A multimethod approach was used to investigate the validity and reliability of two clinical simulation tests (CST). Test subjects included nurses, physicians, medical students, and nursing students. Results indicate both CSTs appear to have a valid content and proficiency scores appear to discriminate between groups of subjects. The scores are…

Literature relating to continuity of medical care, including efforts to teach it to medical students is reviewed, and a University of Washington family medicine preceptorship for teaching continuity is described. An evaluation of the program, which places students with physicians so they can follow the care of a family, is presented. (Author/JMD)

Argues that more attention must be given to helping medical students who have personal experience with family violence cope with both their own emotional needs and their responses to patients who are victims of violence. Medical schools might consider implementing training sessions on physical, psychological, and emotional self-care and…

A discussion of the influence of finances on students' decisions to enter medicine or pursue low-paying careers in primary care or clinical investigation looks at three factors: medical school costs, the magnitude of student indebtedness, and the effects of indebtedness on career choice. (Author/MSE)

This 1988-89 survey of 319 students in the medical, dental, nursing, and allied health-care professions revealed that over one-third had reservations about treating AIDS (Acquired Immune Deficiency Syndrome) patients. Unwillingness to treat AIDS patients was strongly associated with homophobic attitudes. Education should emphasize methods for the…

This study compared the learning attitudes of 131 undergraduate medical students enrolled in sections of a course that used a problem-based learning (PBL) approach with 120 students enrolled in sections using conventional teaching methods. Student surveys indicated that the PBL course experience was perceived as a personally more meaningful…

Study of 24 University of Western Ontario graduate medical students investigated changes in clinical confidence among those starting in a family practice center and those starting in a hospital. No difference was found in overall confidence levels at any time, although some topic-related confidence levels differed at some stages. (Author/MSE)

This study examined self-assessments of 40 medical residents and competence expectations of 4 primary care internal medicine faculty and 10 medical specialty faculty. Specialty faculty members reported higher expectations for diagnostic performance than did faculty in primary care. Involvement of residents and faculty members in developing…

A study was conducted to assess the effect of station position in a multiple-stations performance-based examination administered to 127 senior medical students. There was no evidence for a sequence effect on student performance, with no improvement on scores awarded for standardized cases across successive cases in the examination. (SLD)

Evaluation procedures and standards for a sound, strong evaluation process for medical residents are described, criteria for academic probation and due process when a resident is performing unacceptably are proposed, and the medical school administration's role in evaluation is examined. Statistics on dismissal of graduate medical students are…

Black, White, and Hispanic medical students are compared in terms of their social supports and personality resources and mental health status when they entered medical school and after a year of training. When entering school, minority students reported greater social supports, higher self-esteem, lower anxiety, and more internal locus of control.…

The purpose of this study was to assess the effect of organizational changes in the general medicine clinic on residents' and patients' satisfaction, including their perceptions of the quality of care. Questionnaires to assess satisfaction were administered to the residents (N=80) and patients (N=577) using a pre- and posttesting design. (MLW)

A study examined differences in the clinical teaching of 21 medical residents and 19 attending physicians in 2 settings: inpatient care and lectures. Results indicated that ratings were generally similar for the two groups, but setting was a significant source of variance. Self-assessments were similar. Implications for instruction are discussed.…

Lists ten ways in which having medical students in the community physician's office can be of value to preceptors, including providing valuable but time-consuming patient services, following up on phone calls, providing computer skills, performing minor office procedures, reviewing medical records, helping with paperwork, stimulating preceptor…

In a problem-based curriculum, students generate learning issues that are the guidelines for individual study. This study investigates the essential characteristics of learning issues and the importance they have in each year of training. Findings indicate that a useful learning issue contains a keyword that demarcates the content of a topic to be…