Measuring instructional quality in community-orientated medical education: Looking into the black box

Medical Education

Volumn 33, Issue 11, 1999, Pages 846-853

  Shipengrover, Judith A ^a   James, Paul A ^b  

^a UNIVERSITY AT BUFFALO   (United States)

^b ERIE COUNTY MEDICAL CENTER   (United States)

Author keywords

Community medicine, education; Education, medical, methods; Educational measurement; Family practice, education; Models, educational; Quality assurance, health care

Indexed keywords

ARTICLE; BEHAVIOR MODIFICATION; COMMUNITY MEDICINE; LEARNING; MEDICAL EDUCATION; MEDICAL STUDENT; QUALITY CONTROL; TEACHING; UNITED STATES;

COMMUNITY MEDICINE; EDUCATION, MEDICAL; EDUCATIONAL MEASUREMENT; FAMILY PRACTICE; HUMANS; MODELS, EDUCATIONAL; QUALITY ASSURANCE, HEALTH CARE;

EID: 0032710891     PISSN: 03080110     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2923.1999.00480.x     Document Type: Article

References (75)

1. 1 Association of American Medical Colleges. Physicians for the Twenty-first Century: report of the Panel on General Professional Education of the Physician and College Preparation for Medicine. Washington, DC: Association of American Medical Colleges; 1984.
2. 2 General Medical Council. Tomorrow's Doctors: recommendations of the Undergraduate Medical Council. London: General Medical Council; 1993.
3. 3 Habbick BF, Leeder SR. Orienting medical education to community need: a review. Med Educ 1996;30:163-71.
4. 4 Lefford F, McCrorie P, Perrin F. A survey of medical undergraduate community-based teaching: taking undergraduate teaching into the community. Med Educ 1994;28:312-15.
5. 5 Towle A, editor. Community based Teaching: sharing ideas I. London: King's Fund Centre; 1992.
6. 6 Oswald N, Jones S, Date J, Hinds D. Long-term community-based attachments: the Cambridge Course. Med Educ 1995;29:72-6.
7. 7 Stearns JA, Glasser M. How ambulatory care is different: a paradigm for teaching and practice. Med Educ 1993;27:35-40.
8. 8 Irby DM. Teaching and learning in ambulatory care settings: a review of the literature. Acad Med 1995;70:898-931.
9. 9 Gruppen LD. Implications of cognitive research for ambulatory care education. Acad Med 1997;72:117-20.
10. 10 Harden RM, Sowden S, Dunn WR. Educational strategies in curriculum development: the SPICES model. Med Educ 1984;18:284-97.
11. 11 Yonke AM, Foley RP. Overview of recent literature on undergraduate ambulatory care education and a framework for future planning. Acad Med 1991;66:750-5.
12. 12 Robinson LA, Spencer JA, Neal DE. Teaching the teachers - a needs assessment of tutors for a new clinical skills course. Med Educ 1996;30:208-14.
13. 13 Stritter RT, Baker RM. Resident preferences for the clinical teaching of ambulatory care. J Med Educ 1982;57:33-41.
14. 14 MacDonald PJ, Bass JJ. Characteristics of highly rated family practice preceptors. J Med Educ 1983;58:882-93.
15. 15 Irby DM, Ramsey PG, Gillmore GM, Schaad D. Characteristics of effective clinical teachers of ambulatory care medicine. Acad Med 1991;66:54-5.
16. 16 Bligh J, Slade P. A questionnaire examining learning in general practice. Med Educ 1996;30:65-70.
17. 17 Blount BW, Jolissant G. Perceptions of teaching behaviours by primary care and non-primary care residents. Acad Med 1996;71:1247-9.
18. 18 Gjerde CL, Xakellis GC, Barcy T. Skills actively performed during a family medicine community-based preceptorship. Fam Med 1997;29:21-5.
19. 19 Donabedian A. The quality of care: how can it be assessed? J Am Med Assoc 1988;260:1743-8.
20. 20 Berwick DM, Godfrey AB, Roessner J. Curing Health Care: new strategies for quality improvement. San Francisco, CA: Jossey Bass; 1991.
21. 21 Baird R, Bogner T, Kim-Foley S, Newberger D, Lechanski E. One year of continuous quality improvement. Fam Pract Manage 1995;2:51-4.
22. 22 Davis DA, Thomson MA, Oxman AD, Haynes RB. Evidence for the effectiveness of CME. a review of 50 randomized controlled trials. J Am Med Assoc 1991;268:1111-7.
23. 23 Vroeijentstijn AI. Quality assurance in medical education. Acad Med 1995;70:S59-67.
24. 24 Bowen JL, Stearns JA, Dohner C, Blackman J, Simpson D. Defining and evaluating quality for ambulatory care educational programs. Acad Med 1997;72:506-10.
25. 25 Deming WE. Out of the Crisis. Cambridge, MA: Massachusetts Institute of Technology; 1986.
26. 26 Juran JM, Gryna FM. Quality Plannning and Analysis. 3rd edn. New York: McGraw-Hill; 1993.
27. 27 Kolb DA. Experiential Learning. Englewood Cliffs, NJ: Prentice Hall; 1984.
28. 28 Da Rosa DA, Dunnington GL, Sachdeva AK, et al. A model for teaching medical students in an ambulatory surgery setting. Acad Med 1992;67:S45-7.
29. 29 Wartman SA. Research in medical education: the challenge for the next decade. Acad Med 1994;69:608-10.
30. 30 Senge PM. The Fifth Discipline. New York: Doubleday; 1990.
31. 31 Boaden N. Postgraduate education for general practice -starting again. Postgrad Educ Gen Pract 1992;3:167-70.
32. 32 Schroeder SA. Expanding the site of clinical education: moving beyond the hospital walls. J Gen Intern Med 1988;3:S5-S14.
33. 33 Davis MH, Dent JA. Comparison of student learning in the out-patient clinic and ward round. Med Educ 1994;28:208-12.
34. 34 Gruppen LD, Wisdom K, Anderson DS, Woolliscroft JO. Assessing the consistency and educational benefits of students' clinical experiences during an ambulatory care internal medicine rotation. Acad Med 1993;68:674-80.
35. 35 Curry RH, Makoul G. The evolution of courses in professional skills and perspectives for medical students. Acad Med 1998;73:10-13.
36. 36 Hamad B. Community-oriented medical education: what is it? Med Educ 1991;25:16-22.
37. 37 Krackov SK. Influence of site on ambulatory care residency education in internal medicine (dissertation). Rochester, NY: The University of Rochester; 1982.
38. 38 Napodano RJ, Schuster BL, Krackov SK, Yound LE, Griner, PF, Pratt R. Use of private offices in education of residents in internal medicine. Arch Intern Med 1984;144:303-5.
39. 39 Packman CH, Krackov SK, Groff GD, Cohen J. The Rochester practice-based experience: an experiment in medical education. Arch Intern Med 1994;154:1253-60.
40. 40 Hobbs J. A decentralized clerkship: strategies for standardizing content and instruction. Fam Med 1987;19:133-6.
41. 41 Ramsey PG, Gillmore GM, Irby DM. Evaluating clinical teaching in the medicine clerkship. J Gen Intern Med 1988;3:35-55.
42. 42 Prichert JW, Lorenz RA, Schulundt DG, Stetson BA. Adherence-related questioning by fourth-year medical students interviewing ambulatory diabetic patients. Teaching Learning Med 1989;1:146-50.
43. 43 Loftus TH, McLeod, PJ, Snell, LS. Faculty perceptions of effective ambulatory care teaching. J Gen Intern Med 1993;8:575-7.
44. 44 Irby DM. Clinical teacher effectiveness in medicine. J Med Educ 1978;7:258-61.
45. 45 Irby D, Rakestraw P. Evaluating clinical teaching in medicine. J Med Educ 1981;56:181-5.
46. 46 Stritter F, Hain J, Grimes D. Clinical teaching reexamined. J Med Educ 1975;50:876-82.
47. 47 Ullian U, Bland C, Simpson D. An alternative approach to defining the role of the clinical teacher. Acad Med 1994;69:832-8.
48. 48 Skeff KM. Enhancing teaching effectiveness and vitality in the ambulatory setting. J Gen Intern Med 1988;3:S26-33.
49. 49 Ramsbottom-Lucier MT, Gillmore GM, Irby DM, Ramsey PG. Evaluation of clinical teaching by general internal medicine faculty in outpatient and inpatient settings. Acad Med 1994;9:152-3.
50. 50 Biddle WB, Riesenberg LA, Darcy PA. Medical students' perceptions of desirable characteristics of primary care teaching sites. Fam Med 1996;28:629-33.
51. 51 Hekelman F, Vanek E, Kelly K, Alemagno S. Characteristics of family physicians' clinical teaching behaviors in the ambulatory setting: a descriptive study. Teaching Learning Med 1993;5:18-23.
52. 52 Lesky LG, Hershman WY. Practical approaches to a major educational challenge: training students in the ambulatory setting. Arch Intern Med 1995;155:897-904.
53. 53 Woolliscroft JO, Schwenk TL. Teaching and learning in the ambulatory setting. Acad Med 1989;64:644-8.
54. 54 Walters CA. The need for office-based precepting. Hosp Pract 1993;48:7-13.
55. 55 Brook RH, Fink A, Kosekoff J, et al. Educating physicians and treating patients in the ambulatory setting: where are we going and how will we know when we arrive. Ann Intern Med 1987;107:392-8.
56. 56 Gerber LA. The search for clinical role models as a way of coping with clerkship stress. J Med Educ 1979;54:659-61.
57. 57 Shuval J, Adler I. The role of models in professional socialisation. Soc Sci Med 1980;14A:5-14.
58. 58 Lubin J, Drier B. The general practitioner as teacher and role model. Aust Fam Physician 1986;15:1582-4.
59. 59 Ficklin FL, Browne VL, Powell RC, Carter JE. Faculty and house staff members as role models. J Med Educ 1988;63:392-6.
60. 60 Greganti MA. Where are the clinical role models? Arch Intern Med 1990;150:259-61.
61. 61 Lubin JB. Role modelling: a case study in general practice. Med Educ 1992;26:116-22.
62. 62 Roberts KB, DeWitt T. Faculty development of pediatric practitioners: complexities in teaching clinical precepting. Pediatrics 1996;97:389-93.
63. 63 Bandura A. Social Learning Theory. Englewood Cliffs, NJ: Prentice Hall; 1977.
64. 64 Seymour D. On Q: causing quality in higher education. New York: MacMillan; 1992
65. 65 Sirvanci M. Are students the true customers of higher education? Qual Prog 1996;29:99-102.
66. 66 Hau I. Teaching Quality Improvement by Quality Improvement in Teaching. Report No 59. Madison, WI: University of Wisconsin Center for Quality and Productivity Improvement; 1991.
67. 67 Gagne RM. Is educational technology in phase? Educ Technol 1980; 20:7-14.
68. 68 Eisner E. The Educational Imagination. New York: MacMillan; 1994.
69. 69 Neuroth U. Total Quality Management Handbook. Lansing, MI: On Purpose Associates; 1992.
70. 70 Hertzke E, Olson W. TQE, Technology and Teaching. Thousand Oaks, CA: Corwin Press; 1992.
71. 71 Bland CJ, Schmitz CC, Stritter FT, Henry RC, Aluise J. Successful Faculty in Academic Medicine: essential skills and how to acquire them. New York: Springer; 1990.
72. 72 Bordage G, Burack JH, Irby DM, Stritter FT. Education in ambulatory settings: developing valid measures of educational outcomes, and other research priorities. Acad Med 1998;73:43-50.
73. 73 Borich JD, Jemelk RP. Programs and Systems: an evaluation perspective. New York: Academic Press; 1982.
74. 74 Young BL, Graham RP, Shipengrover JA, James PA. Components of learning in ambulatory settings: a qualitative analysis. Acad Med 1998;73:60-3.
75. 75 James PA, Osborne JW. A measure of medical instructional quality in ambulatory settings: the MedIQ. Fam Med 1999;31:263-9.