What lies beneath the formal or overt curriculum may impair students' professional growth and development, including their ability to foster genuine relationships with patients and others, and may contribute to the inadvertent, often negative attitudes, beliefs, and behaviors expressed by medical students and witnessed by educators within and…

To evaluate whether formally trained geriatricians remain in the field of Geriatrics, and to determine their job satisfaction and perceived quality of life, we surveyed the 107 fellows trained over the last 25 years in one accredited geriatric program. Of the 88 physicians who consented to participate, 75% devoted at least half of their practice…

The introduction of a clinical skills examination (CSE) to Step 2 of the U.S. Medical Licensing Examination (USMLE) has focused attention on the design and delivery of large-scale standardized tests of clinical skills and raised the question of the appropriateness of evaluation of these competencies across the span of a physician's career. This…

Introduction: Fixed Learning Module (FLM) adopted in pathology teaching to medical undergraduates, encompasses exhibition of potted specimens and charts. Though it is an important teaching method it also has its limitations. Aim: To create an alternative method for teaching pathology using web based, interactive computer technology [i.e.,…

Interactive Simulated Patient (ISP) is a computer-based simulation tool designed to provide medical students with the opportunity to practice their clinical problem solving skills. The ISP system allows students to perform most clinical decision-making procedures in a simulated environment, including history taking in natural language, many…

To address the critical problem of inadequate physician supply in rural British Columbia, The University of British Columbia (UBC) launched an innovative, expanded and distributed medical program in 2004-2005. Medical students engage in a common curriculum at three geographically distinct sites across B.C.: in Vancouver, Prince George and…

Understanding the relevance of basic science knowledge in the determination of patient assessment, diagnosis, and treatment is critical to good medical practice. One method often used to direct students in the fundamental process of integrating basic science and clinical information is problem-based learning (PBL). The faculty facilitated small…

This study compared the diagnostic performance of 612 second-, third-, fourth-, fifth-, and sixth-year students from three Dutch medical schools who were educated in either a problem-based, an integrative, or a conventional curriculum. The students were presented with 30 carefully selected clinical cases to diagnose. The study found that, overall,…

In an era of spiraling costs, librarians must carefully assess literature use among their patron groups when making decisions on selection, deselection, and storage of journals. A citation analysis was conducted using a group of 52 papers submitted by research physicians at the Summa Health System (Akron, Ohio) for a research award competition…

The traditional medical curriculum and internships must be supplemented by standardized teaching modalities, such as computer-assisted instruction using patient simulators. A patient simulator is defined as a representation of a clinical situation in which an individual conducts the diagnosis and management of a patient. Advantages include…

This study investigated the characteristics of Computer-based Case Simulations (CCS) that may be associated with case difficulty. Difficulty was defined as the average rating by physicians of examinee performance on a nine-point scale or the passing rate on the cases. Two data sets were used, one from an administration of 18 cases to 201 medical…

A method is presented for collecting information about the match between students' learning issues in problem-based learning and teachers' objectives. Subjects were 82 second-year medical students at the University of Limburg in Maastricht (Netherlands) in a problem-based curriculum. During a unit on pregnancy, childbirth, and child development,…

This paper reports on how factors related to students' impending graduate medical education (GME) influenced the design of their individual curricula in an alternative medical education program. Ten students of the Independent Study Program (ISP) of the College of Medicine at Chicago/University of Illinois participated in the study through…

Previous research has shown that, unlike novice physicians' performance, diagnostic quality of expert physicians improves when contextual information (the "Enabling Conditions") about a patient is available. The present study was designed to explore these findings further by systematically varying the typicality of enabling conditions…

Studies in psychology and clinical decision making have shown that research subjects and physicians are often overconfident in the accuracy of their judgments. In these studies, groups of 20 first-year and 27 third-year osteopathic medical students at the Ohio University College of Osteopathic Medicine (Athens) were slightly underconfident in…