Purpose This study explored factors that contribute to objectivity in objective structured clinical examinations (OSCEs). The authors quantified the effect of examiners on interrater reliability and separated this from station construction, determined objectification validity, examiner may reliability. Method Data came examiners' mark sheets four annual OSCEs (1997–2000). were conducted identically simultaneously at three sites, within University Otago medical school New Zealand, with two...

Medical training as a process of professional socialization has been well explored within the fields medical education, sociology and anthropology. Our contribution is to outline bio-power, more specifically an anatomo-politics, education. The current research aimed explore perspectives on what commonly termed 'hidden curriculum'. We conducted interviews with pre-clinical students, clinical teachers educators New Zealand school. In this paper, we ways that respondents described juxtaposition...

This paper reports observational research of Fourth Year medical students in their first year clinical training doing surgical attachment. Previously, the authors have argued that curricula constitute normalising technologies self aim to create a certain kind doctor. Here, they argue key mechanism through which these are exercised workplace is Etienne Wenger's communities practice. In environment identify practice (CoCP) as groups health professionals come together with specific and common...

Programmatic assessment that looks across a whole year may contribute to better decisions compared with those made from isolated assessments alone. The aim of this study is describe and evaluate programmatic system handle student results aligned not only learning remediation, but also defensibility. key components are standards based assessments, use "Conditional Pass", regular progress meetings. new described. evaluation on years 4-6 6-year medical course. types concerns staff had about...

This article describes a simulated General Practice clinic for medical students, which incorporates specific features to aid learning of clinical problem solving.We outline the overall objectives simulation, explain concept, and describe how works. The is novel in that it utilises outcomes as measures student success consultation. There are no time restrictions on Students unobserved have open access information telephone advice from senior colleague.The achievement case-specific assessed by...

Aims and objectives To understand how a vision of care is formed shared by patients the primary professionals involved in their care. Background achieve best health outcomes, it important for those who them to have mutual understanding about what patient everyday life why, necessary realise this vision. Shared or team does not necessarily translate consistent integrated approach patient's An individual network clinical lay participants can be conceptualised as own ‘Community Clinical...

We describe the three stages of our attempt to predict parenting problems and child abuse antenatally. In first stage, we made an intuitive check list ten items from 173 risk factors drawn literature. The was useful in predicting who would relinquish care or have major difficulty two different samples four years apart before after some sociocultural changes New Zealand. second stage used statistical techniques rather than intuition maximise predictive ability checklist produced a new one 9...

This New Zealand study used focused ethnography to explore the activities of communities clinical practice (CoCP) in a community-based long-term conditions management program within large primary health care clinic. CoCP are informal vehicles by which patient was delivered program. Here, we describe as micro-level moral economy values such trust, respect, authenticity, reciprocity, and obligation circulate kind capital. As taxpayers, citizens who become patients credited with capital because...

One-third of a class students was inadvertently given the names stations immediately prior to an OSCE and two-thirds were not.This provided opportunity explore student perceptions fairness any effect this cueing. The subjects medical undertaking end fifth year multidisciplinary OSCE. score data from 20 who had received information compared with those 40 did not.We also their performance on other assessments determine whether two groups comparable. overall mark not significantly different...

Burgeoning numbers of patients with long-term conditions requiring complex care have placed pressures on healthcare systems around the world. In New Zealand, are increasingly being managed within community. The Community Clinical Practice concept identifies network carers an individual patient whose central participants share a common purpose increasing that patient's well-being. We conducted focused ethnography nine communities clinical practice in one general setting using participant...

There is renewed attention to the role of social networks as part person-centred long-term conditions care. We sought explore benefits 'care maps' - a patient-identified network map their care community for health professionals in providing care.We piloted maps with 39 patients three urban and one rural general practice two hospital wards. interviewed (n = 39) these about what value, if any, added patient analysed professional interview data using thematic analysis identify common...