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Teaching medical students in general practice and quality assurance

Harish Thampy, Michael Bourke, Prasheena Naran
Peer-supported review (also called peer observation) of teaching is a commonly implemented method of ascertaining teaching quality that supplements student feedback. A large variety of scheme formats with rather differing purposes are described in the literature. They range from purely formative, developmental formats that facilitate a tutor's reflection of their own teaching to reaffirm strengths and identify potential areas for development through to faculty- or institution-driven summative quality assurance-based schemes...
September 2015: Education for Primary Care
Inderpreet Kaur, Beverley Lucas
This study explores GP tutor views of a nationally derived list of quality criteria for undergraduate and postgraduate practice-based teaching. Whilst these published criteria provided a means of benchmarking locally, an evaluation of utility in practice required further exploration. This educational evaluation was conducted within a West Yorkshire locality as a means of supporting their practice-based primary care education. A survey approach using an online Likert scaled questionnaire was distributed to all GP tutors with an additional opportunity for free text qualitative comments...
May 2013: Education for Primary Care
Frank Quintana, Nélida L Sarasa, Oscar Cañizares, Yayly Huguet
INTRODUCTION: One reason given by the South African government for establishing a physician training agreement with Cuba is that the ethical, humanistic and solidarity principles promoted in Cuban medical education are difficult to acquire in other settings. However, Cuba's general medical training program does not provide all skills needed by a general practitioner in South Africa: other competencies are required, such as management of general and gynecological or obstetrical surgical emergencies, administration of anesthesia and nursing procedures...
July 2012: MEDICC Review
Marc M Triola, William J Holloway
BACKGROUND: Curricular reform efforts and a desire to use novel educational strategies that foster student collaboration are challenging the traditional microscope-based teaching of histology. Computer-based histology teaching tools and Virtual Microscopes (VM), computer-based digital slide viewers, have been shown to be effective and efficient educational strategies. We developed an open-source VM system based on the Google Maps engine to transform our histology education and introduce new teaching methods...
2011: BMC Medical Education
R B Brauer, J-C Harnoss, J Lang, J Harnoss, R Raschke, S Flemming, U Obertacke, C-D Heidecke, A Busemann
The shortage of surgeons in the operative disciplines field has in recent years further increased. The training of a surgeon and the required lifestyle combined with the work-life balance of the surgeons are perceived as being less attractive, so that young doctors after finishing medical school rarely decide for surgical careers. Changes in the social environment outside of our clinics has resulted in a decline of the social prestige. The modified structural preconditions require a rethinking of the training processes for studying and working conditions in surgery...
February 2010: Zentralblatt Für Chirurgie
Jean-François Chenot, Michael M Kochen, Wolfgang Himmel
BACKGROUND: In Germany, like many other countries, general practice clerkships have only recently become mandatory during medical education. The biggest challenges for the organisation of such clerkships are achieving a minimum level of standardisation, and developing and maintaining a system of quality assurance. The aim of this study is to assess the instructional quality in teaching practices using a benchmark system. METHODS: Before commencing, students anonymously assessed the importance of core aspects of the mandatory primary care clerkship...
2009: BMC Medical Education
Lesley Adshead, Patrick T White, Anne Stephenson
In medical education programmes which rely on clinical teachers spread across diverse sites, the application of peer observation of teaching offers the potential of both supporting teachers and maintaining quality. This paper reports on a questionnaire survey carried out with general practitioner (GP) teachers of medical undergraduate students from King's College London School of Medicine at Guy's, King's College and St Thomas' Hospitals. The aim of the study was to determine GP teachers' views on a proposed programme of peer observation of their teaching...
March 2006: Medical Teacher
A Morin, A C Benhamou, M Spector, A Bonnin, C Debry
The work program of the French Language Virtual Medical University started about 2 years ago, and entered into a real active phase of development and implementation in 2002. Various national programs and organizational initiatives should accelerate and facilitate further appropriation of modem pedagogical approaches by knowledge providers and all users of the FSVMU, so as to advance on the way of virtual education. The French Language Virtual Medical University under the auspices of both the National Conference of Deans of Medical Schools and the International Conference of Deans of French-Speaking Medical Schools has been developed to create a major Internet portal for French-speaking distance medical learning and teaching...
2004: Studies in Health Technology and Informatics
W Himmel, I Kühne, J-F Chenot, N Scheer, I Primas, J Sigle
Effective from spring 2004, new regulations for undergraduate medical education in Germany require a two-week practical training in general practice. Similar to other forms of medical education, this practical training should be regularly evaluated by students. With regard to special conditions of the training, we preferred a web based evaluation. Since adequate models were not available, we designed, implemented and tested an electronic way of evaluation. The following aspects turned out to be of special importance: teamwork, time, data protection and cost...
July 2004: Das Gesundheitswesen
Marc L Rivo, Dean R Keller, Arianne Teherani, Mark T O'Connell, Bruce A Weiss, Simeon A Rubenstein
BACKGROUND AND OBJECTIVES: The Institute of Medicine and the new Accreditation Council for Graduate Medical Education General Essentials have focused attention on the Undergraduate Medical Education for the 21st Century (UME-21) core content area of systems-based care. Through teaching systems-based care, medical students can learn how physicians effectively deliver and coordinate care within the health system. While medical students can be introduced to the organization, financing, and delivery of the health care system through lectures, the principles and practice of systems-based care must be reinforced through structured learning experiences during the clinical (ie, third and fourth) years...
January 2004: Family Medicine
A Wiesemann, P Engeser, J Barlet, U Müller-Bühl, J Szecsenyi
BACKGROUND: In Heidelberg, the clinical curriculum of medical education was fundamentally changed in 2001 due to co-operation with the Harvard Medical School. The pre-clinical curriculum has also already been undergoing reform since 1995: the benefits of two new lectures with early patient contact and special tasks in the subject of family medicine were to be assessed. METHODS: In the first year, the students therefore had to assess the seminars, tutorials, and the internships in GP by means of a standardised questionnaire...
October 2003: Das Gesundheitswesen
Tore Gude, Tor Anvik, Anders Baerheim, Ole Bernt Fasmer, Hilde Grimstad, Per Hjortdahl, Are Holen, Terje Risberg, Per Vaglum
BACKGROUND: Clinical communication as part of the doctor-patient relationship has gained increased attention in the undergraduate medical education in Norway. Such teaching programmes require considerable resources, as much of the instruction has to be carried out in small groups, and they should be subjected to a thorough assessment from a cost-benefit perspective. MATERIALS AND METHODS: A working group representing the four medical faculties in Norway initiated EKKO, a project designed as a quality assurance of the instruction in clinical communication...
August 28, 2003: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
Judith L Bowen, David M Irby
PURPOSE: Time-pressured interactions with little direct observation or feedback characterize teaching in ambulatory settings. The authors report findings from the literature on teaching and learning in the ambulatory setting and propose opportunities for further research that addresses these barriers. METHOD: The authors searched 1995-1999 databases for all empirical studies that focused on research conducted in ambulatory settings. Publications were reviewed for evidence of inclusion criteria...
July 2002: Academic Medicine: Journal of the Association of American Medical Colleges
S König, P M Markus, H Becker
The study of medicine in Germany is in need of reform. Oversubscribed courses, the lack of practical reference, scarce patient contact and cancelled lessons define the educational landscape for many students. Since at present we cannot carry out global reforms, the quality of medical education is highly dependent on the commitment of those responsible in the individual institution. The aim of the revised surgical curriculum in Göttingen is to demonstrate how medical education with a high didactic level including multimedia teaching can be realised despite large student numbers...
May 2001: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
A Howe
INTRODUCTION: In response to Tomorrow's Doctors, the use of primary care as a teaching base has been extended in many medical curricula. Previous reports have largely been speculative, looking at the theoretical possibilities and concerns of general practitioner teachers; in order to validate such studies, it is now important to evaluate the experience of those actually engaged in new teaching opportunities. In addition, curriculum developers need to go beyond descriptive studies to weight the factors which may help or hinder new teaching...
September 2000: Medical Education
A Wiesemann, T Amon, P Engeser, R Koser, G Schneider, H Seller, H G Sonntag, I Tischner
Because of new social and professional challenges, especially in the developed countries, there is a trend towards change and quality assurance is taking place in medical education over the past 20 years. In Heidelberg, the new way of teaching the students by general practitioners includes quality assurance by questionnaires, reports of practice visits, quality conferences of the teachers, and co-operation of the students. 90% of the students recommended the practice-based structured program as very useful, especially the work with the patients in the general practices, 87% of the teaching general practitioners accepted special criteria for teaching; by this way an academic general practice can be established to meet the future expectations of primary medical care...
October 1999: Zeitschrift Für ärztliche Fortbildung und Qualitätssicherung
A Weber, H Strebl, D Weltle, G Lehnert
As a result of increased competition on the market for young doctors and the continuing debate on the kind and extent of reforms planned for university courses, it is becoming increasingly difficult for students of human medicine to plan their occupational future. Against this background, the aim of this study was to evaluate the expectations regarding training and occupation of students embarking on their course and to carry out extensive analysis of the results taking socio-demographic variables into consideration...
December 1996: Das Gesundheitswesen
U Stössel, E Brähler, J G Gostomzyk, M M Kochen, J von Troschke, K Wildgrube, M Wirsching
With the discussion of the quality of medical education in Germany the importance of evaluating the curriculum has grown. A working group of representatives of the German scientific societies for general medicine and the so-called "psychosocial" disciplines in medical education had adapted a questionnaire from Harvard Medical School and tested this version for the first time in summer 1995. 56 teachers and 1250 students took part in this pilot study. The instrument proved to be sufficiently valid to evaluate the quality of different types of teaching lessons...
April 1996: Das Gesundheitswesen
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