Simulated clinical problems present the student with the description of the patient and his chief complaints and then require him to undertake a diagnostic work-up and make decisions regarding the management, therapy and follow-up of the patient. (Author)

A clinical decision-making simulation that helps students understand the relationship between psychosocial factors and medical problem-solving is described. A group of medical students and one faculty member comprise a selection committee to agree on the order in which four patients will be selected for renal dialysis. (MLW)

A series of simulated patient experiences were presented to two groups of five students concurrently with a regularly scheduled integrated course in neuroscience. Results showed increased motivation, problem solving, and self-study skills in the experimental groups as compared to the control groups, which were also enrolled in the neuroscience…

A description, reanalysis, and critique of a selected portion of data reported by Elstein and colleagues is reported. Data from the study of medical diagnosis using three simulations are evaluated in terms of technical properties and consistency with a psychological model of diagnostic inquiry proposed by the researchers. (MLW)

An exercise was devised at the Middlesex Hospital Medical School, London, to facilitate medical students' ability to discuss death and dying with cancer patients. Students begin with a written situation to problem-solve and then move into pairs and groups to reach a consensus and discuss the problem. A videotaped simulation is also used. (JMD)

The Portable Patient Problem Pack (P4), a method of simulating a patient's problem in a card deck format, is designed to develop the student's problem-solving or diagnostic skills in a manner consistent with the skills of the practicing clinician. Its effectiveness at McMaster University is reported. (LBH)

A computer program developed at the University of Pennsylvania School of Medicine presents simulated patient cases and then scores participants' clinical problem-solving in the cases by comparing their performances with those of faculty members. The validity and reliability of this evaluation system was investigated. (Author/MLW)

A problem-based continuing medical education program to improve the diagnosis and treatment of alcoholism by primary care physicians used a computer-simulated patient, individualized feedback, and a follow-up reading. Participating physicians felt the program improved their performance, but the results could not be substantiated. (MSE)

The key faculty teaching skills needed at McMaster University are those of facilitating problem-based, self-directed learning in small groups. A series of interdisciplinary workshops, offered to the school's medical faculty and to faculty from other health sciences centers to help them improve their skills, allows for direct observation, practice,…