Can students learn clinical method in general practice? A randomised crossover trial based on objective structured clinical examinations
BMJPublished 11 October 1997Open access
Elizabeth Murray, Brian Jolly, Michael Modell
Citations87
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Students can learn clinical skills as well in general practice as in hospital; more work is needed to clarify where specific skills, knowledge, and attitudes are best learnt to allow rational planning of the undergraduate curriculum.
Abstract
Students can learn clinical skills as well in general practice as in hospital; more work is needed to clarify where specific skills, knowledge, and attitudes are best learnt to allow rational planning of the undergraduate curriculum.
Keywords
Medicine
Annals of SurgeryThe Objective Structured Clinical Examination The New Gold Standard for Evaluating Postgraduate Clinical Performance
320 Citations1995David Sloan, Michael B. Donnelly +2 more
The OSCE is a highly reliable and valid clinical examination that provides unique information about the performance of individual residents and the quality of postgraduate training programs.
Demonstration of Acquisition of Trauma Management Skills by Senior Medical Students Completing the ATLS Program
74 Citations1995Joseph Ali, Robert Cohen +1 more
Using highly reliable trauma OSCE stations, an objective structured clinical examination and multiple choice question testing is used to assess the teaching effectiveness of the Advanced Trauma Life Support (ATLS) Program among senior medical students.
Journal of the Royal College of Physicians of LondonProceedings of the World Summit on Medical Education
66 Citations1995Henry Walton
Academic MedicineIs test security a concern when OSCE stations are repeated across clerkship rotations?
39 Citations1996Amy H. Niehaus, Debra A. DaRosa +2 more
It would appear that a clerkship can repeat OSCE stations within an academic year without risk of a trend toward increasing scores, as there was no consistent evidence that students scored increasingly higher onOSCE stations repeated throughout the year.
Academic MedicineTest security in examinations that use standardized-patient cases at one medical school
37 Citations1991Jerry A. Colliver, Howard S. Barrows +4 more
The results showed no consistent, systematic changes in case means across the five groups tested at different times throughout the examination period, and thus provide no evidence of serious, widespread violations of test security.
Archives of Internal MedicineSharing of Information by Students in an Objective Structured Clinical Examination
37 Citations1991P J Rutala
Six administrations of an Objective Structured Clinical Examination designed to measure skills were studied andalyses were conducted to detect changes in scores over the administrations as well as over the 8.5 hours of each day of testing.
Medical EducationLong‐term community‐based attachments: the Cambridge course
34 Citations1995Nigel Oswald, Steve Jones +2 more
The main questions which are being addressed in the course and which must be answered before it will be clear whether such attachments are generally viable are identified.
Academic MedicineHospital-based versus community-based clinical education
34 Citations1993Leon Satran, Ilene Harris +4 more
That the hospital-based and community-based students performed comparably on the OSCE and gave similar evaluations of their pediatrics rotations supports the use of community practitioners to provide students with their initial clinical training.
Medical EducationCommunity‐based medical education: feasibility and cost
29 Citations1995Elizabeth Murray, V Jinks +1 more
The experience of a community‐based junior medical firm is used to explore the potential costs, and highlight some of the unresolved problems, which a major transfer of education to the community might engender.
Medical EducationCan general internal medicine be taught in general practice? An evaluation of the University College London model
29 Citations1997Elizabeth Murray, Charles Todd +1 more
The feasibility and efficacy of general practitioners teaching basic clinical skills to first year clinical medical students in the community has been examined and it is demonstrated that community‐based teaching can usefully contribute to undergraduate medical education in the area of clinical skills teaching.
PubMedContribution of academic departments of general practice to undergraduate teaching, and their plans for curriculum development.
29 Citations1994Louise Robinson, John Spencer +1 more
Compared with a 1988 study, academic departments of general practice are increasingly involved in teaching both general practice and general medical skills at undergraduate level, andCurriculum change is occurring rapidly, with an increasing trend towards community teaching.
PEDIATRICSImproving Pediatric Residents' Alcohol and Other Drug Use Clinical Skills: Use of an Experiential Curriculum
28 Citations1995Patricia K. Kokotailo, Rebecca Langhough +3 more
Pediatric residents receiving an experiential AOD curriculum increased their knowledge and clinical skills in AOD issues significantly more than residents receiving no formal training.
BJOG An International Journal of Obstetrics & GynaecologyThe assessment of clinical competence in obstetrics and gynaecology in two medical schools by an objective structured clinical examination
25 Citations1993P. McFaul, David J. Taylor +1 more
To compare and assess clinical competence among final year students in two British medical schools using a standardised objective structured clinical examination (OSCE) in obstetrics and gynaecology.
Academic MedicineDevelopment, implementation, and evaluation of an advanced physical diagnosis course for senior medical students
23 Citations1994Daniel Berg, James Sebastian +1 more
The pilot curriculum for the Advanced Physical Diagnosis course improved the students' physical examination skills and may help promote and refine the use of physical diagnosis in the delivery of quality, timely, and cost-efficient health care.
Medical EducationThe quality of medical teaching and learning in rural settings: the learner's perspective
22 Citations1994D'manda Price, Barbara Miflin +2 more
The results demonstrate clearly how and why the majority of rural medical teachers in Queensland are effective facilitators of undergraduate learning.
Academic MedicineIs Test Security an Issue in a Multistation Clinical Assessment?—A Preliminary Study
22 Citations1991Beth Dawson‐Saunders, PAULA L. STILLMAN +6 more
Annals of Internal MedicineTeaching Medicine in the Community: A Guide for Undergraduate Education
14 Citations1997Robert E. Gwyther
This book was prompted by the increasingly common practice of sending medical students out of university hospitals and into the community for important parts of their education and may be useful to show skeptical medical school faculty that community learning experiences are possible and worthwhile.
Academic MedicinePossible effects of reusing OSCE stations
10 Citations1996Brian Jolly, Robert Cohen +2 more
Archives of Internal MedicineSharing of information by students in an objective structured clinical examination
9 Citations1991P. J. Rutala
Academic MedicineUse of performance-based assessment to evaluate the impact of a skill-oriented continuing education program
8 Citations1994Julie G. Nyquist, Audrey Naylor +2 more
Australian and New Zealand Journal of SurgeryUNDERSTANDING THE OBJECTlVE STRUCTURED CLINICAL EXAMINATION
5 Citations1995Arthur I. Rothman
There is a large and still growing body of related literature and many presentations about this assessment approach are given at medical education conferences, and currently, there appears to be general acceptance of the legitimacy of this assessment approaches.
BMJExtending Primary Care: Polyclinics, Resource Centres, Hospitals-at-Home
3 Citations1996Chris van Weel
The development of primary care-led health care continues, building on the experience of the past decades, though it is only fair to emphasise that Dutch general practice traditionally reached beyond the core of medical care facilities.