Internists are required to perform a number of procedures that require mastery of technical and non-technical skills, however, formal assessment of these skills is often lacking. The purpose of this study was to develop, implement, and gather validity evidence for a procedural skills objective structured clinical examination (PS-OSCE) for internal…

Objective structured clinical examinations (OSCEs) are used worldwide for summative examinations but often lack acceptable reliability. Research has shown that reliability of scores increases if OSCE checklists for medical students include only clinically relevant items. Also, checklists are often missing evidence-based items that high-achieving…

Clinical problem solving exercises for preclinical medical education that were developed at Michigan State University School of Osteopathic Medicine are described. Two types of outcomes were set as priorities in the design and implementation of the problem solving sessions: small group peer interactions as instructional and evaluative resources;…

A study designed to establish criteria for requiring continuing medical education (CME) for family physicians by analyzing 14 structured oral interviews (SOIs) with physicians. The SOI consists of 40 cases, focuses on 10 aspects of physician competence required to face critical practice issues. Judges determined from the interviews a number of…

Three related Canadian studies assessed the content validity of 59 clinical problems designed as part of a test of medical decision-making skills. Focus was on the key features, i.e., the critical or essential steps in identification and management of the clinical problem. Results support content validity of the key features. (MSE)

This study examining whether certain textbooks emphasize a semantic presentation of their contents arose from the results of a previous study conducted by the authors. It was hypothesized that certain textbooks would organize their contents by comparing and contrasting symptoms, signs, and disorders rather than simply listing them. (MLW)

The diagnostic discourse of medical students and physicians in thinking-aloud protocols on paper cases was analyzed for evidence of semantic structure. Results show that structural semantics can be used to distinguish various levels of mental processing among novices as well as between novices and professionals. (MSE)

Outlines 13 priority research topics and 51 important research questions concerning medical education in ambulatory care settings, as defined by a distinguished group of medical educators, clinicians, and policymakers. Issues of theory binding, research priorities, and research design are discussed, and policy recommendations made for the…

Explored strengths and weaknesses of medical education reports by analyzing ratings and written comments by reviewers. Found that the main strengths noted in accepted manuscripts were importance or timeliness of problem studied, excellence of writing, and soundness of study design. Ignoring the literature, designing poor studies, choosing…