The Attitudes toward Clinical Evaluation scales were developed to measure medical faculty attitudes toward clinical evaluation of medical students. Factor analysis of the items yielded two subscales (quality of evaluation procedures and content of departmental evaluations) which exhibited internal consistency and stability. Faculty demographics…

Ideas for integrating preventive medicine into the undergraduate medical curriculum include options for curricula in quantitative skills, clinical preventive medicine, primary care rotation, community health services, and independent continuing education. Recommendations are based on a guide assessing the effectiveness of 169 types of preventive…

A study compared characteristics of the 25 medical schools producing the lowest percentage of primary care physicians with the 25 producing the largest percentage. Results indicate differences in school commitment to primary care education, research programs, and clinical environments supporting required clerkships, suggesting educational…

A study compared the generalizability of 36 medical students' performance scores under systematically varied station times in 2 surgery end-of-clerkship performance-based examinations. Results indicated longer station length decreased generalizability of scores by decreasing variability among students' performances. Testing time was also affected.…

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)

A study investigated the effect of participation in an intensive internal medicine conference series during a third-year medicine clerkship (n=173 students) on medical licensing examination scores and compared this with scores in surgery and pediatrics and scores of 466 students not participating in the conference. Better test performance on the…

This paper argues that medical ethics education relies too much on strategies that target ethical thinking and should focus more on students as ethical actors in specific clinical contexts, responding to ethical dilemmas. Traditional approaches may not offer the skills students need to learn norms of ethical behavior. Strategies for encouraging…

A study of the workload of nine medical interns and seven residents in a neonatal intensive care nursery investigated the number of X-rays, arterial blood gas analyses (ABGs), and electrolyte determinations ordered for 321 infants over 5 months. Results show that as the workload increased, interns ordered ABGs more often than residents, especially…

Logs completed by 201 medical students in third-year clerkships at nine community-based hospitals indicated students received 6.5 hours of teaching with an instructor daily, spending 4.9 more hours in clerkship-related learning. Most teaching was by full-time faculty and residents. In half their educational activities, students participated with…

A study investigated the amounts of time that 29 physiotherapy and 29 occupational therapy students in problem-based curricula spent in nonscheduled and scheduled educational activities, and whether students increased or decreased time spent while progressing through academic and clinical curricula. A general decrease in time spent on educational…

A study followed 66 medical students from matriculation through clerkship to determine the use of an anxiety measure, undergraduate grades, and Medical College Admission Test scores in predicting clerkship performance. Results showed disparities in prediction but suggest that the way students are evaluated in clerkships determined which factors…

Four factors of clinical decision making identified by medical students include quality of care, cost, ethics, and legal concerns. This paper argues that physicians have two responsibilities in the clinical decision-making model: to be the primary advocate for quality health care and to ensure balance among the four factors, working in partnership…

Recommends application of social learning theory to medical education in ambulatory care settings, including preceptor attention to orienting and creating legitimate and appropriate roles for learners; provision of competent role models; careful organization of the experience to include modeling, discussion, and both guided and independent…

A four-year study found that, between internships and the end of residencies at the Oregon Health Sciences University, physicians' attitudes about their careers and residency experiences improved significantly, suggesting that, although internships may be dysphoric, normalization of emotional states and attitudes occurs during residency.…

Faculty from 5 New England medical schools developed 36 patient cases representing a variety of common ambulatory-care problems. Students were tested by interacting with 16 different standardized patients, who were nonphysicians trained to accurately and consistently portray a patient in a simulated clinical setting. (Author/MLW)