This teaching note describes one example of a shift from content to competence in a graduate MSW course teaching advanced mindfulness complex practice behaviors and skills for use in direct practice. The development of advanced mindfulness competencies and skills provides a conceptual base o shift teaching from lengthy lectures to experiential…

Drawing on fieldwork, this article examines nursing students' design and use of a patient health record during clinical simulations, where small teams of students provide nursing care for a robotic patient. The student-designed patient health record provides a compelling example of how simulation genres can both authentically coordinate action…

This detailed book by the most experienced authors in the field describes how to develop and implement the objective structured clinical examination (OSCE) for social work education. In addition to a wealth of practical material in the appendices, two videos produced especially for this book (accessible online) show the OSCE process step-by-step.…

Recent publications have confirmed the use of standardized patients (SPs) in improving clinical skills and enhancing competency. Little research has studied the benefits residents may themselves gain in palliative care playing the role of SPs. Nineteen Family Medicine residents were recruited as standardized patients (FMR-SPs) for a mandatory…

Clinical placements for senior nursing students enrolled in leadership courses are vital to student learning and to the preparation of new graduates. Schools of nursing are struggling with issues of access and availability of adequate clinical experiences for student learning. The purpose of this study was to evaluate the quality and availability…

Objective: The aim of this pilot project was to explore the extent to which judgments made by psychiatrist examiners accord with those of patients in postgraduate clinical examinations, so as to inform further consideration of the role of patients in such assessments. Method: Senior psychiatrist examiners (N=8) and patients (N=30) rated 16 aspects…

Clinical competence is a multidimensional concept and encompasses a variety of skills including procedural, problem-solving and clinical judgement. The initial stages of postgraduate medical training are believed to be a particularly important time for the development of clinical skill competencies. This study reports on an evaluation of a…

Introduction: Limited information exists to describe physicians who return to practice after absences from patient care. The Center for Personalized Education for Physicians (CPEP) is an independent, not-for-profit organization that provides clinical competency assessment and educational programs for physicians, including those reentering…

Nursing education programs are faced with the challenge of providing students with the necessary skills to function in a fast paced, high technological environment. To address this challenge, the current trend in nursing education is to integrate the use of high-fidelity simulation technology into the curricula although there has been limited…

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…

The effect of clinical experience on diagnosis formulation was assessed by studying physicians at different levels of training. To evaluate whether physicians' knowledge of being part of an experiment affected their formation and modification of diagnoses, physicians signed consent forms and were not informed when videotaping was done. (Author/MLW)

The use of remote broadcasting equipment in the training of interview skills to third-year medical students is described. Equipment consists of a radio transmitter used by the instructor, and a small hearing-aid-like device worn by the interviewer. This technique allows immediate feedback to the student. (MLW)

The ECFMG[R] Clinical Skills Assessment (CSA[R]) was developed to evaluate whether graduates of international medical schools (IMGs) are ready to enter graduate training programs in the United States. The patient note (PN) exercise is specifically used to assess a candidate's ability to summarize and synthesize the data collected in a simulated…

A study is described that identified a set of measureable skills, evaluated the effects of a simulated patient program on students' observed interview skills, and tested the ability of trained simulators to evaluate interview skills by comparing simulator ratings and faculty ratings of the same interviews. (MLW)

Medical schools (N=136) were surveyed concerning their use of standardized patients (lay persons trained to replicate a clinical encounter consistently and realistically). Among 16 specific topics covered are breast and pelvic examination, male genitourinary examination, interviewing skills, administration of program, start-up concerns, and…