This paper discusses the scholarly literature related to tablet computer use in medicine. Forty-four research-based articles were examined for emerging categories and themes. The most studied uses for tablet computers include: patients using tablets to complete diagnostic survey instruments, medical professionals using tablet computers to view…

The purpose of the current study was to use multilevel modeling to quantify and explain the sources of score variation in standardized patient (SP) encounters. Through laypersons trained to portray SPs and record medical student actions, SP examinations allow the measurement of examinees' clinical and interpersonal skills. In this study, the SP…

In standardized patient-based tests of clinical competence, patients are used to present the clinical problem and to rate the actions taken by the student. This approach is evaluated by a microanalysis of 1 case used in a fourth year clinical examination of 98 medical students at the University of Manitoba. (MLW)

A multi-faceted Rasch measurement (MFRM) model was used to analyze a clinical skills assessment of 173 fourth-year medical students in a Midwestern medical school to investigate four types of rater errors: leniency, inconsistency, halo, and restriction of range. Each student performed six clinical tasks with six standardized patients (SPs), who…

The ways in which experience and academic training influence the types of questions therapists ask of their clients were studied. Psychologists and psychology students of varying degrees of expertise (n=138) were provided an artificial intelligence program that simulated a date rape client's responses to typed questions and were asked to conduct a…

"Clinical Nutrition in an Interdisciplinary Setting" is a course designed to introduce basic nutrition knowledge and concepts of nutritional assessment, counseling, and intervention in the clinical care of patients. Provides a brief course overview and descriptions of its development, use, and preliminary evaluation of the patient simulation…

Previous research has shown that expert physicians' diagnostic performance improves when contextual information about a patient is available, while the performance of novices is not influenced by this source of information. These results are explained by supposing that experts' knowledge is organized in illness-scripts. This study examined this…

Benefits of hospital-based internship and residency programs for training psychologists are discussed, along with issues concerning licensing or certification. In hospitals, interns and residents are exposed to unusual and diverse forms of physical and mental pathology, as well as contact with a diverse patient population crossing all ages, racial…

The experiences of baccalaureate student nurses, from layperson to novice nurse, was studied. Paradigm cases of five senior and five sophomore baccalaureate students were transcribed and analyzed for common meanings and themes. The paradigms concern touching patients, giving shots/creating pain, caring for and being intimate with young patients,…

Medical students' (N=18) were interviewed as part of the evaluation of an innovative Longitudinal Introduction of Clinical Medicine program. Three themes emerged: the importance of experiences with patients; the differences in the effect of patient contact in the first versus the second year; and the educational structure that makes patient…

In August and September of 1989, 76 fourth year students at the University of Arizona College of Medicine took the objective structured clinical examinations. Analyses were conducted looking at the relationship of sequence to see whether scores showed a decrease in the afternoon. No significant effect of examinee fatigue was seen. (MLW)

Medical students (N=284) from four Northeastern medical schools interacted with standardized patients, then were given a free-response form (blank form for writing diagnostic impressions) and then they completed a cued-response form, which listed a series of diagnoses generated by the case author. The patients also completed a checklist. (MLW)

The extent that order effects in multiple-station clinical examinations are prevalent is addressed and an analysis of individual student score profiles pertaining to order effects is included. A clinical skills examination using standardized patients was administered to 157 medical students at the University of Illinois College of Medicine at…

At the end of their clinical clerkship rotations, all students in one medical school's classes of 1988 (N=69), 1989 (N=63), 1990 (N=66) took the Post-Clerkship Examination. This study examined the nature of the patients' satisfaction ratings; reliability of patient satisfaction ratings and number of patients needed to derive reliable ratings; etc.…

The impact of the present changing environment on medical education is considered. Four major components of medical education are influenced by environmental change: the setting (hospital inpatient floors), the patients, the teachers, and way teaching is conducted. Educational goals are defined and recommendations for improving teaching are…