메뉴 건너뛰기




Volumn 82, Issue 10, 2007, Pages 979-988

Early clinical experiences from students' perspectives: A qualitative study of narratives

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL EDUCATION; HOSPITAL PATIENT; HOSPITALIZATION; LEARNING; MEDICAL SCHOOL; MEDICAL STUDENT; PHYSICIAN; PRIORITY JOURNAL;

EID: 34748889543     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e318149e29c     Document Type: Article
Times cited : (55)

References (65)
  • 1
    • 0348224157 scopus 로고    scopus 로고
    • Faculty and the observation of trainees' clinical skills: Problems and opportunities
    • Holmboe ES. Faculty and the observation of trainees' clinical skills: problems and opportunities. Acad Med. 2004;79:16-22.
    • (2004) Acad Med , vol.79 , pp. 16-22
    • Holmboe, E.S.1
  • 4
    • 0027480608 scopus 로고
    • Medical interviewing and interpersonal skills teaching in US medical schools. Progress, problems, and promise
    • Novack DH, Volk G, Drossman DA, Lipkin M Jr. Medical interviewing and interpersonal skills teaching in US medical schools. Progress, problems, and promise. JAMA. 1993;269:2101-2105.
    • (1993) JAMA , vol.269 , pp. 2101-2105
    • Novack, D.H.1    Volk, G.2    Drossman, D.A.3    Lipkin Jr., M.4
  • 5
    • 0031805607 scopus 로고    scopus 로고
    • The rise and fall of students' skill in obtaining a medical history
    • Pfeiffer C, Madray H, Ardolino A, Willms J. The rise and fall of students' skill in obtaining a medical history. Med Educ. 1998;32:283-288.
    • (1998) Med Educ , vol.32 , pp. 283-288
    • Pfeiffer, C.1    Madray, H.2    Ardolino, A.3    Willms, J.4
  • 6
    • 0035313398 scopus 로고    scopus 로고
    • Teaching students the art and science of physical diagnosis
    • Anderson RC, Fagan MJ, Sebastian J. Teaching students the art and science of physical diagnosis. Am J Med. 2001;110:419-423.
    • (2001) Am J Med , vol.110 , pp. 419-423
    • Anderson, R.C.1    Fagan, M.J.2    Sebastian, J.3
  • 7
    • 0037787410 scopus 로고
    • Subgroup report on clinical skills. Physicians for the Twenty-First Century. Report of the project panel on the general professional education of the physician and college preparation for medicine
    • Sox HC, Morgan WL, Neufeld VR, Sheldon GF, Tonesk X. Subgroup report on clinical skills. Physicians for the Twenty-First Century. Report of the project panel on the general professional education of the physician and college preparation for medicine. J Med Educ. 1984;59:139-147.
    • (1984) J Med Educ , vol.59 , pp. 139-147
    • Sox, H.C.1    Morgan, W.L.2    Neufeld, V.R.3    Sheldon, G.F.4    Tonesk, X.5
  • 8
    • 85012818951 scopus 로고    scopus 로고
    • Institute for Improving Medical Education, Available at:, Accessed June 14
    • Institute for Improving Medical Education. About the Institute for Improving Medical Education. Available at: (http://www.aamc.org/meded/iime/ about.htm). Accessed June 14, 2007.
    • (2007) About the Institute for Improving Medical Education
  • 9
    • 85026146460 scopus 로고    scopus 로고
    • preparing first-year medical students for an intensive clinical experience. The Generalist Coordinating Council
    • PRIME
    • PRIME: preparing first-year medical students for an intensive clinical experience. The Generalist Coordinating Council. Acad Med. 1998;73:595.
    • (1998) Acad Med , vol.73 , pp. 595
  • 10
    • 4344703522 scopus 로고    scopus 로고
    • Educational programs in US medical schools, 2003-2004
    • Barzansky B, Etzel SI. Educational programs in US medical schools, 2003-2004. JAMA. 2004;292:1025-1031.
    • (2004) JAMA , vol.292 , pp. 1025-1031
    • Barzansky, B.1    Etzel, S.I.2
  • 11
    • 85012828480 scopus 로고    scopus 로고
    • Educating Doctors to Provide High Quality Medical Care. A Vision for Medical Education in the United States
    • Association of American Medical Colleges, Available at:, Accessed June 14, 2007
    • Association of American Medical Colleges. Educating Doctors to Provide High Quality Medical Care. A Vision for Medical Education in the United States. Report of the Ad Hoc Committee of Deans. Available at: (http://www.aamc.org/ meded/iime). Accessed June 14, 2007.
    • Report of the Ad Hoc Committee of Deans
  • 12
    • 0028784070 scopus 로고
    • Required first-year generalist clinical experience courses and their relationship to career choice: The critical effect of family medicine involvement
    • Mengel MB, Davis AB. Required first-year generalist clinical experience courses and their relationship to career choice: the critical effect of family medicine involvement. Fam Med. 1995;27:652-657.
    • (1995) Fam Med , vol.27 , pp. 652-657
    • Mengel, M.B.1    Davis, A.B.2
  • 13
    • 17944391020 scopus 로고    scopus 로고
    • The impact of early clinical training in medical education: A multi-institutional assessment
    • Carney PA, Bar-on ME, Grayson MS, et al. The impact of early clinical training in medical education: a multi-institutional assessment. Acad Med. 1999;74(1 suppl):S59-S66.
    • (1999) Acad Med , vol.74 , Issue.1 SUPPL.
    • Carney, P.A.1    Bar-on, M.E.2    Grayson, M.S.3
  • 14
    • 0032941840 scopus 로고    scopus 로고
    • Integrating early clinical experience curricula at two medical schools: Lessons learned from the Robert Wood Johnson Foundation's Generalist Physician Initiative
    • Matson CC, Ullian JA, Boisaubin EV. Integrating early clinical experience curricula at two medical schools: lessons learned from the Robert Wood Johnson Foundation's Generalist Physician Initiative. Acad Med. 1999;74(1 suppl):S53-S58.
    • (1999) Acad Med , vol.74 , Issue.1 SUPPL.
    • Matson, C.C.1    Ullian, J.A.2    Boisaubin, E.V.3
  • 15
  • 16
    • 0035022899 scopus 로고    scopus 로고
    • A primary care preceptorship for first-year medical students coordinated by an area health education center program: A six-year review
    • Rooks L, Watson RT, Harris JO. A primary care preceptorship for first-year medical students coordinated by an area health education center program: a six-year review. Acad Med. 2001;76:489-492.
    • (2001) Acad Med , vol.76 , pp. 489-492
    • Rooks, L.1    Watson, R.T.2    Harris, J.O.3
  • 17
    • 0031949518 scopus 로고    scopus 로고
    • Relationship between early clinical exposure and first-year students' attitudes toward medical education
    • Johnson AK, Scott CS. Relationship between early clinical exposure and first-year students' attitudes toward medical education. Acad Med. 1998;73:430-432.
    • (1998) Acad Med , vol.73 , pp. 430-432
    • Johnson, A.K.1    Scott, C.S.2
  • 18
    • 0036122436 scopus 로고    scopus 로고
    • Early introduction of clinical skills teaching in a medical curriculum - factors affecting students' learning
    • Lam TP, Irwin M, Chow LW, Chan P. Early introduction of clinical skills teaching in a medical curriculum - factors affecting students' learning. Med Educ. 2002;36:233-240.
    • (2002) Med Educ , vol.36 , pp. 233-240
    • Lam, T.P.1    Irwin, M.2    Chow, L.W.3    Chan, P.4
  • 19
    • 4944225599 scopus 로고    scopus 로고
    • Introducing first-year medical students to clinical practice by having them "shadow" third-year clerks
    • Alford CL, Currie DM. Introducing first-year medical students to clinical practice by having them "shadow" third-year clerks. Teach Learn Med. 2004;16:260-263.
    • (2004) Teach Learn Med , vol.16 , pp. 260-263
    • Alford, C.L.1    Currie, D.M.2
  • 20
    • 0030061725 scopus 로고    scopus 로고
    • An active-learning approach to basic clinical skills
    • Curry RH, Makoul G. An active-learning approach to basic clinical skills. Acad Med. 1996;71:41-44.
    • (1996) Acad Med , vol.71 , pp. 41-44
    • Curry, R.H.1    Makoul, G.2
  • 21
    • 0023551762 scopus 로고
    • A first-year medical school pilot program for early clinical exposure
    • Nathanson L, Backer K, Long L. A first-year medical school pilot program for early clinical exposure. J Cancer Educ. 1987;2:107-111.
    • (1987) J Cancer Educ , vol.2 , pp. 107-111
    • Nathanson, L.1    Backer, K.2    Long, L.3
  • 22
    • 0033040793 scopus 로고    scopus 로고
    • Educational and career outcomes of an internal medicine preceptorship for first-year medical students
    • Elnicki DM, Halbritter KA, Antonelli MA, Linger B. Educational and career outcomes of an internal medicine preceptorship for first-year medical students. J Gen Intern Med. 1999;14:341-346.
    • (1999) J Gen Intern Med , vol.14 , pp. 341-346
    • Elnicki, D.M.1    Halbritter, K.A.2    Antonelli, M.A.3    Linger, B.4
  • 23
    • 0032736105 scopus 로고    scopus 로고
    • Early clinical experience enhances third-year pediatrics clerkship performance
    • Kossoff EH, Hubbard TW, Gowen CW Jr. Early clinical experience enhances third-year pediatrics clerkship performance. Acad Med. 1999;74:1238-1241.
    • (1999) Acad Med , vol.74 , pp. 1238-1241
    • Kossoff, E.H.1    Hubbard, T.W.2    Gowen Jr., C.W.3
  • 25
    • 0034797276 scopus 로고    scopus 로고
    • Can first-year students master clinical skills?
    • Rogers JC, Dains JE. Can first-year students master clinical skills? Acad Med. 2001;76:1065.
    • (2001) Acad Med , vol.76 , pp. 1065
    • Rogers, J.C.1    Dains, J.E.2
  • 26
    • 0036795305 scopus 로고    scopus 로고
    • Can specialists and generalists teach clinical skills to second-year medical students with equal effectiveness?
    • Zakowski L, Seibert C, VanEyck S, Skochelak S, Dottl S, Albanese M. Can specialists and generalists teach clinical skills to second-year medical students with equal effectiveness? Acad Med. 2002;77:1030-1033.
    • (2002) Acad Med , vol.77 , pp. 1030-1033
    • Zakowski, L.1    Seibert, C.2    VanEyck, S.3    Skochelak, S.4    Dottl, S.5    Albanese, M.6
  • 27
    • 0031692006 scopus 로고    scopus 로고
    • Providing early clinical experience in primary care
    • Hampshire A. Providing early clinical experience in primary care. Med Educ. 1998;32:495-501.
    • (1998) Med Educ , vol.32 , pp. 495-501
    • Hampshire, A.1
  • 28
    • 0035049778 scopus 로고    scopus 로고
    • What did we learn about the impact on students' clinical education?
    • Barley G, O'Brien-Gonzales A, Hughes E. What did we learn about the impact on students' clinical education? Acad Med 2001;76(4 suppl):S68-S71.
    • (2001) Acad Med , vol.76 , Issue.4 SUPPL.
    • Barley, G.1    O'Brien-Gonzales, A.2    Hughes, E.3
  • 29
    • 0034805299 scopus 로고    scopus 로고
    • Becoming a doctor: Fostering humane caregivers through creative writing
    • Hatem D, Ferrara E. Becoming a doctor: fostering humane caregivers through creative writing. Patient Educ Couns. 2001;45:13-22.
    • (2001) Patient Educ Couns , vol.45 , pp. 13-22
    • Hatem, D.1    Ferrara, E.2
  • 30
    • 0035045023 scopus 로고    scopus 로고
    • What did we learn about student and faculty "backlash" to the interdisciplinary generalist curriculum project?
    • Steele D, Steyer T, Nowalk A. What did we learn about student and faculty "backlash" to the interdisciplinary generalist curriculum project? Acad Med. 2001;76(4 suppl):S61-S67.
    • (2001) Acad Med , vol.76 , Issue.4 SUPPL.
    • Steele, D.1    Steyer, T.2    Nowalk, A.3
  • 31
    • 0031933552 scopus 로고    scopus 로고
    • Integrated clinical experience: University of Nebraska Medical Center
    • Steele DJ, Susman JL. Integrated clinical experience: University of Nebraska Medical Center. Acad Med. 1998;73:41-47.
    • (1998) Acad Med , vol.73 , pp. 41-47
    • Steele, D.J.1    Susman, J.L.2
  • 32
    • 85012818589 scopus 로고    scopus 로고
    • Carnegie Foundation for the Advancement of Teaching. Available at:, Accessed June 14
    • Shulman LS. Cascades: report of the president. Carnegie Foundation for the Advancement of Teaching. Available at: (http://www.carnegiefoundation.org/ about/index.asp?key=501). Accessed June 14, 2007.
    • (2007) Cascades: Report of the president
    • Shulman, L.S.1
  • 36
    • 3242812863 scopus 로고    scopus 로고
    • What does "the discovery of grounded theory" have to say to medical education?
    • Harris I. What does "the discovery of grounded theory" have to say to medical education? Adv Health Sci Educ. 2003;8:49-61.
    • (2003) Adv Health Sci Educ , vol.8 , pp. 49-61
    • Harris, I.1
  • 39
    • 0023408054 scopus 로고
    • Therapeutic aspects of the clinical encounter
    • Novack DH. Therapeutic aspects of the clinical encounter. J Gen Intern Med. 1987;2:346-355.
    • (1987) J Gen Intern Med , vol.2 , pp. 346-355
    • Novack, D.H.1
  • 40
    • 0023930484 scopus 로고
    • What makes the patient- doctor relationship therapeutic? Exploring connexional dimension of medical care
    • Suchman AL, Matthews DA. What makes the patient- doctor relationship therapeutic? Exploring connexional dimension of medical care. Ann Intern Med. 1988;108:125-130.
    • (1988) Ann Intern Med , vol.108 , pp. 125-130
    • Suchman, A.L.1    Matthews, D.A.2
  • 41
    • 0033007309 scopus 로고    scopus 로고
    • Toward creating physician- healers: Fostering medical students' self-awareness, personal growth, and well-being
    • Novack DH, Epstein RM, Paulsen RH. Toward creating physician- healers: fostering medical students' self-awareness, personal growth, and well-being. Acad Med. 1999;74:516-520.
    • (1999) Acad Med , vol.74 , pp. 516-520
    • Novack, D.H.1    Epstein, R.M.2    Paulsen, R.H.3
  • 42
    • 21844434667 scopus 로고    scopus 로고
    • How can physicians' learning styles drive educational planning?
    • Armstrong E, Parsa-Parsi R. How can physicians' learning styles drive educational planning? Acad Med. 2005;80:680-684.
    • (2005) Acad Med , vol.80 , pp. 680-684
    • Armstrong, E.1    Parsa-Parsi, R.2
  • 45
    • 58149425798 scopus 로고
    • A theory of human motivation
    • Maslow AH. A theory of human motivation. Psychol Rev. 1943;50:370-396.
    • (1943) Psychol Rev , vol.50 , pp. 370-396
    • Maslow, A.H.1
  • 46
    • 0030034675 scopus 로고    scopus 로고
    • How doctors learn: The role of clinical problems across the medical school-to-practice continuum
    • Slotnick HB, Slotnick HB. How doctors learn: the role of clinical problems across the medical school-to-practice continuum. Acad Med. 1996;71:28-34.
    • (1996) Acad Med , vol.71 , pp. 28-34
    • Slotnick, H.B.1    Slotnick, H.B.2
  • 47
    • 0037433739 scopus 로고    scopus 로고
    • ABC of learning and teaching: Educational environment
    • Hutchinson L. ABC of learning and teaching: educational environment. BMJ. 2003;329:810-812.
    • (2003) BMJ , vol.329 , pp. 810-812
    • Hutchinson, L.1
  • 48
    • 0017472917 scopus 로고
    • Self-efficacy: Toward a unifying theory of behavioral change
    • Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191-215.
    • (1977) Psychol Rev , vol.84 , pp. 191-215
    • Bandura, A.1
  • 49
    • 0025011741 scopus 로고
    • A cognitive perspective on medical expertise: Theory and implication
    • Schmidt HG, Norman GR, Boshuizen HP. A cognitive perspective on medical expertise: theory and implication. Acad Med. 1990;65:611-621.
    • (1990) Acad Med , vol.65 , pp. 611-621
    • Schmidt, H.G.1    Norman, G.R.2    Boshuizen, H.P.3
  • 50
    • 0024270470 scopus 로고
    • Learning to doctor: Reflections on recent accounts of the medical school years
    • Conrad P. Learning to doctor: reflections on recent accounts of the medical school years. J Health Soc Behav. 1988;29:323-332.
    • (1988) J Health Soc Behav , vol.29 , pp. 323-332
    • Conrad, P.1
  • 51
    • 0029825061 scopus 로고    scopus 로고
    • My most meaningful patient: Reflective learning on a general medicine service
    • Lichstein PR, Young G. "My most meaningful patient": reflective learning on a general medicine service. J Gen Intern Med. 1996;11:406-409.
    • (1996) J Gen Intern Med , vol.11 , pp. 406-409
    • Lichstein, P.R.1    Young, G.2
  • 52
    • 3843098157 scopus 로고    scopus 로고
    • Feelings related to first patient experiences in medical school. A qualitative study on students' personal portfolios
    • Pitkala KH, Mantyranta T. Feelings related to first patient experiences in medical school. A qualitative study on students' personal portfolios. Patient Educ Couns. 2004;54:171-177.
    • (2004) Patient Educ Couns , vol.54 , pp. 171-177
    • Pitkala, K.H.1    Mantyranta, T.2
  • 53
    • 0027911543 scopus 로고
    • Becoming a doctor. Critical-incident reports from third-year medical students
    • Branch W, Pels RJ, Lawrence RS, Arky R. Becoming a doctor. Critical-incident reports from third-year medical students. N Engl J Med. 1993;329:1130-1132.
    • (1993) N Engl J Med , vol.329 , pp. 1130-1132
    • Branch, W.1    Pels, R.J.2    Lawrence, R.S.3    Arky, R.4
  • 54
    • 0035904285 scopus 로고    scopus 로고
    • The patient-physician relationship. Narrative medicine: A model for empathy, reflection, profession, and trust
    • Charon R. The patient-physician relationship. Narrative medicine: a model for empathy, reflection, profession, and trust. JAMA. 2001;286:1897-1902.
    • (2001) JAMA , vol.286 , pp. 1897-1902
    • Charon, R.1
  • 55
    • 0037031237 scopus 로고    scopus 로고
    • What's important to you? The use of narratives to promote self-reflection and to understand the experiences of medical residents
    • Brady DW, Corbie-Smith G, Branch WT. "What's important to you?" The use of narratives to promote self-reflection and to understand the experiences of medical residents. Ann Intern Med. 2002;137:220-223.
    • (2002) Ann Intern Med , vol.137 , pp. 220-223
    • Brady, D.W.1    Corbie-Smith, G.2    Branch, W.T.3
  • 56
    • 0032058665 scopus 로고    scopus 로고
    • Using electronic journal writing to foster reflection and provide feedback in an introduction to clinical medicine
    • Deloney LA, Carey MJ, Beeman HG. Using electronic journal writing to foster reflection and provide feedback in an introduction to clinical medicine. Acad Med. 1998;73:574-575.
    • (1998) Acad Med , vol.73 , pp. 574-575
    • Deloney, L.A.1    Carey, M.J.2    Beeman, H.G.3
  • 57
    • 0027309266 scopus 로고
    • Personal journal writing in a communication skills course for first-year medical students
    • Ashbury JE, Fletcher BM, Birtwhistle RV. Personal journal writing in a communication skills course for first-year medical students. Med Educ. 1993;27:196-204.
    • (1993) Med Educ , vol.27 , pp. 196-204
    • Ashbury, J.E.1    Fletcher, B.M.2    Birtwhistle, R.V.3
  • 58
    • 0037392891 scopus 로고    scopus 로고
    • Becoming a physician: Students' creative projects in a third-year IM clerkship
    • Rucker LMD, Shapiro JP. Becoming a physician: students' creative projects in a third-year IM clerkship. Acad Med. 2003;78:391-397.
    • (2003) Acad Med , vol.78 , pp. 391-397
    • Rucker, L.M.D.1    Shapiro, J.P.2
  • 59
    • 0031745184 scopus 로고    scopus 로고
    • Songs of innocence and experience: Student's poems about their medical education
    • Poirier S, Ahrens WR, Brauner DJ. Songs of innocence and experience: student's poems about their medical education. Acad Med. 1998;73:473-478.
    • (1998) Acad Med , vol.73 , pp. 473-478
    • Poirier, S.1    Ahrens, W.R.2    Brauner, D.J.3
  • 60
    • 33646337147 scopus 로고    scopus 로고
    • Systematic review of depression, anxiety and other indicators of psychologic distress among U.S. and Canadian medical students
    • Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety and other indicators of psychologic distress among U.S. and Canadian medical students. Acad Med. 2006;81:354-373.
    • (2006) Acad Med , vol.81 , pp. 354-373
    • Dyrbye, L.N.1    Thomas, M.R.2    Shanafelt, T.D.3
  • 61
    • 0034097460 scopus 로고    scopus 로고
    • Qualitative research in health care. Assessing quality in qualitative research
    • Mays N, Pope C. Qualitative research in health care. Assessing quality in qualitative research. BMJ. 2000;320:50-52.
    • (2000) BMJ , vol.320 , pp. 50-52
    • Mays, N.1    Pope, C.2
  • 62
    • 0842268895 scopus 로고    scopus 로고
    • Qualitative Methods
    • Norman GR, van der Vleuten CPM, Newble DI, eds, Dordrecht, Netherlands: Kluwer Academic Publishers;
    • Harris IB. Qualitative Methods. In: Norman GR, van der Vleuten CPM, Newble DI, eds. International Handbook of Research in Medical Education. Dordrecht, Netherlands: Kluwer Academic Publishers; 2002:45-95.
    • (2002) International Handbook of Research in Medical Education , pp. 45-95
    • Harris, I.B.1
  • 64
    • 0033046458 scopus 로고    scopus 로고
    • What do family medicine patients think about medical students' participation in their health care?
    • Devera-Sales A, Paden C, Vinson D. What do family medicine patients think about medical students' participation in their health care? Acad Med. 1999;74:550-552.
    • (1999) Acad Med , vol.74 , pp. 550-552
    • Devera-Sales, A.1    Paden, C.2    Vinson, D.3
  • 65
    • 0036204638 scopus 로고    scopus 로고
    • Patients' views and feelings on the community-based teaching of undergraduate medical students: A qualitative study
    • Coleman K, Murray E. Patients' views and feelings on the community-based teaching of undergraduate medical students: a qualitative study. Fam Pract. 2002;19:183-188.
    • (2002) Fam Pract , vol.19 , pp. 183-188
    • Coleman, K.1    Murray, E.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.