Describes the method and principles, including the clinical presentation model, used by the Medical Council of Canada in developing goals for the education of medical students. Outlines basic steps in developing the curriculum and examination objectives from identifying attributes through deducing learning objectives from practice-related…

Explored how primary care clinician-teachers actually attempt to convey empathy to medical students and residents. Found that they stress the centrality of role modeling in teaching, and most used debriefing strategies as well as both learner- and patient-centered approaches in instructing learners about empathy. (EV)

An Oregon program is described in which physicians in training are incorporated into a faculty private practice clinic. The model encourages efficiency, overhead control, and appropriate staffing; it also provides a useful learning experience in the ambulatory care setting and compensates faculty members for their additional time spent teaching.…

This survey of 67 university and 172 nonuniversity teaching hospitals in Japan found that many of the residents, especially in the university hospitals, received no experience in basic clinical skills during their 2-year residencies. Possible explanations for this lack are offered, and the need for improved training in basic clinical skills is…

A study compared the effectiveness of two methods of teaching clinical breast examination: standardized teaching from family medicine faculty or well women teachers (n=54 first-year students) and unstandardized teaching during clinical rotations (n=70 second-year students). The standardized-teaching group had more consistent techniques, higher…

A study compared the productivity and patient-care revenues of clinical teaching faculty and their nonteaching physician counterparts over two years. Productivity was reduced by 30-40 percent when teaching, and revenue lost reached as high as $24,000 per student taught. Implications for ambulatory-care delivery system planning are discussed.…

A study compared the costs of a six-station structured oral examination and an objective structured clinical examination (OSCE) for a surgery clerkship, assessing both faculty and materials costs. The OSCE was found to be more time consuming and expensive. Cost-cutting measures and guidelines to assist medical schools in selecting test type are…

A survey of 61 teaching hospitals concerning mechanisms for clinical evaluation found about a third had clinical evaluation units, primarily supported by hospital administrations rather than medical school deans. Eighteen respondents had clinical evaluation activities integrated into the medical staff hierarchy and dispersed throughout departments…

A new instrument used at Cornell University (New York) for measuring the teaching activities of clinical medical faculty quantifies levels of teaching and allows comparison of diverse teaching activities, complementing qualitative measures of teaching. Units of activity are weighted to calculate their relative value. (MSE)

A study investigated observable differences in results, not attributable to student competence, in administrations of the same 16-station clinical skills screening examination (Ontario International Medical Graduates Program) to approximately 200 foreign medical graduates and University of Toronto fourth-year medical students. Results indicated…

A study investigated medical residents' perceptions of the important components of the clinical teacher's role, and possible differences in first- and third-year residents' perceptions, based on comments written on 268 residents' evaluation forms of 490 teachers. Results suggest this methodology is useful and contributes to definition of the…

A study investigated the effectiveness of the Stanford Faculty Development program of nine small-group seminars for eight pathology faculty. The seminars were designed to provide teachers with a framework for analyzing teaching and identifying areas for improvement and to provide training in specific teaching skills. Results suggest significant…

An Oregon Health Sciences University medical school experiment adapted the quarterly Objective Structured Clinical Examination, in which medical students interact with standardized patients, to accommodate 23 small groups rather than 94 individual students at each testing station. Results indicated the method favorably influenced students,…

Guidelines for evaluating clinician-educators are based on four forms of scholarship (application, teaching, integration, and discovery) and offer principles for making promotion decisions. These principles include encouragement of diversity, weighting of scholarship types, discipline- and institution-determined criteria, and evaluation of…

Stanford Medical Group, a model group practice in internal medicine, was established at Stanford University (California) within the academic medical center. Clinical faculty status was raised by developing a separate faculty track for the practice. The approach has been well-received and successful in attaining training and patient care goals.…