clinical competence

Summary

Summary: The capability to perform acceptably those duties directly related to patient care.

Top Publications

  1. doi A critical review of simulation-based medical education research: 2003-2009
    William C McGaghie
    Augusta Webster, MD, Office of Medical Education and Faculty Development, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611 3008, USA
    Med Educ 44:50-63. 2010
  2. ncbi Assessment in medical education
    Ronald M Epstein
    Department of Family Medicine, and the Rochester Center to Improve Communication in Health Care, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
    N Engl J Med 356:387-96. 2007
  3. ncbi Workplace-based assessment as an educational tool: AMEE Guide No. 31
    John Norcini
    Foundation for Advancement of International Medical Education and Research, Philadelphia 19104, USA
    Med Teach 29:855-71. 2007
  4. pmc Impact of workplace based assessment on doctors' education and performance: a systematic review
    Alice Miller
    Peninsula College of Medicine and Dentistry, University of Plymouth, Plymouth PL4 8AA, UK
    BMJ 341:c5064. 2010
  5. ncbi Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review
    S Barry Issenberg
    Center for Research in Medical Education, University of Miami School of Medicine, Miami, FL 33101, USA
    Med Teach 27:10-28. 2005
  6. doi Objective assessment of technical surgical skills
    P D van Hove
    Department of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands
    Br J Surg 97:972-87. 2010
  7. ncbi Measuring adaptations of motivational interviewing: the development and validation of the behavior change counseling index (BECCI)
    Claire Lane
    Communication Skills Unit, Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Center, Cardiff CF23 9PN, UK
    Patient Educ Couns 56:166-73. 2005
  8. ncbi Defining and assessing professional competence
    Ronald M Epstein
    University of Rochester School of Medicine and Dentistry, 885 South Ave, Rochester, NY 14620, USA
    JAMA 287:226-35. 2002
  9. ncbi Assessment of clinical competence
    V Wass
    Department of General Practice and Primary Care, Guy s, King s and St Thomas School of Medicine, Weston Education Centre, London, UK
    Lancet 357:945-9. 2001
  10. ncbi Systematic review of the literature on assessment, feedback and physicians' clinical performance: BEME Guide No. 7
    Jon Veloski
    Center for Research in Medical Education and Health Care, Jefferson Medical College, Thomas Jefferson University, Philadelphia 19107, USA
    Med Teach 28:117-28. 2006

Detail Information

Publications332 found, 100 shown here

  1. doi A critical review of simulation-based medical education research: 2003-2009
    William C McGaghie
    Augusta Webster, MD, Office of Medical Education and Faculty Development, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611 3008, USA
    Med Educ 44:50-63. 2010
    ..It also presents and discusses 12 features and best practices of SBME that teachers should know in order to use medical simulation technology to maximum educational benefit...
  2. ncbi Assessment in medical education
    Ronald M Epstein
    Department of Family Medicine, and the Rochester Center to Improve Communication in Health Care, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
    N Engl J Med 356:387-96. 2007
  3. ncbi Workplace-based assessment as an educational tool: AMEE Guide No. 31
    John Norcini
    Foundation for Advancement of International Medical Education and Research, Philadelphia 19104, USA
    Med Teach 29:855-71. 2007
    ..This has led to an increasing interest in a variety of formative assessment methods that require observation and offer the opportunity for feedback...
  4. pmc Impact of workplace based assessment on doctors' education and performance: a systematic review
    Alice Miller
    Peninsula College of Medicine and Dentistry, University of Plymouth, Plymouth PL4 8AA, UK
    BMJ 341:c5064. 2010
    ..To investigate the literature for evidence that workplace based assessment affects doctors' education and performance...
  5. ncbi Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review
    S Barry Issenberg
    Center for Research in Medical Education, University of Miami School of Medicine, Miami, FL 33101, USA
    Med Teach 27:10-28. 2005
    ..1969 to 2003, 34 years...
  6. doi Objective assessment of technical surgical skills
    P D van Hove
    Department of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands
    Br J Surg 97:972-87. 2010
    ..The purpose of this study was to review all evidence for these methods, in order to provide a guideline for use in clinical practice...
  7. ncbi Measuring adaptations of motivational interviewing: the development and validation of the behavior change counseling index (BECCI)
    Claire Lane
    Communication Skills Unit, Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Center, Cardiff CF23 9PN, UK
    Patient Educ Couns 56:166-73. 2005
    ..BECCI will also provide valuable information about the standard of BCC that practitioners were trained to deliver in studies of BCC as an intervention...
  8. ncbi Defining and assessing professional competence
    Ronald M Epstein
    University of Rochester School of Medicine and Dentistry, 885 South Ave, Rochester, NY 14620, USA
    JAMA 287:226-35. 2002
    ..However, they may underemphasize some important domains of professional medical practice, including interpersonal skills, lifelong learning, professionalism, and integration of core knowledge into clinical practice...
  9. ncbi Assessment of clinical competence
    V Wass
    Department of General Practice and Primary Care, Guy s, King s and St Thomas School of Medicine, Weston Education Centre, London, UK
    Lancet 357:945-9. 2001
    Tests of clinical competence, which allow decisions to be made about medical qualification and fitness to practise, must be designed with respect to key issues including blueprinting, validity, reliability, and standard setting, as well ..
  10. ncbi Systematic review of the literature on assessment, feedback and physicians' clinical performance: BEME Guide No. 7
    Jon Veloski
    Center for Research in Medical Education and Health Care, Jefferson Medical College, Thomas Jefferson University, Philadelphia 19107, USA
    Med Teach 28:117-28. 2006
    ..There is a basis for the assumption that feedback can be used to enhance physicians' performance. Nevertheless, the findings of empirical studies of the impact of feedback on clinical performance have been equivocal...
  11. ncbi Accuracy of physician self-assessment compared with observed measures of competence: a systematic review
    David A Davis
    Knowledge Translation Program of the Li Ka Shing Knowledge Institute at St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
    JAMA 296:1094-102. 2006
    ..of lifelong learning, continuing medical education credit, relicensure, specialty recertification, and clinical competence are linked to the abilities of physicians to assess their own learning needs and choose educational ..
  12. doi Tools for direct observation and assessment of clinical skills of medical trainees: a systematic review
    Jennifer R Kogan
    Department of Medicine, University of Pennsylvania Health System, 3701 Market St, Ste 640, Philadelphia, PA 19104, USA
    JAMA 302:1316-26. 2009
    ..Multiple tools for direct observation are available, but their characteristics and outcomes have not been compared systematically...
  13. ncbi The CanMEDS initiative: implementing an outcomes-based framework of physician competencies
    Jason R Frank
    The Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada
    Med Teach 29:642-7. 2007
    ..In this narrative, we describe the lessons learned from the implementation of a national, needs-based, outcome-oriented, competency framework called the CanMEDS initiative of The Royal College of Physicians and Surgeons of Canada...
  14. ncbi Assessing communication competence: a review of current tools
    Julie M Schirmer
    Family Practice Center, Maine Medical Center, 272 Congress Street, Portland, ME 04101, USA
    Fam Med 37:184-92. 2005
    ..Multiple tools are available to assess communication competence, but there are few studies that compare the tools...
  15. doi Has the UK Clinical Aptitude Test improved medical student selection?
    Sarah R Wright
    School of Medical Sciences, Department of Education Development, Newcastle University, Newcastle upon Tyne, UK
    Med Educ 44:1069-76. 2010
    ..The aim of this cohort study was to determine whether the UKCAT has made any improvements to the way medical students are selected...
  16. ncbi Assessing competence in the use of motivational interviewing
    Theresa B Moyers
    Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM, USA
    J Subst Abuse Treat 28:19-26. 2005
    ..Implications for the use of this instrument in research and supervision are discussed...
  17. ncbi Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains
    K Anders Ericsson
    Department of Psychology, Florida State University, Tallahassee 32306 1270, USA
    Acad Med 79:S70-81. 2004
  18. doi Virtual patients: a critical literature review and proposed next steps
    David A Cook
    Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA
    Med Educ 43:303-11. 2009
    ..Virtual patients (VPs), which take the form of interactive computer-based clinical scenarios, may help to reconcile this paradox...
  19. ncbi What every teacher needs to know about clinical reasoning
    Kevin W Eva
    Program for Educational Research and Development, Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario L8N 3Z5, Canada
    Med Educ 39:98-106. 2005
    ..Over the last 30 years there has been considerable debate within the health sciences education literature regarding the model that best describes how expert clinicians generate diagnostic decisions...
  20. pmc Sicily statement on evidence-based practice
    Martin Dawes
    Department of Family Medicine, McGill University, Montreal, Canada
    BMC Med Educ 5:1. 2005
    ..This consensus statement is based on current literature and incorporating the experience of delegates attending the 2003 Conference of Evidence-Based Health Care Teachers and Developers ("Signposting the future of EBHC")...
  21. doi UK consensus statement on the content of communication curricula in undergraduate medical education
    Martin von Fragstein
    School of Graduate Entry Medicine and Health, University of Nottingham, Derby, UK
    Med Educ 42:1100-7. 2008
    ..This paper recommends the key content for an undergraduate communication curriculum. Designed by UK educationalists with UK schools in mind, the recommendations are equally applicable to communication curricula throughout the world...
  22. doi How effective is self-guided learning of clinical technical skills? It's all about process
    Ryan Brydges
    Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
    Med Educ 43:507-15. 2009
    ..The present study assessed whether self-guided access to instruction and the setting of process goals lead to better acquisition of clinical technical skills...
  23. doi Computerized virtual patients in health professions education: a systematic review and meta-analysis
    David A Cook
    Office of Education Research, College of Medicine, Mayo Clinic, Rochester, Minnesota, USA
    Acad Med 85:1589-602. 2010
    ..The authors summarize the effect of virtual patients compared with no intervention and alternate instructional methods, and elucidate features of effective virtual patient design...
  24. ncbi Senior medical students' appraisal of CanMEDS competencies
    Jany J D J M Rademakers
    Centre for Research and Development of Education, School of Medical Sciences, University Medical Centre Utrecht, Utrecht, The Netherlands
    Med Educ 41:990-4. 2007
    ..This model was adjusted to the Dutch situation. The roles were converted to 7 fields of competency: Medical Performance; Communication; Collaboration; Knowledge and Science; Community Performance; Management, and Professionalism...
  25. ncbi A systematic review of medical skills laboratory training: where to from here?
    Marita Lynagh
    School of Medicine and Public Health, University of Newcastle, New South Wales, Australia
    Med Educ 41:879-87. 2007
    ..In particular, it aimed to determine if performance in medical skills laboratories is transferable to actual clinical performance and maintained over time...
  26. ncbi OSCE checklists do not capture increasing levels of expertise
    B Hodges
    Department of Psychiatry, Faculty of Medicine, University of Toronto, Ontario, Canada
    Acad Med 74:1129-34. 1999
    To evaluate the effectiveness of binary content checklists in measuring increasing levels of clinical competence.
  27. doi The assessment of professional competence: building blocks for theory development
    C P M van der Vleuten
    Department of Educational Development and Research, Maastricht University, The Netherlands
    Best Pract Res Clin Obstet Gynaecol 24:703-19. 2010
    ..These lessons can also be read as general principles of assessment (programmes) and may provide theoretical building blocks to underpin appropriate and state-of-the-art assessment practices...
  28. ncbi Effectiveness of basic clinical skills training programmes: a cross-sectional comparison of four medical schools
    R Remmen
    Department of General Practice, University of Antwerp, Belgium
    Med Educ 35:121-8. 2001
    ..Training in physical diagnostic skills is an important part of undergraduate medical education. The objective of this study was to study the outcome of skills training at four medical schools...
  29. doi Peer-assisted versus faculty staff-led skills laboratory training: a randomised controlled trial
    Peter Weyrich
    Department of Internal Medicine, Division of Diabetes, Endocrinology, Angiology, Nephrology and Clinical Chemistry, University Hospital of Tubingen, Tubingen, Germany
    Med Educ 43:113-20. 2009
    ..We conducted a prospective, randomised trial to evaluate the hypotheses that PAL is effective in technical skills training in a skills laboratory setting, and PAL is as effective as faculty staff-led training...
  30. doi Assessing clinical reasoning in pediatric emergency medicine: validity evidence for a Script Concordance Test
    Benoit Carrière
    Section of Pediatric Emergency Medicine, Department of Pediatrics, Centre hospitalier universitaire Sainte Justine, Montreal, Quebec, Canada
    Ann Emerg Med 53:647-52. 2009
    ..We gathered validity evidence for the use of a pediatric emergency medicine Script Concordance Test to evaluate residents' reasoning skills...
  31. ncbi An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills
    A G Gallagher
    Northern Ireland Centre for Endoscopic Training and Research, Queen s University of Belfast
    Endoscopy 30:617-20. 1998
    ..However, the "fulcrum effect" of the abdominal wall on the manipulation of instruments has not to our knowledge been previously investigated...
  32. doi Transferring simulated arthroscopic skills to the operating theatre: a randomised blinded study
    N R Howells
    Nuffield Department of Orthopaedic Surgery University of Oxford, Nuffield Orthopaedic Centre, Oxford, UK
    J Bone Joint Surg Br 90:494-9. 2008
    ..0011), demonstrating the transfer of psychomotor skills from simulator training to arthroscopy in the operating theatre. This has implications for the planning of future training curricula...
  33. ncbi Non-analytical models of clinical reasoning: the role of experience
    Geoff Norman
    McMaster University, Hamilton, Ontario, Canada
    Med Educ 41:1140-5. 2007
    ..This paper aims to summarise the evidence supporting the role of experience-based, non-analytic reasoning (NAR) or pattern recognition as a central feature of expert medical diagnosis...
  34. pmc Foundation year 1 doctors and clinical pharmacology and therapeutics teaching. A retrospective view in light of experience
    Mansour Tobaiqy
    Department of Medicine and Therapeutics, The University of Aberdeen, Aberdeen, UK
    Br J Clin Pharmacol 64:363-72. 2007
    ..To determine whether, in retrospect, first year foundation (FY1) programme doctors believe that their undergraduate education in Clinical Pharmacology and Therapeutics (CPT) has prepared them to prescribe safely and rationally...
  35. ncbi Beyond curriculum reform: confronting medicine's hidden curriculum
    F W Hafferty
    Department of Behavioral Sciences, University of Minnesota Duluth School of Medicine, MN 55812 2487, USA
    Acad Med 73:403-7. 1998
    ....
  36. ncbi Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review
    Matthew J Thompson
    Department of Family Medicine, University of Washington, Seattle, 98195 4696, USA
    Acad Med 78:342-7. 2003
    ..IHEs are a popular component of many medical school and residency program curricula, and are reported to provide benefits in knowledge, skills, and attitudes...
  37. pmc Undergraduate preparation for prescribing: the views of 2413 UK medical students and recent graduates
    Amy Heaton
    Clinical Research Centre, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Br J Clin Pharmacol 66:128-34. 2008
    ..To gather opinions from UK medical students and recent graduates about their undergraduate training to prescribe and their confidence about meeting the relevant competencies identified by the General Medical Council (GMC)...
  38. ncbi Research in clinical reasoning: past history and current trends
    Geoffrey Norman
    Michael De Groote Centre for Learning and Discovery, McMaster University, 1200 Main Street West, Hamilton, Ontario L8N 3Z5, Canada
    Med Educ 39:418-27. 2005
    ..Research in clinical reasoning has been conducted for over 30 years. Throughout this time there have been a number of identifiable trends in methodology and theory...
  39. ncbi Student teachers can be as good as associate professors in teaching clinical skills
    Martin G Tolsgaard
    Centre for Clinical Education, Copenhagen University Hospital, Rigshospitalet, Denmark
    Med Teach 29:553-7. 2007
    ..The aim of this study is to compare student teachers and clinical associate professors regarding the quality of procedural skills teaching in terms of participants' technical skills, knowledge and satisfaction with the teaching...
  40. ncbi Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities
    Robyn Tamblyn
    Department of Medicine, McGill University, Montreal, Quebec, Canada
    JAMA 298:993-1001. 2007
    ..To address this problem, licensure assessment has been reformed in Canada and the United States, including a national standardized assessment of patient-physician communication and clinical history taking and examination skills...
  41. ncbi Empathy in medical students as related to academic performance, clinical competence and gender
    M Hojat
    Center for Research in Medical Education and Health Care, Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA
    Med Educ 36:522-7. 2002
    ..Therefore, it is important to address the measurement of empathy, its development and its correlates in medical schools...
  42. pmc The barriers and facilitators to routine outcome measurement by allied health professionals in practice: a systematic review
    Edward A S Duncan
    NMAHP Research Unit, Iris Murdoch Building, University of Stirling, Stirling, FK9 4LA, Scotland, UK
    BMC Health Serv Res 12:96. 2012
    ..This systematic review investigates what helps and hinders routine outcome measurement of allied health professionals practice...
  43. pmc A consensus statement on practical skills in medical school - a position paper by the GMA Committee on Practical Skills
    Kai P Schnabel
    University of Bern, Institute of Medical Education, Department of Education and the Media, Bern, Switzerland
    GMS Z Med Ausbild 28:Doc58. 2011
    ..Goal of the catalogue is to define the practical skills in undergraduate medical education and to give the medical schools a rational planning basis for the necessary resources to teach them...
  44. doi Factors determining the quality of screening colonoscopy: a prospective study on adenoma detection rates, from 12,134 examinations (Berlin colonoscopy project 3, BECOP-3)
    Andreas Adler
    Central Interdisciplinary Endoscopy, Charité Medical University, Campus Virchow Hospital, Berlin, Germany
    Gut 62:236-41. 2013
    ..Screening colonoscopy (SC) outcome quality is best determined by the adenoma detection rate (ADR). The substantial variability in the ADRs between endoscopists may reflect different skills, experience and/or equipment...
  45. pmc The effects of problem-based learning during medical school on physician competency: a systematic review
    Gerald Choon Huat Koh
    Department of Community, Occupational and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
    CMAJ 178:34-41. 2008
    ..We conducted a systematic review of evidence of the effects that problem-based learning during medical school had on physician competencies after graduation...
  46. ncbi Complementary therapies: have they become accepted in general practice?
    M V Pirotta
    Department of General Practice and Public Health, University of Melbourne, Carlton, Vic
    Med J Aust 172:105-9. 2000
    ..To describe Victorian general practitioners' attitudes towards and use of a range of complementary therapies...
  47. ncbi The mini-CEX: a method for assessing clinical skills
    John J Norcini
    Foundation for Advancement of International Medical Education and Research and American Board of Internal Medicine, 3624 Market Street, 4th Floor, Philadelphia, Pennsylvania 19104, USA
    Ann Intern Med 138:476-81. 2003
    ..To evaluate the mini-clinical evaluation exercise (mini-CEX), which assesses the clinical skills of residents...
  48. doi The educational effects of portfolios on undergraduate student learning: a Best Evidence Medical Education (BEME) systematic review. BEME Guide No. 11
    Sharon Buckley
    University of Birmingham, Edgbaston, Birmingham, UK
    Med Teach 31:282-98. 2009
    ..This systematic review is the result of our work to provide such a summary...
  49. ncbi VR to OR: a review of the evidence that virtual reality simulation improves operating room performance
    Neal E Seymour
    Department of Surgery, Baystate Medical Center, Tufts University School of Medicine, 759 Chestnut Street, Springfield, Massachusetts 01199, USA
    World J Surg 32:182-8. 2008
    ..These studies, as well as the study model that describes them, and the future of randomized trials of this type are reviewed...
  50. ncbi Techniques for measuring clinical competence: objective structured clinical examinations
    David Newble
    Department of Medical Education, The University of Sheffield, 1st Floor Coleridge House, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK
    Med Educ 38:199-203. 2004
    ..Strategies for reducing the practical difficulties this raises are discussed. Standard setting methods for use with OSCEs are described...
  51. pmc Global health competencies and approaches in medical education: a literature review
    Robert Battat
    Faculty of Medicine, McGill University, Montreal, Canada
    BMC Med Educ 10:94. 2010
    ..Physicians today are increasingly faced with healthcare challenges that require an understanding of global health trends and practices, yet little is known about what constitutes appropriate global health training...
  52. pmc Psychomotor control in a virtual laparoscopic surgery training environment: gaze control parameters differentiate novices from experts
    Mark Wilson
    School of Sport and Health Sciences, University of Exeter, St Luke s Campus, Exeter, EX1 2LU, UK
    Surg Endosc 24:2458-64. 2010
    ..Typically adopted hand movement metrics reflect only one half of the eye-hand coordination relationship; therefore, little is known about how hand movements are guided and controlled by vision...
  53. doi An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve
    Suck Ho Lee
    Department of Internal Medicine, Soonchunhyang University, Cheonan, Korea
    Gastrointest Endosc 67:683-9. 2008
    ..Various training programs in colonoscopy recommend that trainees should perform at least 100 to 200 procedures to be considered technically competent at diagnostic colonoscopy...
  54. ncbi The use of qualitative research criteria for portfolio assessment as an alternative to reliability evaluation: a case study
    E Driessen
    Department of Educational Development and Research, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands
    Med Educ 39:214-20. 2005
    ..Quality assurance procedures with external auditors were used (dependability audit) and the assessment process was thoroughly documented (audit trail)...
  55. pmc Feedback and the mini clinical evaluation exercise
    Eric S Holmboe
    Yale Primary Care Internal Medicine Residency, New Haven, CT 06721, USA
    J Gen Intern Med 19:558-61. 2004
    ..Programs should consider both specific training in feedback and changes to the miniCEX form to facilitate interactive feedback...
  56. doi Procedural and interpretive skills of medical students: experiences and attitudes of fourth-year students
    Edward H Wu
    Division of General Internal Medicine, Lehigh Valley Hospital and Health Network, 17th and Chew Streets, Room 6T22, Allentown, PA 18105, USA
    Acad Med 83:S63-7. 2008
    ..Recent data do not exist regarding fourth-year medical students' performance of and attitudes toward procedural and interpretive skills, and how these differ from third-year students'...
  57. doi Basic critical care echocardiography: validation of a curriculum dedicated to noncardiologist residents
    Philippe Vignon
    Medical Surgical Intensive Care Unit, Dupuytren Teaching Hospital, Limoges, France
    Crit Care Med 39:636-42. 2011
    ..To assess the efficacy of a limited, tailored training program for noncardiologist residents without experience in ultrasound to reach competence in basic critical care echocardiography...
  58. doi Three methods of multi-source feedback compared: a plea for narrative comments and coworkers' perspectives
    K Overeem
    IQ Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Med Teach 32:141-7. 2010
    ..Research has shown that simple MSF is often unproductive. It has been suggested that MSF should be delivered by a facilitator and combined with a portfolio...
  59. ncbi Practitioner and organizational barriers to evidence-based practice of physical therapists for people with stroke
    Nancy M Salbach
    Department of Physical Therapy, Faculty of Medicine, University of Toronto, 160 500 University Ave, Toronto, Ontario, Canada M5G 1V7
    Phys Ther 87:1284-303. 2007
    ....
  60. ncbi Teaching anatomy without cadavers
    John C McLachlan
    Peninsula Medical School, University of Plymouth, C306 Portland Square, Drake Circus, Plymouth PL4 8AA, UK
    Med Educ 38:418-24. 2004
    ..Anatomy learning is generally seen as essential to medicine, and exposure to cadavers is generally seen as essential to anatomy learning around the world. Few voices dissenting from these propositions can be identified...
  61. ncbi A pilot project to study the use of ultrasonography for teaching physical examination to medical students
    Robert S Shapiro
    Department of Radiology, Mount Sinai Medical Center, Box 1234, One Gustave L Levy Place, New York, NY 10029, USA
    Comput Biol Med 32:403-9. 2002
    ..Grading of ultrasound exams performed during the first clinical week averaged 4.1, improving to 4.5 at the end of the project. An exit survey indicated a favorable response to using ultrasound as an educational tool...
  62. doi The trainer, the trainee and the surgeons' assistant: clinical outcomes following total hip replacement
    J Palan
    Botnar Research Centre, Nuffield Department of Orthopaedic Surgery, University of Oxford, Oxford OX3 7LD, UK
    J Bone Joint Surg Br 91:928-34. 2009
    ..This study provides evidence that total hip replacements can be performed safely and effectively by appropriately trained surgeons in training, and that there are potential benefits of using surgeons' assistants in orthopaedic surgery...
  63. doi Simulation in surgery: perfecting the practice
    Ian Choy
    Department of Surgery, The Banting Institute, University of Toronto, Toronto, Canada
    Surg Clin North Am 90:457-73. 2010
    ..This article reviews the evidence supporting the need and justification of simulation in surgical education and explores the existing and potential roles of simulation in the training and evaluation of future surgeons...
  64. ncbi First-year medical students' assessment of their own communication skills: a video-based, open-ended approach
    Amanda Zick
    Center for Communication and Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA
    Patient Educ Couns 68:161-6. 2007
    ..As reflection and self-assessment are essential components of skill-building, we examined the content of medical students' assessments of their own developing communication skills...
  65. doi Threat and challenge: cognitive appraisal and stress responses in simulated trauma resuscitations
    Adrian Harvey
    Wilson Centre, University of Toronto, Toronto, Ontario, Canada
    Med Educ 44:587-94. 2010
    ..As such, training for high-acuity events should include interventions targeting stress management skills...
  66. pmc Are hospitals prepared to support newborn survival? - An evaluation of eight first-referral level hospitals in Kenya
    Charles Opondo
    KEMRI Centre for Geographic Medicine Research Coast, and Wellcome Trust Research Programme, Nairobi, Kenya
    Trop Med Int Health 14:1165-72. 2009
    ..To assess the availability of resources that support the provision of basic neonatal care in eight first-referral level (district) hospitals in Kenya...
  67. doi Validity evidence for an OSCE to assess competency in systems-based practice and practice-based learning and improvement: a preliminary investigation
    Prathibha Varkey
    Division of Preventive and Occupational Medicine, College of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
    Acad Med 83:775-80. 2008
    ..To determine the psychometric properties and validity of an OSCE to assess the competencies of Practice-Based Learning and Improvement (PBLI) and Systems-Based Practice (SBP) in graduate medical education...
  68. ncbi Novices ventilate and intubate quicker and safer via intubating laryngeal mask than by conventional bag-mask ventilation and laryngoscopy
    Arnd Timmermann
    Department of Anesthesiology, Emergency and Intensive Care Medicine, Georg August University, Germany
    Anesthesiology 107:570-6. 2007
    ..This study compares success rates for ventilation and intubation via the intubating laryngeal mask (ILMA-V/ILMA-TI) with those via bag-mask ventilation and laryngoscopic intubation (BM-V/LG-TI)...
  69. doi Certification pass rate of 100% for fundamentals of laparoscopic surgery skills after proficiency-based training
    Daniel J Scott
    Southwestern Center for Minimally Invasive Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390 9156, USA
    Surg Endosc 22:1887-93. 2008
    ..This study aimed to investigate the feasibility of implementing a proficiency-based FLS skills training curriculum and to evaluate its effectiveness in preparing trainees for certification...
  70. ncbi Evidence-based medicine: discrepancy between perceived competence and actual performance among graduating medical students
    Opher Caspi
    Rabin Medical Center, Petah Tikva, Israel
    Med Teach 28:318-25. 2006
    ....
  71. doi A systematic review of skills transfer after surgical simulation training
    Lana P Sturm
    ASERNIP S, Royal Australasian College of Surgeons, Adelaide, South Australia, Australia
    Ann Surg 248:166-79. 2008
    ..To determine whether skills acquired by simulation-based training transfer to the operative setting...
  72. pmc Pay for perfomance and the quality of diabetes management in individuals with and without co-morbid medical conditions
    Christopher Millett
    Department of Primary Care and Social Medicine, Imperial College, London, UK
    J R Soc Med 102:369-77. 2009
    ..To examine the impact of the Quality and Outcomes Framework, a major pay-for-performance incentive introduced in the UK during 2004, on diabetes management in patients with and without co-morbidity...
  73. doi Individual skill progression on a virtual reality simulator for shoulder arthroscopy: a 3-year follow-up study
    Andreas H Gomoll
    Department of Orthopedic Surgery, Brigham and Women s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA
    Am J Sports Med 36:1139-42. 2008
    ..Additional longitudinal studies are necessary to confirm the validity of virtual reality simulation before these teaching aids can be more fully recommended for surgical education...
  74. doi When only the real thing will do: junior medical students' learning from real patients
    Kathryn Bell
    University of Manchester Medical School, Manchester M6 8HD, UK
    Med Educ 43:1036-43. 2009
    ..This study aimed to explore how medical students experience contacts with real patients and what they learn from them...
  75. ncbi Evaluation of a virtual reality simulator for arthroscopy skills development
    Robert A Pedowitz
    San Diego Sports Medicine and Arthroscopy Fellowships at the University of California, San Diego, California, USA
    Arthroscopy 18:E29. 2002
    ..Computer-based simulation technology provides a major opportunity for surgical skills development without morbidity and operating room inefficiency...
  76. pmc Assessing competency in Evidence Based Practice: strengths and limitations of current tools in practice
    Dragan Ilic
    Monash Institute of Health Services Research, Monash University, Clayton, VIC 3168, Australia
    BMC Med Educ 9:53. 2009
    ..This paper examines the current tools available to assess EBP competence and compares their applicability to existing assessment techniques used in medicine, nursing and health sciences...
  77. doi Development of a virtual reality training curriculum for laparoscopic cholecystectomy
    R Aggarwal
    Department of Biosurgery and Surgical Technology, St Mary s Campus, Imperial College Healthcare NHS Trust, Queen Elizabeth the Queen Mother Building, St Mary s Hospital, Praed Street, London W2 1NY, UK
    Br J Surg 96:1086-93. 2009
    ..Training within a proficiency-based virtual reality (VR) curriculum may reduce errors during real surgical procedures. This study used a scientific methodology for development of a VR training curriculum for laparoscopic cholecystectomy...
  78. doi Managing the deteriorating patient in a simulated environment: nursing students' knowledge, skill and situation awareness
    Simon Cooper
    School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Vic, Australia
    J Clin Nurs 19:2309-18. 2010
    ..To examine, in a simulated environment, the ability of final-year nursing students to assess, identify and respond to patients either deteriorating or at risk of deterioration...
  79. doi Pneumothorax following thoracentesis: a systematic review and meta-analysis
    Craig E Gordon
    Renal Section, Department of Medicine, Boston University Medical Center, Boston, MA 02118, USA
    Arch Intern Med 170:332-9. 2010
    ..We aimed to determine the mean pneumothorax rate following thoracentesis and to identify risk factors for pneumothorax through a systematic review and meta-analysis...
  80. doi Development of a formative assessment tool for measurement of performance in multi-professional resuscitation teams
    Peter Oluf Andersen
    Danish Institute for Medical Simulation, Herlev Hospital, Capital Region of Denmark, Denmark
    Resuscitation 81:703-11. 2010
    ....
  81. ncbi The current state of musculoskeletal clinical skills teaching for preclerkship medical students
    Anna E Oswald
    Centre for Medical Education, Faculty of Medicine, McGill University, Montreal, Quebec
    J Rheumatol 35:2419-26. 2008
    ....
  82. doi First validation of the PASSPORT training environment for arthroscopic skills
    Gabrielle J M Tuijthof
    Orthopedic Research Center Amsterdam, Department of Orthopedic Surgery, Academic Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
    Knee Surg Sports Traumatol Arthrosc 18:218-24. 2010
    ..Our physical simulation environment (PASSPORT) demonstrates its potential to evolve as a training modality. In future, automated performance feedback is aimed for...
  83. doi Review of comparative studies of clinical skills training
    Aidan J Byrne
    Morriston Hospital, UK
    Med Teach 30:764-7. 2008
    ..Our aim was to undertake a systematic review of the comparison of the methods used to train staff in clinical skills...
  84. pmc Views on primary prevention of cardiovascular disease--an interview study with Swedish GPs
    Louise Silwer
    Nordic School of Public Health, Goteborg, Sweden
    BMC Fam Pract 11:44. 2010
    ..The aim of this study was to explore, structure and describe the views on primary prevention of cardiovascular disease in clinical practice among Swedish GPs...
  85. pmc Validation and implementation of surgical simulators: a critical review of present, past, and future
    B M A Schout
    Department of Urology, VU University Medical Centre Amsterdam, Amsterdam, The Netherlands
    Surg Endosc 24:536-46. 2010
    ..This study aims to provide a critical review of the literature and the main experiences and efforts relating to the validation of simulators during the last two decades...
  86. doi Emergency medicine clerkship curriculum: an update and revision
    David E Manthey
    Department of Emergency Medicine, Wake Forest University School of Medicine, Winston Salem, NC, USA
    Acad Emerg Med 17:638-43. 2010
    ....
  87. doi Assessment and feedback in the skills laboratory and operating room
    Colin Sugden
    Division of Surgery, Department of Surgery and Cancer, Imperial College, London, UK
    Surg Clin North Am 90:519-33. 2010
    ..Therefore, both have an important role to play and should coexist within a continuous assessment pathway...
  88. ncbi Use of the mini-clinical evaluation exercise to rate examinee performance on a multiple-station clinical skills examination: a validity study
    Melissa J Margolis
    National Board of Medical Examiners, 3750 Market Street, Philadelphia, Pennsylvania 19104, USA
    Acad Med 81:S56-60. 2006
    ..Multivariate generalizability analysis was used to investigate the performance of a commonly used clinical evaluation tool...
  89. ncbi Factors predictive of successful learning in postgraduate medical education
    P B A Smits
    Netherlands School of Occupational Health, Amsterdam, The Netherlands
    Med Educ 38:758-66. 2004
    ..To establish which personal and contextual factors are predictive of successful outcomes in postgraduate medical education...
  90. ncbi The teaching effectiveness of standardized patients
    Kathleen L Becker
    Adult Nurse Practitioner Program, Johns Hopkins University School of Nursing, Baltimore, MD 21201, USA
    J Nurs Educ 45:103-11. 2006
    ..No significant differences were found between the two groups on measures of interpersonal skills, therapeutic communication skills, and knowledge of depression..
  91. doi Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States
    Peter A Bonis
    Center for Clinical Evidence Synthesis at the Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, UpToDate Inc, Waltham, MA 02453, United States
    Int J Med Inform 77:745-53. 2008
    ..Electronic clinical knowledge support systems have decreased barriers to answering clinical questions but there is little evidence as to whether they have an impact on health outcomes...
  92. doi Direct observation in medical education: a review of the literature and evidence for validity
    H Barrett Fromme
    Department of Pediatrics, University of Chicago, Chicago, IL, USA
    Mt Sinai J Med 76:365-71. 2009
    ..focusing on variations of the term observation in the titles of articles and introducing the concept of clinical competence. In conclusion, direct observation is a unique and useful tool in the assessment of medical students and ..
  93. ncbi Registrar operating experience over a 15-year period: more, less or more or less the same?
    G Morris-Stiff
    Department of Surgery, Royal Glamorgan Hospital, Ynysmaerdy, Llantrisant, CF72 8XR, Rhonda Cynon Taf
    Surgeon 2:161-4. 2004
    ....
  94. ncbi Patient safety: do nursing and medical curricula address this theme?
    Ann Wakefield
    School of Nursing Midwifery and Health Visiting, The University of Manchester, Coupland Building 3, UK
    Nurse Educ Today 25:333-40. 2005
    ..We argue that learning how to manage errors effectively would enable trainee practitioners to improve patient care, reduce the burden on an overstretched health care system and engage in dynamic as opposed to defensive practice...
  95. pmc Use of assessment to reinforce patient safety as a habit
    R M Galbraith
    Center for Innovation, National Board of Medical Examiners, 3750 Market Street, Philadelphia, PA 19104, USA
    Qual Saf Health Care 15:i30-3. 2006
    ..This strategy is based on the adage that "assessment drives curriculum" and proposes a series of new assessment tools to be added to all phases of the training-practice continuum...
  96. doi The impact of stress on surgical performance: a systematic review of the literature
    Sonal Arora
    Department of Bio Surgery and Surgical Technology, Imperial College, London, UK
    Surgery 147:318-30, 330.e1-6. 2010
    ..Both sets of skills can be impaired by intra-operative stress, compromising performance and patient safety. This systematic review aims to assess the effects of intra-operative stress on surgical performance...
  97. pmc Do absorption and realistic distraction influence performance of component task surgical procedure?
    Jon R Pluyter
    Department of Information Systems and Management, Tilburg University, Warandelaan 2, 5037 AB Tilburg, The Netherlands
    Surg Endosc 24:902-7. 2010
    ..g., music, conversation, and unadapted use of sophisticated technologies). This study aimed to examine whether such realistic social and technological distracting conditions may influence surgical performance...
  98. doi Measurement of the general competencies of the accreditation council for graduate medical education: a systematic review
    Stephen J Lurie
    Office of Curriculum and Assessment, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA
    Acad Med 84:301-9. 2009
    ..To evaluate published evidence that the Accreditation Council for Graduate Medical Education's six general competencies can each be measured in a valid and reliable way...
  99. doi Do calculation errors by nurses cause medication errors in clinical practice? A literature review
    Kerri Wright
    University of Greenwich, Avery Hill Road, Eltham SE9 2UG, United Kingdom
    Nurse Educ Today 30:85-97. 2010
    ..However, more research is required into the calculation errors in practice. In particular there is a need for a direct observational study on paediatric nurses as there are presently none examining this area of practice...
  100. ncbi Impact of clinical interview training on the empathy level of medical students and medical residents
    Clotilde Fernndez-Olano
    University of Castilla La, Mancha, Spain
    Med Teach 30:322-4. 2008
    ..Empathy is a skill that can be acquired by practise and should become a habit...
  101. doi Validation of two instruments to assess technical bronchoscopic skill using virtual reality simulation
    Mohsen Davoudi
    Medical Center, University of California, Irvine, CA 92868, USA
    Respiration 76:92-101. 2008
    ..In an era of increased emphasis on patient safety and competency-based education, demonstration of significant variability in the teaching of flexible bronchoscopy has led to initiatives for new standardized curricula and assessment tools...

Research Grants88

  1. Strategies to Prevent COPD Exacerbation
    Fernando Martinez; Fiscal Year: 2007
    ..abstract_text> ..
  2. Electrical Stimulation for Hemiplegic Shoulder Pain
    John Chae; Fiscal Year: 2010
    ..We further postulate that ES improves glenohumeral stability by facilitating motor recovery. Thus we will evaluate the effects of these treatments on objective measures of poststroke motor recovery. ..
  3. Electrical Stimulation for Hemiplegic Shoulder Pain
    John Chae; Fiscal Year: 2009
    ..We further postulate that ES improves glenohumeral stability by facilitating motor recovery. Thus we will evaluate the effects of these treatments on objective measures of poststroke motor recovery. ..
  4. Percutaneous MR Guided Creation of a Meso-Caval Shunt
    Aravind Arepally; Fiscal Year: 2007
    ....
  5. PATHOGENESIS OF HELICOBACTER HEPATICUS
    CATHERINE BECKWITH; Fiscal Year: 2007
    ..The long-term goal of the proposal is to develop new strategies for prevention and treatment of chronic liver and intestinal disease in humans. ..
  6. Pro-Inflammatory HDL as a Novel Target for the Indentification of Atherosclerosis
    Maureen McMahon; Fiscal Year: 2007
    ..Targeting PiHDL with interventions that restore protective function to HDL might be considered for prevention of ATH in both lupus and non lupus patients. ..
  7. Transfusion and Lung Injury
    Pearl Toy; Fiscal Year: 2007
    ..Once this study clarifies the incidence and mechanisms, rational strategies can be developed to limit this potentially life-threatening syndrome. (End of Abstract) ..
  8. Central and Peripheral Autonomic Responses in Irritable Bowel Syndrome
    Kirsten Tillisch; Fiscal Year: 2007
    ..The proposed training will provide the candidate with a novel set of skills to use in investigating the potential causes of IBS, and developing new treatment strategies ..
  9. Economic and Policy Analyses in Geriatric Disease
    EKATERINA NOYES; Fiscal Year: 2006
    ..The model and analytical approaches acquired by the candidate during her training will be used later to develop a decision analytical model describing geriatric depression. ..
  10. Validation of Sensorized Breast Models for High-Stakes Clinical Skills Assessment
    Carla M Pugh; Fiscal Year: 2010
    ..Our results will help set clinical performance standards. ..
  11. Randomized trial of educational outcomes of Web Initiative in Surgical Education
    Adina Kalet; Fiscal Year: 2009
    ..recognized difficulties in providing consistent, high quality learning environments that ensure clinical competence for novice physicians-in-training...
  12. Randomized trial of educational outcomes of Web Initiative in Surgical Education
    ADINA LUBA KALET; Fiscal Year: 2010
    ..recognized difficulties in providing consistent, high quality learning environments that ensure clinical competence for novice physicians-in-training...
  13. Standardized Patients as Drug Abuse Treatment Clients
    Bentson McFarland; Fiscal Year: 2004
    ..The proposed study will examine the feasibility and utility of SPs in this environment. ..
  14. Curriculum and Faculty Development in Evidence-based Medicine
    STEPHEN LAIRD; Fiscal Year: 2007
    ..Project strategies will be shared with 22 osteopathic colleges via the annual meeting of the American Assoc. of Colleges of Osteopathic Med. ..
  15. MRI-Guided Angioplasty of Renal Artery Stenosis
    Reed Omary; Fiscal Year: 2005
    ..MRI guidance will also avoid the ionizing radiation exposure of x-rays and the potential kidney toxicity of iodinated contrast agents. ..
  16. Dopaminergic Modulation of Working Memory in PD
    Tamara Hershey; Fiscal Year: 2005
    ..Modulation of the lateral prefrontal cortex is predicted during levodopa infusion. The degree of modulation is predicted to depend on baseline dopaminergic status (PD vs control) and the degree of memory load (low vs high). ..