Studies in five senior medical school classes at Southern Illinois University investigated whether using multiple standardized patients to simulate the same case in postclerkship medical student evaluation affects the measure's reliability. Results of three studies show little or no effect on reliability of total, checklist, or written test…

A study using five Southern Illinois University senior medical school classes (n=350 students) investigated whether having a standardized patient simulate a case repeatedly in postclerkship medical student evaluation affects the measure's reliability. Results suggest that repeated simulation had little or no effect on intercase reliability of…

Analysis of 61 inpatient medical writeups by 23 third year medicine clerks found smoking history notations in 74 percent but quantification of exposure much less commonly. None detailed patient addiction or willingness to quit, or included smoking cessation in the patient plan. Students' smoking assessment and cessation skills are seen as poorly…

A Finnish university medical school precedes its cadaver dissection course with lectures on death, dissection, and psychological response. Student surveys reveal that the lectures have created an awareness that has helped them through difficult situations and prevented dissipation of energy through emotional reaction. Long-term benefits are also…

A study of 54 first-year Marshall University (West Virginia) medical students found that a preventive cardiology curriculum improved both knowledge of and attitudes about preventive cardiology in general and on all 4 subscales (epidemiological evidence, risk factor characteristics, pathophysiology, primary interventions). (Author/MSE)

In cases where private medical practitioners volunteer as preceptors in medical clerkships, standardizing and evaluating the learning experience is a concern. A study investigated the effectiveness of feedback to the volunteer teachers as a means of improving instruction in identified deficiency areas. Results indicate some problems persist.…

A study compared evaluations by tutors and independent reviewers of 11 medical students with negative performance evaluations and a control group of 21. Results indicated the grading system did detect specific student problems, but independent reviewers identified more problems and identified them earlier than did tutors. Concern is expressed…

A study evaluated differences between subjects at three levels of expertise in acquiring and using information obtained from a patient during the clinical interview. Five endocrinologists, five residents, and five students interviewed a volunteer patient and provided differential diagnoses. Differences were found in diagnostic accuracy,…

A 5-year study investigated the effect of training on question-asking skills of 42 licensing examiners in orthopedic surgery. Results indicate that a three-hour training session resulted in examiners' asking many more open-ended and/or problem-solving questions, suggesting the effectiveness of the training program. (Author/MSE)

Interviews with faculty in seven problem-based medical school curricula concerning use of student-generated learning issues found that uses of such issues have evolved in terms of content definition, direct examination planning, student evaluation, and curriculum review. Results also suggest these curricula may encourage development of…

A study evaluated the design and implementation of 10 interactive videodisc instructional modules on neuropathology used in medical instruction at Michigan State University. It investigated levels of student acceptance of the modules, ways in which modules accommodated different learning styles, and modules' facilitation of higher order learning…

A survey of 129 medical residents in an urban teaching hospital revealed a general lack of knowledge about computers, although most had used a microcomputer. Students were most likely to be able to use word processing (73%) and bibliographic retrieval (71%) programs. Better access to and training for computer use are recommended. (Author/MSE)

A University of Washington medical faculty survey identified 43 psychomotor skills deemed essential for physicians by over 60 percent of respondents. A committee of clerkship directors refined the list to 28 skills that should be required for graduation. The data are used to specify educational objectives and design tests. (Author/MSE)

The use of patient encounter recordkeeping systems in four medical programs at three universities (Case Western Reserve University, Ohio; University of Colorado; and University of Rochester, New York) is described and compared. Uses for curriculum evaluation and development, psychometric uses, and administrative issues are discussed. (MSE)

A study at the Albert Einstein College of Medicine (Yeshiva University, New York) has identified students from each medical class with previously unidentified learning disabilities. In three case studies, the importance of early identification and support is illustrated. In each case, dramatic improvement occurred with student awareness and…