Effectiveness of a simulated clinical examination in the assessment of the clinical competencies of entry-level trainees in a family medicine residency programme

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 Simulated Clinical Examination (SCE) method as a means of assessing the clinical skill competencies of entry-level family medicine residents. Two entering cohorts of PGY1 family medicine residents (N = 35) participated in a SCE encompassing realistic clinical encounters with standardised patients (SPs). Residents were asked to complete pre- and post-evaluation surveys, and both faculty and residents were invited to participate in separate focus groups. The SCE was perceived as a useful method during the early phases of postgraduate training for assessing clinical skill competencies, providing constructive feedback to residents and enhancing self-awareness and confidence. The SCE also appeared to be useful in fostering confidence in interviewing and diagnostic reasoning, however self-reported confidence in the ability to perform clinical skill tasks related to history taking, physical examination and differential diagnosis was not associated with observed performance in these areas. The SCE was an effective technique for benchmarking skill performance, however further research is required to evaluate the effect of this on the self-assessment abilities of trainees over the course of postgraduate medical education.     

The Effect of Praise,Reproof and Exercise upon Muscular Steadiness

High school students of various ability levels were presented lessons concerning economics concepts. The lessons were varied according to their organization or structure. Students then were tested over their understanding of the concepts. The test questions ranged from simple recall of information (low level) to application of economics principles (high level). Students scored generally higher when they were presented highly structured lessons. Scores were higher on the low level questions than on the high level questions. Significant interactions occurred between student ability level and lesson structure, as well as between cognitive level of questions and lesson structure. These results are discussed in terms of previous research on lesson structure.     

Environments for Lifelong Learning in Senior Centers

ABSTRACT

Senior-center learning opportunities must adapt, as new retirees are better educated than their predecessors. We examined 3 multipurpose senior centers using 120 hours of observations and 30 participant interviews. Variation existed in the ability to maximize synomorphic relationships, where the physical environment supported educational activities. The center with the greatest success had the most active participation. Low participation was noted when multipurpose rooms were utilized, as learning was compromised by distractions. Computer learning thrived in a computer lab, but machines were neglected when located in an employee break room. Successful learning programs fit the environment, in addition to providing volunteerism and empowerment.     

Australian Higher Education Research and Society

This is the first part of a review of research on higher education in Australia and New Zealand since World War II. The review is organised around four themes which more or less characterise higher education and society in the successive decades since 1945: post‐war reconstruction, rising expectations and expansion, the search for equality and the end of expansion. Much of the first post‐war research was motivated by a concern for efficiency, that is, predicting those students who would benefit from higher education. Later, researchers began to question the representativeness of participation in higher education and the nature of the education process. During the most recent decade some of the research questions are reminiscent of the late 1940s, that is, how can the efficiency of higher education be improved? However, whereas expansion and optimism characterised the first thirty post‐war years, the context now is one of contraction and some pessimism.

     

Religious Studies Encyclopedism: A Recent History

As academic reference librarians, we need to historically situate the reference sources we use within changing scholarly disciplines. Mircea Eliade’s Encyclopedia of Religion, for example, is an important text in religious studies, but it is not a neutral text. Rather, it clearly reflects certain intellectual commitments and discursive strategies that need to be situated within histories of scholarship. Failure on the part of librarians to contextualize the perspectives of a reference source is problematic because it leaves the assumptions of the text unchallenged. More constructively, librarians need to problematize the agendas of reference sources, and make salient their discursive positions.     

Infant Temperament and Genetics: An Objective Twin Study of Motor Activity Level

Child temperament theories generally presume genetic contributions to behavioral differences, but empirical support is based largely on parent ratings of twins. These subjective ratings may be biased by parental exaggeration of dizygotic differences or of monozygotic similarities. An objective assessment of the genetic hypothesis was undertaken with motor activity level, a core dimension of most temperament theories. The activity level of 60 infant twin pairs was measured both by parent ratings and by motion recorders over a 2-day period. Data from the motion recorders showed evidence of genetic influences (RMZ = .76, RDZ = .56), as did parent ratings (RMZ = .82, RDZ = .21). The motion recorder results confirm with instrumentation a critical assumption of temperament theories and identify the presence of genetic contributors to temperamentally relevant behavioral differences in infancy.     

Who is teaching your child? The issue of unqualified subject specialists in Northern Ireland

There is a growing concern throughout the UK and beyond about the lack of suitably qualified post‐primary teachers in some subject areas, particularly mathematics, design and technology and the sciences. This paper reports on a survey of teacher qualifications in Northern Ireland which indicates that a significant percentage of teachers are unqualified in the areas of mathematics, physics, ICT, history and Irish, and that Key Stage 3 teachers tend to be less well‐qualified than those at Key Stage 4 or post‐16. Unqualified teachers are less likely to be found in the grammar sector than the non‐grammar sector.     

Ethical considerations for research conducted with human participants in languages other than English

Considerations for conducting ethical research with human participants in languages other than English are addressed to some extent in regulatory and guiding statements for researchers, but in ways that are minimal or vague. In this article, I examine guiding documents for research ethics from four countries: the UK, Canada, Australia and the USA, with a view to analysing how the issue of research in other languages is addressed. Specific attention is paid to four key aspects of research as it relates to language. The first is informed consent. This includes a discussion of how written forms may not be the most appropriate method to ensure consent is informed. The second aspect of language is that of translation and interpretation, including budgetary implications for research. Third, the use of intermediaries such as (but not limited to) translators and local contacts is considered. Finally, considerations for knowledge mobilisation and dissemination of findings are explored. The article concludes with recommendations for researchers, graduate supervisors and research ethics boards.