MSE Articles

ABSTRACT

The standardized patient assessment examination (SPA) is an integral part of the new Prescription for Excellence: A Physicians Pathway to Lifelong Learning curriculum at Wake Forest University School of Medicine (WFUSM). It consists of two parts: Part I is an exercise in which the student takes a complete history and performs a physical examination on a standardized patient. In Part II the student gives a 2-hour oral presentation of his/her clinical reasoning process and presents a basic science discussion on a topic related to the case. Although WFUSM had been doing standardized patient assessments since 1987, they involved only 25% of the medical school class. In 1998 the exercise was expanded to include the entire medical school class of 108 students. This created logistical challenges related to facilities, cost, recruitment of standardized patients, and faculty to supervise the exercises. In addition, changes were made in the process to allow more integration of the clinical cases with the basic science curriculum. Although these exercises are extremely time consuming and labor intensive for faculty and staff, they are felt to measure reasoning skills not examined in other parts of the curriculum, and emphasize the importance of relating clinical situations back to the basic sciences.

*Current position-Dean, Graduate School, University of Louisville, Louisville, KY ABSTRACT Medical seniors have been used extensively as discussion leaders in small group settings for sophomore Medical Microbiology students. There is a benefit for both the seniors and the sophomores. In addition, this obviates the need for faculty discussion leaders. INTRODUCTION Clinical case presentation is an… Read more »

ABSTRACT

This paper describes a Neurosciences PBL pilot project at The University of Oklahoma College of Medicine. It is noteworthy in that it describes how, with few resources a PBL experience was successfully infused into a conventional discipline-based curriculum. The authors describe assessment and logistical challenges. Student and facilitator attitudes and faculty effort are discussed.

MANAGING EDITOR’S NOTE: The following is from an oral presentation given on July 20, 1999 during the Fourth IAMSE Association Meeting held at Georgetown University School of Medicine in Washington, DC. INTRODUCTION I will first address the current status of Computer-Based Testing (CBT) for United States Medical Licensing Examination (USMLE) Step 1, which is always… Read more »

Problem-Based Learning (PBL) has been the ‘buzz word’ in medical education for some time now. Many medical schools throughout the world have revised their curriculum to include more problem-solving sessions and active learning type formats. Basic scientists are often skeptical of PBL because of their perceived lack of clinical knowledge. In the following article, Joseph… Read more »

INTRODUCTION Over the past few decades medical schools in both the United States and Great Britain have been urged to decrease lecture hours and use formats that foster problem solving and self-learning.1-4 One response has been the increased use of small group exercises in which students are provided with a case description, a journal article,… Read more »

INTRODUCTION In 1994 the Josiah Macy, Jr. Foundation sponsored a conference on the financing of medical schools in an era of healthcare reform and concluded that “the rapid expansion in medical schools’ revenues over the past 30 years is at an end, and medical schools can no longer depend on the continued growth of past… Read more »

The beauty of the Web is that information on any subject can be easily obtained without leaving the office or home. Anyone who has used a search engine however understands that searching the Internet for information often leads to the hundreds, perhaps thousands of “hits” and that culling and identifying the most useful sites from… Read more »

General Contributions to the Basic Science Educator are encouraged from all who seek to have their information reach an audience of basic science course directors, members of the basic science faculty, clerkship directors, attending physicians, curriculum planners, residency directors, and all those involved with the teaching or administration of the medical sciences throughout the continuum… Read more »