Australian general practice trainees typically consult with patients from their first week of training, seeking in-consultation supervisory assistance only when not sufficiently confident to complete patient consultations independently. Trainee help-seeking plays a key role in supervisor oversight of trainee consultations. This study used focus…

Clinical nurse educators within Queensland, Australia, tend to be selected for the job based on their clinical expertise and consequently may lack knowledge of educational theories and practices. Within the Nursing School in which this project was based, there is interest in developing expertise in Transformative Learning theory. To share this…

In response to COVID-19, the widespread cancellation of professional practice placements, and the increased uptake of telehealth, Monash University Department of Occupational Therapy developed a simulated clinical placement adapted for online delivery. This paper describes the placement, and reports on the benefits and challenges of participating…

Supervised student-led health clinics provide students with opportunities to develop practice skills with "real" people by delivering clinical services to underserved communities. Clinics provide opportunities for interprofessional learning and the development of clinical, communication, leadership, and teamwork skills. A systematic…

Background: To meet rising clinical placement demand caused by increasing health student numbers, the use of paired (two students) rather than single (one student) placement models has been proposed. There is, however, limited research available to inform placement providers about the relative effects of both models on healthcare services,…

This longitudinal study followed the clinical learning journey of 20 medical students over 4 years, from the beginning of their clinical immersion, through one of the three different clinical placement models: block rotation, longitudinal integrated clerkship, or community- and hospital-integrated learning, and then into Year 4 and the intern year…

Gaining insights from domain experts into how they view communication in real world settings is recognized as an important authenticity consideration in the development of criteria to assess language proficiency for specific academic or occupational purposes. These "indigenous" criteria represent an articulation of the test construct and…

Assessment of practical clinical skills is essential in the health fields. Objective Structured Clinical Exams (OSCEs), where examiners assess students performing clinical procedures on simulated patients (actors), are central to the evaluation of practical skills. However, traditional OSCEs require considerable time-investment to administer, and…

Paul Hager and I worked on a large number of research projects and publications throughout the 1990s. The focus of this work was on developing a competency-based approach to professional education and assessment. I review this work and its impact over the years. Notwithstanding the fact that most professional associations today have a competency…

This paper reviews the history of the recognition of borderline personality disorder as a clinical disorder, followed by a review of the contemporary practice of diagnosing borderline personality disorder in psychiatric settings. Many researchers have cautioned against the conflation of difficult patients with the diagnostic category of borderline…