In this article, the authors review 15 studies that compare various educational outcomes of problem-based, community-oriented medical curricula with those conventional programs. The data suggest problem-based provide a student-centered learning environment and encourage an inquisitive style in their students as opposed to rote memorization short-term strategies induced by education. addition, schools appear influence career preferences students. few available show significantly larger...

One-quarter of practicing physicians in the United States are graduates international medical schools. The quality care provided by doctors educated abroad has been subject ongoing concern. Our analysis 244,153 hospitalizations Pennsylvania found that patients who graduated from schools and were not U.S. citizens at time they entered school had significantly lower mortality rates than cared for or received their degrees abroad. patient population consisted those with congestive heart failure...

The Step 2 Clinical Knowledge (CK) examination of the United States Medical Licensing Examination sequence is a requirement for certification international medical graduates (IMGs) by Educational Commission Foreign Graduates. An association between scores on test and quality care later provided those who take it central to its use in licensure. purpose this study was determine whether there relationship CK patient outcomes IMGs.This retrospective observational 60,958 hospitalizations from...

To establish the impact of transplantation on course chronic hepatitis B liver disease we performed a prospective study clinical and pathological sequelae in all 22 patients who had renal allografts that functioned for more than 1 year were surface antigen (HB Ag)-positive following transplantation. No patient converted to HB Ag-negative. During mean follow-up 83 months serial biopsies 20 biopsy was available remaining 2 patients. Eleven died disease, 5 whom hepatic failure, 3 with hepatoma,...

A prospective study of the clinical and pathological sequelae hepatitis B disease in 22 immunosuppressed renal transplant patients is reported. All had allografts that functioned for more than 1 year, all were surface antigen (HBsAg)-positive following transplantation. None 18 who serial HBsAg tests converted to negative. Serial liver biopsies performed 19 one biopsy was available remaining three patients. Follow-up ranged from 12 93 months. Seven ultimately developed cirrhosis, 6 chronic...

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The development of the Best Evidence Medical Education (BEME) Collaboration is introduced in context other systematic review initiatives, specifically Cochrane and Campbell collaborations. commentary addresses two goals: to describe current status BEME situate broader medical education community's need be accountable, conduct research understand educational processes results, key role that must play within quality-improvement agenda. Lessons drawn from evidence-based practice movement last...

Medical Education 2011: 46 : 13–20 Context The concept of outcomes has been used in health care for over 140 years. use assessing quality regained prominence the 1960s based on Donabedian’s framework structures, processes and outcomes. In 1990s, medical education gained great favour, although were not carefully defined. Recently, a debate ensued about costs and, thus, sustainability current programmes, focusing (non‐)necessity services, missed prevention opportunities efficiency treatment...

This article examines the research evidence supporting relationships between both personal and social factors career choices of physicians in training. Although literature this area is limited by a lack longitudinal studies, dependence on cross‐sectional designs, multivariate investigations, data support each following areas: sociodemographic characteristics student, student personality attitudinal variables, institutional medical school, specialty training programs, information available to...

Log in or Register Subscribe to journalSubscribe Get new issue alertsGet alerts Enter your Email address: Wolters Kluwer Health may email you for journal and information, but is committed maintaining privacy will not share personal information without express consent. For more please refer our Privacy Policy. eTOC Secondary Logo Journal All Articles Images Videos Podcasts Blogs Advanced Search Toggle navigation Login & Issues Current IssuePrevious IssuesPublished Ahead-of-Print Collections...

As part of the restructured undergraduate medical curriculum at McGill Medical School, a return to basic sciences was introduced in students' final year. This follows completion formal portion their clinical education. paper describes this unique science programme including rationale behind change and effects on student learning, attitudes towards programme. Final-year students 1978 1981 were tested educational attitudinal variables. Data collected using achievement tests, questionnaires...

Using questionnaires, the students of 1981 graduating class from McGill's Faculty Medicine were investigated for their perceptions nature clinical instruction and roles consultant, resident intern staffs during clerkships in medicine, paediatrics surgery. Personal student diaries used to assess time spent on various activities. The results indicated that perceived learning be different three disciplines, with acquisition skills (technical problem-solving skills) greater medicine surgery than...

Context There is an apparent contradiction between the findings of studies indicating that patient outcomes are better when physicians have a greater volume practice and those find to be worse with increased time since training, which implies volume. Objectives This study was designed estimate adjusted relationships physicians' characteristics, including recent medical school graduation, outcomes. Methods retrospective observational based on all Pennsylvania hospitalisations over 7 years for...

During the past decade field of clinical assessment has demonstrated a clear move away from dependence on pencil and paper tests multiple-choice format as measures predicting competence to assessing what physicians do in real world practice.¹This change is reflected orientation numerous conferences newer approaches assessment.^2-5 See also p 735. Among many reasons for this shift are increasing feasibility administering large-scale, multicenter performance documented...

This report explores the movement of physicians to, from, and within Canada identifies recurring patterns migration. The primary position is that physician part reality both internationally Canada, Canadian-trained creates a need for international medical graduates (IMGs) in "physician-losing" locations. report's argument based on data retrieved from public sources aggregate practice analyzed migration patterns. In addition, literature was reviewed factors affecting being...

Although there are several studies of the human and system factors that influence outcomes cardiac surgery, it remains difficult to draw conclusions because many do not simultaneously adjust for characteristics patients, physicians, institutions. The current study explores associations between these inhospital mortality, with a particular focus on whether patients had same operating attending physician.This is retrospective observational 114,751 hospitalizations from 2003 2009 in...

In an era of increasing professional accountability, there is a need for both medical educators and licensing bodies to identify attributes expected graduates. Once these are identified, must translate them into meaningful learning objectives. Because in many countries the process defining (or have defined) competencies their graduates, review conceptual basis writing curricular examination objectives relevant constructive. The authors compare principles model identifying educational those...

Introduction Increasing attention is being directed towards finding ways of assessing how well doctors perform in clinical practice. Current approaches rely on strategies at individuals only, but, real life, doctors' work characterised by multiple complex professional interactions. These interactions involve different kinds teams and are embedded within the overall context systems care. In addition to individual factors, therefore, we propose that performance health care will also impact...