Objective: This article evaluates the impact of establishing extensive continuity clinics on a psychiatry residency training program. Method: The PGY-2 , -3, and -4 residents completed a 15-item attitude survey, and patients were surveyed for their satisfaction. Results: The residency survey revealed increasing satisfaction with the continuity…

Objective: Several conspiring factors have resulted in an increase in the level of medical burden in psychiatric patients. Psychiatry residents require increasing levels of medical sophistication. To assess the medical decision-making of psychiatry residents, the authors examined the outcome in subjects initially seen in the emergency psychiatric…

The resource manual provides guidelines and resources for individuals interested in integrating a substance abuse curriculum into existing programs for medical students and residents in internal medicine. Materials and resources appropriate for practicing physicians are also included. Three sections are: (1) a statement of minimum knowledge and…

A survey of one medical school's freshmen, internal medicine residents, and full-time faculty asked for opinions concerning (1) the value of trying to modify patients' health-related behaviors in 22 areas and (2) their own preparedness to counsel patients in those areas. (MSE)

To improve clinical teaching, simple and consistent expectations for the learning performance of students, residents, and attending faculty members will suffice. Comprehensive bedside teaching permits the educational and evaluative loops to occur. Excessive focus on details, regimentation, national guidelines, and long lists of goals and…

The evolution of clinical knowledge about the management of a common chronic disease was determined by applying analysis of variance and multiple discriminant analysis to responses on two patient management problems by groups of junior medical students and internal medicine residents. The applying analysis of variance and multiple discriminant…

Medical school faculty cite the fear of litigation as a reason for their reluctance to offer candid evaluations of students' and residents' performances and to dismiss them when necessary. Three legal issues are addressed: fair and equitable treatment, due process, libelous and defamatory performance evaluations, etc. (Author/MLW)

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)

Aim: To determine the influence of metacognitive activities within the PBL tutorial environment on the development of deep learning approach, reduction in surface approach, and enhancement of individual learning self-efficacy. Method: Participants were first-year medical students (N = 213). A pre-test, post-test design was implemented with…

Overlaps with one's interlocutor in the choice of words are called lexical entrainment. This article looks at accounts for these overlaps in word use. The question addressed is the extent to which the word use of the addressee, as opposed to available words from other sources, has a special impact on experts' choice of words. A laboratory…

An accepted gold standard for measuring change in participant behavior is third-party observation. This method is highly resource intensive, and many small-scale evaluations may not be in a position to use this approach. This study was designed to assess the validity and reliably of aggregated group self-assessments as one way to measure workshop…

The article presents the results of a study on the association between exposure to family violence (i.e., witnessing interparental violence and experiencing parental violence) during childhood and adolescence and adult posttraumatic stress disorder (PTSD). The study was conducted among a self-selected convenience sample of 476 students from Sri…

Educators must often decide how many points to use in a rating scale. No studies have compared interrater reliability for different-length scales, and few have evaluated accuracy. This study sought to evaluate the interrater reliability and accuracy of mini-clinical evaluation exercise (mini-CEX) scores, comparing the traditional mini-CEX…

Objectives: The authors reviewed medical student encounters during 3 years of a required psychiatry clerkship that were recorded on a web-based system of six broad competency domains (similar to ACGME-recommended domains). These were used to determine diagnoses of patients seen, clinical skills practiced, and experiences in interpersonal and…

The objective of this paper is to draw attention to four features that distinguish the pedagogy of patient interviewing from the teaching of other clinical skills: (a) students are not naive to the skill to be learned, (b) they encounter role models with a wide variability in interviewing styles, (c) clinical teachers are not usually specialists…