Over the past ten years University of New Mexico School Medicine has conducted an educational experiment featuring learner-centered, problem-based, community-oriented learning. The was introduced into established institution by means innovative track running parallel to more conventional curriculum. Students in track, compared with those tract, tended score lower on National Board Medical Examiners (NBME) Part I examination (basic sciences) and higher NBME II (clinical sciences), received...

The world of medical education is more complex than ever and there seems to be no end in sight. Complexity science particularly relevant as embraces a movement towards authentic curricula focusing on integration, interactive small-group learning, early sustained clinical community experiences.A school whole, the expression its curriculum through interactions, exchanges learning that take place within outside it, system. science, derivative natural sciences, study dynamics, conditions...

At some medical schools broader definitions of scholarship have emerged along with corresponding changes in their academic reward systems. Such situations are not common, however. The definition generally applied by is unnecessarily narrow and excludes areas legitimate activity productivity that vital to the fulfillment school's educational mission. authors maintain creative teaching effectiveness rigorously substantiated, leadership results demonstrable broadly felt, methods advance...

The increased interest, in North America and around the world, problem-based community-oriented medical curricula has sparked interest evaluation of these innovative programs. In January 1989, Josiah Macy Jr. Foundation sponsored a conference to consider designs for studies potential distinctive outcomes that might be foci studies. After defining an “innovative curriculum,” participants identified seven characteristics “important studies,” particularly endorsing compare as whole entities....

BACKGROUND. Problem-based learning curricula are growing in popularity, and questions have been raised about the appropriateness of standardized examinations, such as National Board Medical Examiners (NBME) Parts I, II, III for assessing students these new curricula. METHOD. Data on students' performances NBME I were analyzed 508 graduates conventional track 167 problem-based Primary Care Curriculum (PCC) at University New Mexico School Medicine from classes 1983–1992; 447 144 graduates,...

Performance of 130 graduates in residency from a community-oriented, problem-based medical curriculum, and parallel, conventional track, were compared on eight dimensions: knowledge, communication with patients, independent learning ability, teamwork, patient education, critical thinking attention to health care costs, self-assessment. Ratings obtained three evaluators: doctor-supervisor, nurse the resident him/herself. The study was undertaken identify differences between two curricular...

PURPOSE: To survey graduates in practice from the first four classes of University New Mexico School Medicine's (UNMSOM's) parallel curricular tracks, and compare data about graduates' patterns, learning behaviors, satisfaction with profession medicine. METHOD: Between 1979 1993, UNMSOM had two tracks for years medical school: a conventional track Primary Care Curriculum (PCC), community-oriented, problem-based track. In 1990, was conducted 140 (1983-1986) who completed their postgraduate...

While there are many examples of evaluations faculty development programs in resource rich countries, evaluation transnational for from developing countries is limited. We describe the effects FAIMER Institute, an international health professions education fellowship that incorporates not only content, but also leadership and management topics and, addition, strives to develop a sustained community educators. Data were obtained via retrospective pre/post surveys, as well interviews. Results...

Little is known about how medical educators perceive their own expertise, needs and challenges in relation to education.To survey an international community of with a focus on: (1) (2) need for training (3) perceived challenges.A web-based comprising closed open free-text questions was sent 2200 persons on the mailing list Association Medical Education Europe.Of invited participate, 860 (39%) from 76 different countries took part survey. In general, reported areas expertise mainly comprised...

The emergence of innovative curricula provides unique opportunities to examine how a modification in the learning environment might influence stress and attitudes among students medicine. In 1979, University New Mexico School Medicine implemented problem‐based, community‐oriented, student‐centered curriculum that runs concurrently with larger traditional track. This longitudinal investigation compares perceptions distress toward these two tracks. Symptom Questionnaire Learning Environment...

Summary. It is generally accepted that teachers' salaries are a major factor in the cost of medical education. Little known about effects curriculum on teaching time. A comparison time devoted to each two different education curricula presented. In traditional teacher-centred, subject-oriented curriculum, 61% total effort expended by twenty-two teachers took place absence students, i.e. preparation for student contact. Only 39% these presence students. problem-based, student-centred which...

Medical education research in general is a young scientific discipline which still finding its own position the range. It rooted both biomedical sciences and social sciences, each with their language. A more unique feature of medical (and assessment) that it has to be locally internationally relevant. This not always easy sometimes leads purely ideographic descriptions an assessment procedure insufficient lessons or generalised knowledge being generated vice versa. For educational research,...

The study of health professions education in the context complexity science and complex adaptive systems involves different concepts terminology that are likely to be unfamiliar many educators. A list selected key terms definitions from literature is provided assist readers navigate familiar territory a perspective.include agent, attractor, bifurcation, chaos, co-evolution, collective variable, systems, science, deterministic dynamical system, edge emergence, equilibrium, far fuzzy...

This chapter reflects upon the collective experiences of eight schools participating in Robert Wood Johnson Foundation's "Preparing Physicians for Future: A Program Medical Education," highlighting lessons learned over five years program. The authors set context and give a short history They discuss ways which processes change occurred at schools, commenting on issues leadership, governance, communication, faculty development, integration, instructional methods, student assessment, program...

To assess the integrity of pituitary-gonadal axis in perinatal period and infancy, fetal infant male monkeys (n = 22) were challenged with synthetic hypothalamic gonadotropin-releasing hormone (GnRH) between 130 days gestation 1 yr after birth. LH testosterone responses measured. Intravenous administration either 10 or 50 μg GnRH to catheterized fetuses utero resulted a mean increase 857 ± 494% (SEM) 69 28% above basal levels. During 4 delivery, 3–10 (10–20 μg/kg) stimulated similar rises...