A study at the University of North Carolina at Chapel Hill School of Medicine evaluated the predictive value of the rank list generated in evaluating applicants for a surgery residency. Rough rankings computed directly from ratings of applicants were found to be more predictive of first year residents' performance than faculty's final rankings…

A study of a medical student clinical assessment program since 1986 at the University of Massachusetts indicates student awareness of increased faculty observation and increased feedback to students during and following clinical rotations. Results indicate a conscious faculty effort to improve students' clinical skills by improved observation and…

A study compared student evaluations made by residency directors and deans in 2 medical schools, using 3 standard methods of ranking 20 students per school. Ordinal ranking showed substantial agreement for 15 of 16 residency directors. Two methods of clustering into fixed groups gave high agreement only for top students. (Author/MSE)

Drawing from survey data (n=138 medical schools in the United States and Canada), a study analyzed medical schools' systems for evaluating student progress in clinical experiences. The 4-stage model used by most schools, common and unique characteristics, and 17 symptoms of system errors, signaling a need for system review, are outlined.…

At Case Western University (Ohio), medical students critically analyze the quality and cost of asthma care in the community by studying patients in primary care practices. Each writes a case report, listing all medical charges and comparing them with guidelines for asthma care. Several recommendations for improved care have emerged. (MSE)

Most evaluations of technology-based instruction are poorly designed because of failure to control three common confounding variables: (1) use of different instructional methods in different treatments; (2) presentation of different content in different treatments; and (3) the novelty of new media, which tends to increase early motivation and…

A survey of faculty (n=223) and students (n=157) in two different curriculum tracks (problem-based/student-centered primary care vs. regular) at one medical school gathered opinions on the methods and criteria of student evaluation. Differences occurred primarily in the perceptions of first- and second-year students in the problem-based…

Analysis of patient logbooks kept by 75 medical students in a family medicine clerkship provided a great deal of information about the nature of students' experience, changes taking place as the year progressed, the degree to which program objectives were being met, and differences between sites. (MSE)

Review of 11 studies of health professions curricula incorporating training in professional self-assessment found initial student disorientation and distrust to be common. However, among successful programs both noncognitive and cognitive benefits appeared. Results suggest that self-assessment training promotes more mature, collegial, productive…

A study found that the admission interview scores for 62 Dartmouth Medical School (New Hampshire) applicants correlated positively with dean's letter ratings given 4 years later and that interview scores were better predictors of ratings than were total Medical College Admission Test scores or science grade point averages. (Author/MSE)

A multistation clinical examination using standardized patients was used over 4 years to assess the interpersonal skills of 346 fourth year medical students, 51 internal medicine residents, and 71 foreign medical graduates seeking admission to graduate study. Results indicate that a reliable assessment of interpersonal skills can be achieved this…

Discusses the existence of three curricula in medical schools (formal, informal, and hidden) and suggests that educators and administrators investigate the hidden curriculum by examining four areas: institutional policies; evaluation practices; resource-allocation decisions; and institutional "slang." Needed reforms in accreditation standards are…