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…

The University of British Columbia (Canada) dental school has implemented a clinical experience program in which children in grades 2-4 are bused to the university for dental treatment. The program has helped maintain undergraduate pediatric dental experiences, benefited the children's dental health, and cost parents less than traditional dental…

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.…

Courses that are done partly on the campus and partly off it are a compulsory feature of courses for the professions in Britain. The study reported comes from undergraduate courses for four professions: teaching, nursing, pharmacy, and engineering. This paper reports on British students' perceptions of their placements. (MLW)

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)

The Technological Innovations in Medical Education (TIME) model, designed to be controlled by a professor in the classroom, incorporates voice recognition technology and video dramatization to create a believable patient encounter. A field test finding was that the students became committed to the care and management of the simulated patient.…

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)

When planning and developing an ambulatory clerkship, careful attention must be paid to the desired outcomes from the experience, the appropriate site, and instructional model to use to best meet the objectives. The major differences between ambulatory and inpatient educational settings are explored. (Author/MLW)

The evolution of a faculty development program for clinical medical teachers in a required ambulatory care clerkship in which students work at 20 different sites is described. The objective was to assist physicians teaching a new ambulatory clerkship, to practice a learner-centered approach to precepting rather than the traditional…

A University of Georgia pharmacy school survey of 230 preceptors and 73 externs investigated students' competence and confidence. Results indicated areas of weakness in communication skills and therapeutic knowledge and revealed that externs lacked confidence in hospital and clinical practice. Results are being used in curriculum development.…

A survey of 54 U.S. dental schools investigated the responsibilities of the faculty members supervising teaching clinics, including student supervision, financial management, student mentoring, and administrative activities as well as the percentage of time spent on clinical supervision of student patient care. Results are presented and discussed.…

Development and evaluation of a problem-based, student-centered (PBSC) curriculum, to be implemented as a pharmacy externship component, are described. Comparison of performance of 26 PBSC program and 19 control group students found the PBSC students scored significantly higher on knowledge and problem-solving portions of the exam. Students and…

A training program for faculty supervising pharmacy clinical experience courses included four workshops in setting expectations, motivating learners, providing practice, and evaluating performance and giving feedback. Ten of 35 teaching behaviors changed significantly as a result. Likelihood of change in specific teacher behaviors was assessed.…

The use of interactive computer-based simulation of cases of chronic orofacial pain and temporomandibular joint disfunction patients for clinical dental education is described. Its application as a voluntary study aid in a third-year dental course is evaluated for effectiveness and for time factors in case completion. (MSE)

The use of clinical supervision is central to mental health work. In this article, the authors propose using practice cases drawn from characters found in literature, popular fiction, biographies, television, and movies as one method for clinical supervision and professional development in the mental health skill areas of client assessment, case…