A study of 195,165 patient visits at the University of Illinois hospital's 5 clinics investigated the mix of ambulatory care diagnosis clusters for diversity. It concluded that, to create an appropriate patient mix for training medical students and residents in ambulatory care, supplementation with other clinics is necessary. (Author/MSE)

A total of 200 patients were interviewed at 2 out-patient settings to quantify the patients' perspectives on their illness by measuring their requests for help. Results showed specific requests were made by most patients that focused either on the problem and/or the treatment. (GLR)

A study examined trends in the volume and type of inpatient clinical diagnoses, common medical services, and specialized services in academic medical centers (AMCs)--integrated and independent, other teaching hospitals, and nonteaching hospitals. Results indicate that despite rapid change in the health care environment, little change has occurred…

A study investigated whether the more efficiently graded extended-matching questions were equivalent to short-answer questions in evaluating medical students' (n=98) ability to elicit physical findings and generate diagnoses and treatment plans, using standardized-patient examinations. The differences found in the two question types did not favor…

The objective of this study was to identify characteristics of the patient, training process, and test that were associated with the accuracy of the standardized patient's presentation of the clinical problem. The cohort consisted of 38 patients who were used to evaluate 98 medical students at the University of Manitoba in 1988. (MLW)

A one-month, elective fourth-year medical school course in advanced physical diagnosis is described. The course featured organ-specific didactic and interactive practice sessions, physical examination-based case conferences, professorial rounds with use of professional patients, and objective structured clinical examinations. (Author/MSE)

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)

The Association of American Medical Colleges' conference on the use of standardized patients in the teaching and evaluation of clinical medical skills is summarized, including perspectives on issues such as curriculum design, administrative concerns, faculty indifference or resistance, and logistical and financial feasibility. (MSE)

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…

The use of microcomputers with programmable database software and document scanners has given the medical education community the necessary technology to manage and operate a patient-encounter log system. A clinical encounter and reporting system at the University of Arizona is described. (MLW)

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.…

By incorporating the use of standardized patients to teach basic physical examination skills, Tulane University School of Medicine reduced faculty teaching hours substantially and saved money. Student performance on objective structured clinical examinations did not change, and students' course evaluations improved. (Author/MSE)

Two charting strategies to help students organize patients' data are Weed's problem-oriented medical record and Russell's condition diagram. Students at the University of Texas Medical School at San Antonio were divided into study groups. The condition diagram group format may be helpful for students with lower academic achievement. (Author/MLW)