medicine clerkship, using a specially designed patient questionnaire and tutors' rating form. An analysis of the correlation between tutors' individual rating parameters and the global score revealed high correlation for those parameters associated with clinical knowledge and skills, but lower correlations for parameters associated with students' relationship to patients. The study reveals dificulties associated with the evaluation of students by patients. The process is time-consuming, and introduces tension between students and patients. In addition the patients appeared to be poor discriminators in evaluating medical students. Finally, the study points out that tutors do not assign suficient importance to the student-patient relationship in the global clerkship score.

ISSN:0142-159X    

DOI:10.3109/01421599009006632

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

Part of the teaching of clinical haematology to our third year medical students involves lectures given to the entire class. For the past several years, we have provided, at the beginning of each lecture, handouts on which are reproduced all or most of the 3S-mm slides that will be projected during that lecture. The fiames are positioned vertically on the left side of each page, thus allowing the students to add notes on the right side. There are advantages and disadvantages to this pedagogical method, but we believe that the former outweigh the latter.

ISSN:0142-159X    

DOI:10.3109/01421599009006633

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

The Department of Physiology at the College of Medicine and Medical Sciences, King Faisal University (KFU) had serious concerns about the eflectiveness of the practical classes in motivating student learning and in achieving the objectives of these practicals. A new form of evaluation, the objective structured practical examination (OSPE) was introduced in June 1987. At KFU, the introduction of OSPE has led to a marked improvement in the mean scores for the laboratory component of the final examinations in the physiology courses. Such an improvement was not consistently observed in the other components of the examinations. Perjormance in stations evaluating skills was in general better than in those testing analytical and interpretive abilities. Female students performed significantly better in OSPE than male students in 415 and 3/5 physiology I and II examinations. Such gender diferences were not observed in the written examinations.

ISSN:0142-159X    

DOI:10.3109/01421599009006634

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

A resident-managed program to improve teaching skills and examine residents' perceptions of teaching was conducted for internal medicine residents at Maine Medical Center. A modification of the Jewett (1982) teaching model was applied as an adjunct to an ongoing resident teaching program. Twenty-six of 29 residents voluntarily participated in a sm'es of workshops over a 6 month period. A low atm'tion rate and high level of acceptance of the format were observed. Teaching programs are manageable by a senior resident and can be of potential benefit.

ISSN:0142-159X    

DOI:10.3109/01421599009006635

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

A field-level assessment of the job pel.formance of a category of health professionals was carried out using the technique of non-participant observation of client-health worker interactions. Presenting the data so obtained in the form of a‘performance profile’enabled identification of areas in which this category of health workers showed a lower level of performance, indicating areas where alterations in basic and in-service training programmes are required.

ISSN:0142-159X    

DOI:10.3109/01421599009006636

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

Growth patterns of medical interviewing skills during a 6–year undergraduate cum'culum are assessed by studying 563 medical students taken from five year-groups, interviewing simulated patients. In a cross-sectional, quasi-experimental design their skills are rated by means of the Maastricht History-taking and Advice Checklist (MAAS), an observation instrument which measures five categories of interviewing skills pertaining to initial medical consultations. The findings suggest that the skills for‘history-taking’,‘presenting solutions’and‘structuring of the interview’are effectively learned. These learning effects result fiom a continuous small group teaching program with expert and peer review of videotaped encounters with simulated patients. The teaching effects of this program seem less for the skills pertinent to the phase of‘exploring the reasons for encounter’and to the‘basic interviewing skills’because the students' growing medical knowledge and the increasing ability to solve medical problems exert a counteracting influence on the acquisition of these easily deteriorating skills. The results might be helpjkl to cum'culum planners in order to make their programs for medical interviewing skills more effective.

ISSN:0142-159X    

DOI:10.3109/01421599009006637

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor