A study documented the practices of 14 peer-nominated medical educators who conduct faculty development programs in ambulatory care settings. Results indicate the programs were delivered almost exclusively in workshop format, with great similarities in topics and strategies. Evaluation was generally limited to satisfaction ratings. Makes…

Medical educators debate which models of scientific research should be applied to problems in academic medicine. The reigning model was derived from the first scientific revolution of Newtonian physics. The emerging model is grounded in the second scientific revolution of Einstein's quantum physics. (Author/MSE)

Drawing on principles of reflective thinking and experiential learning, four recommendations are made for improving ambulatory care education for both medical students and residents: (1) plan for experiences in carefully selected ambulatory care settings; (2) facilitate reflective observation; (3) encourage conceptual thinking and inquiry; and (4)…

Describes a survey of 20 distinguished clinical medical teachers concerning episodes of instructional failure that subsequently led to improvement in teaching. Identifies eight common failure types associated with each phase of teaching (planning, teaching, reflection) and respondents' suggestions for improvement for each. Notes that the…

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)

Outlines 13 priority research topics and 51 important research questions concerning medical education in ambulatory care settings, as defined by a distinguished group of medical educators, clinicians, and policymakers. Issues of theory binding, research priorities, and research design are discussed, and policy recommendations made for the…

A 1988 survey of 122 senior medical students and 60 residents at the University of Washington indicated the most important characteristics of ambulatory care teachers were active involvement of learners, promotion of learner autonomy, and demonstration of patient care skills. Environmental factors were not influential. (Author/MSE)

Describes a review of literature from 1966-96 identifying enrichment programs for underrepresented minority pre-college students sponsored by medical schools and affiliated programs. The review found 19 articles describing 27 programs, of which 12 were evaluated. Program design, components, evaluations, and effectiveness are discussed.…

Using information drawn from a study of six distinguished clinical medical teachers, six domains of knowledge essential to quality clinical teaching were identified and incorporated in a model: knowledge of clinical medicine, patients, the context of teaching rounds, learners, general principles of teaching and learning, and case-based teaching…

A comprehensive medical school faculty-development program should include four elements (professional socialization, particularly for new faculty; instructional development skill-building; leadership development; and organizational development) to empower faculty to excel as educators and to create vibrant academic communities that value teaching…

Three effective strategies for case-based teaching in clinical medicine are described: case-bedside teaching involving case discussion and bedside demonstration; a combination of quick case reviews with more formal presentations on relevant topics; and discovery learning using complex cases. Five general principles of experiential learning in…

A study of six distinguished clinical teachers in internal medicine investigated how they made rapid instructional decisions in response to each case presentation in teaching rounds. Results indicated these characteristics: substantial planning before rounds; quick, simultaneous diagnosis of patient problems and learners' level of understanding;…