British journal of medical education最新文献

A new approach to medical textbooks has been applied by a team comprising a publisher, educationalist, and subject specialist. The binding of the book can be opened so that additional material can be added and the pages rearranged. Illustrations are printed on separate sheets so as to be available for study at any point in the text. An interdisciplinary approach has been adopted throughout and each section of the book examines the subject from a different viewpoint, for example, a disease, a clinical presentation, or an approach to therapy. An important feature is the separation of core material from additional material. Layout and design have been used to facilitate learning and to make possible the use of the book for reference and revision.

The performance outcomes of a course in anatomy based on the use of specific behavioural objectives and group discussion techniques have been followed up over a period of 21 months. At the end of this time attrition of knowledge averaged 17-5% of the original performance. 72% of students still performed at better than pass level. Performance levels on retest were significantly associated with original levels of performance and were significantly better in respect of items 'reinforced' by subsequent teaching in other subjects. It is suggested that the performance on retest also reflected the nature of the original course, which was dependent on the use of general and specific behavioural objectives and on active learning methods using group discussion techniques.

The simulated tutorial is a method for selecting medical students by their performance in a small problem-solving group, currently being tested at McMaster University. Four hundred and thirty-two applicants were randomly allocated to groups consisting of 5 or 6 members, assigned a group leader, and asked to work through two unstructured problem situations in a 50-minute session. Assessors, seated behind a one-way mirror, evaluated applicants according to their abilities to relate to their peers, to function in the group, and to define issues in the problem situations. Feedback from the assessors and applicants suggests that the simulated tutorial is potentially useful as a selection tool. All assessors thought they were able to evaluate the 5 or 6 applicants in the group in the time provided. Nearly 80% of the applicants who anonymously returned questionnaires felt they were able to express themselves during their simulated tutorial. The data also suggest that applicants with experience in small groups and applicants previously rated as having outstanding 'personal qualities' are given higher ratings than other applicants. A validation study of the simulated tutorial, comparing individual's scores with evaluations of performance in tutorial groups in the undergraduate M.D. programme, is currently in progress.

Programmed audio tape/slide presentations have been presented to students by a variety of methods, (a) individual or pairs of students using automatic equipment in study booths; (b) students using simple portable equipment in or out of the learning centre; (c) groups of students in which discussion was encouraged; and (d) groups of students in which the student answered the questions individually without discussion. Each method has its advantages and disadvantages. With the exception of the groups without discussion, all were popular and chosen by a significant number of students as the method of choice. Automatic equipment in study booths was the most popular single method though the use of simple portable equipment had particular advantages. The majority of students prefer to have access to more than one method of presentation and attempts should be made to provide the learner with a variety of opportunities. The use of individual learning materials by groups of students should be further explored.

Psychiatry is failing to recruit sufficient British graduates, reflecting a decline over the past 10 years in the proportion of medical students who are contemplating a career in psychiatry, and there are indications that the specialty is not getting its fair share of the best graduates. By a further analysis of the 1969 follow-up of a sample of the medical students surveyed by ASME in 1961 an attempt was made to compare the undergraduate record of trainee psychiatrists with doctors in other specialties. Interesting information on matters such as medical schools, work settings, and reading habits has emerged but the central question of the quality of psychiatrists remains unanswered. Further investigation, for example, medical students' attitudes to a career in psychiatry, is necessary as a preliminary to any recommendations to improve recruitment to the specialty.