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Avaliação da educação superior : uma realidade na educação medica; Institutional evaluation: a reality in medical education

Gianna Lepre Perim
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 11/10/2007 PT
Relevância na Pesquisa
66.03%
Com o objetivo de analisar o processo de avaliação do Curso de Medicina da UEL e a partir deste, conhecer o desempenho de seus estudantes, em comparação com outros cursos de medicina do país, este estudo possibilitou o acompanhamento do processo de avaliação desenvolvido pelo curso nos moldes do SINAES (auto-avaliação, avaliação externa e reavaliação) e a análise dos resultados obtidos por seus estudantes no ENADE 2004. Considerando que o Curso utiliza Metodologias Ativas de Ensinoaprendizagem no desenvolvimento do currículo integrado, comparou-se o desempenho de seus estudantes com o desempenho de estudantes de Escolas Médicas que utilizam Metodologias de Ensino semelhantes e diferentes. Para compreender esse processo foi necessário analisar a Educação Superior e a Educação Médica, e o papel da avaliação no contexto das mudanças, particularmente na mudança de paradigma da Educação Médica. Os resultados demonstraram que o desempenho dos estudantes da UEL supera a média dos grupos estudados e equivale aos resultados dos estudantes das melhores escolas do país, considerando os resultados do ENADE 2004. O estudo reforçou a importância do papel da avaliação nos processos de mudança da Educação Superior; The aims of the present study were to analyze the evaluation process of the Medical School (MS-UEL) at the State University of Londrina-Brazil and to compare the academic performance of its students to their fellows from other Medical Schools throughout the country. This study also provided to the MS-UEL the chance to follow its own evaluation process which was developed according to SINAES (self-evaluation...

A Research Program in Medical Education in Canada

Fish, D. G.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 03/04/1965 EN
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66.01%
The current interest in medical education and the proposed expansion of medical education facilities have stimulated the development of a research program by the secretariat of the Association of Canadian Medical Colleges. The projects planned and now in progress include: (1) studies of the cost of medical education in Canadian teaching hospitals and medical schools; (2) a study of the basic medical science departments in Canada with special reference to the occupational careers of scientists who have received M.Sc. and Ph.D. degrees in those departments; (3) establishment of a student registry to facilitate prospective studies of Canadian medical students; (4) a survey of the residents in training in Canadian hospitals to obtain their evaluation of their training experience.

The Revolution in Medical Education—The Role of Simulation

Satava, Richard M.
Fonte: The Accreditation Council for Graduate Medical Education Publicador: The Accreditation Council for Graduate Medical Education
Tipo: Artigo de Revista Científica
Publicado em /12/2009 EN
Relevância na Pesquisa
65.98%
The last major change in medical education was the Flexner Report, over a century ago. Since that time, iterative improvements have occurred to the question-and-answer and “see one, do one, teach one” educational environment. However, multiple external forces—from the 80-hour work week to the emphasis on patient safety to competing demands on student and faculty time—have raised calls for a fundamental revamping of the entire medical educational process. Fortunately, new methods, curricula, and processes, such as Accreditation Council for Graduate Medical Education competencies or Objective Structured Assessment of Technical Skills, as well as innovative technologies such as web-based learning and simulation, have provided opportunities to support the revolution in medical education that will be responsive to national priorities, the public concern, and, most of all, to patient safety.

Visual analytics in healthcare education: exploring novel ways to analyze and represent big data in undergraduate medical education

Vaitsis, Christos; Nilsson, Gunnar; Zary, Nabil
Fonte: PeerJ Inc. Publicador: PeerJ Inc.
Tipo: Artigo de Revista Científica
Publicado em 25/11/2014 EN
Relevância na Pesquisa
66.04%
Introduction. The big data present in the medical curriculum that informs undergraduate medical education is beyond human abilities to perceive and analyze. The medical curriculum is the main tool used by teachers and directors to plan, design, and deliver teaching and assessment activities and student evaluations in medical education in a continuous effort to improve it. Big data remains largely unexploited for medical education improvement purposes. The emerging research field of visual analytics has the advantage of combining data analysis and manipulation techniques, information and knowledge representation, and human cognitive strength to perceive and recognize visual patterns. Nevertheless, there is a lack of research on the use and benefits of visual analytics in medical education.

Exploring the practical themes for medical education social accountability in Iran

Ahmady, Soleiman; Akbari Lakeh, Maryam
Fonte: Shaheed Beheshti University of Medical Sciences Publicador: Shaheed Beheshti University of Medical Sciences
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
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75.89%
Aim: The purpose of this paper is to explore themes for enhancing socially accountability in medical education.

A National Survey of Medical Education Fellowships

Thompson, Britta M.; Searle, Nancy S.; Gruppen, Larry D.; Nelson, Elizabeth A.; Hatem, Charles Joseph
Fonte: Medical Education Online Publicador: Medical Education Online
Tipo: Artigo de Revista Científica
EN_US
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Purpose: The purpose of our study was to determine the prevalence, focus, time commitment, graduation requirements and programme evaluation methods of medical education fellowships throughout the United States. Medical education fellowships are defined as a single cohort of medical teaching faculty who participate in an extended faculty development programme. Methods: A 26-item online questionnaire was distributed to all US medical schools (n=127) in 2005 and 2006. The questionnaire asked each school if it had a medical education fellowship and the characteristics of the fellowship programme. Results: Almost half (n=55) of the participating schools (n=120, response rate 94.5%) reported having fellowships. Duration (10-584 hours) and length (<1 month-48 months) varied; most focused on teaching skills, scholarly dissemination and curriculum design, and required the completion of a scholarly project. A majority collected participant satisfaction; few used other programme evaluation strategies. Conclusions: The number of medical education fellowships increased rapidly during the 1990s and 2000s. Across the US, programmes are similar in participant characteristics and curricular focus but unique in completion requirements. Fellowships collect limited programme evaluation data...

Medical education : the challenge of linking theory to practice

Hudson, Judith N
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado Formato: 509224 bytes; 53874 bytes; application/pdf; application/pdf
Publicado em //2004 EN
Relevância na Pesquisa
66.04%
In the 1990s, despite empirical support for linking theory to practice in professional education, a theory - practice gap persisted in medical education. This dissertation presents three initiatives and their evaluation to address the theory - practice gap in medical education at an Australian medical school. Case Based Teaching ( CBT ), a teaching and learning initiative, was designed and implemented in the Department of Physiology at the University of Adelaide. It aimed to introduce students to clinical skills in a way that built student confidence ; to achieve integration of knowledge between medical and clinical sciences ; and to strengthen the link between theory and clinical practice. Students and their tutors reported that CBT was beneficial in their development, and realised its three major aims. Greatest support came from students on the verge of their clinical training. Few studies, with both internal and external validity, have demonstrated the potential of computer aided learning ( CAL ) in medical education. In the second initiative, a self - directed CAL resource linking theory to practice was designed in three different learning formats. A randomised controlled trial showed learning gains for CAL users ( in terms of ability to retain and apply knowledge ) compared to non - users...

Rural medical education: five medical students spend a year in rural Port Lincoln Australia

Baillie, S.; Matena, J.; Yerxa, J.; Newbury, J.
Fonte: Deakin University Publicador: Deakin University
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
65.99%
Context: The University of Adelaide and the University of South Australia established the Spencer Gulf Rural Health School (SGRHS) as a joint venture to facilitate rural health professional education and research. Annually a cohort of medical students from the University of Adelaide volunteer and are placed in various SGRHS ‘learning centres’ throughout rural South Australia for the 5th year of their medical training. Issues: This article addresses the issues encountered in one of these ‘learning centres’ in Port Lincoln, rural South Australia. The challenge was to integrate five students into a general medical practice and the local hospital and to provide high quality medical education for the academic year. Lessons learned: Medical practice, student and university requirements were identified and a range of strategies implemented to address these. To date, four groups of medical students have successfully completed their rural academic year in Port Lincoln since 2003. The local systems have evolved to allow five students to integrate into the practice and hospital using a range of teaching and learning methods and resources.; S Baillie, J Matena, J Yerxa, J Newbury

The design, development and evaluation of an online, interactive, formative assessment tool for medical education.

Palmer, Edward
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2011
Relevância na Pesquisa
65.99%
Rapid changes in medical practices used across the world over the last twenty years have lead to significant issues in allowing medical students’ access to patients with commonly occurring conditions. Equally significant changes in medical education systems have stressed the need for more authentic, problem solving curricula. One of the methods that can be used to address this apparent disconcordance between education and clinical practice is the use of technology to give students access to pedagogically sound learning activities. Online formative assessment using case-based scenarios provides students with the ability to assess their own progress in their studies in their own time and at their own pace. Supplemented by sufficient relevant images and video, students can experience an authentic means of assessment that can be used to complement their ward-based education. This thesis discusses the need for such online formative assessment systems and details the design, development and evaluation of such a system. The conclusion from this research is that with appropriate assessment strategies, students can be motivated to use online formative assessment for learning activities. It will be shown that there is sufficient evidence to suggest that such systems can be used to improve student outcomes in their field of interest...

Ethical enculturation: the informal and hidden ethics curricula at an Australian Medical School

West, C.; Chur-Hansen, A.
Fonte: Australasian and New Zealand Association for Medical Education Publicador: Australasian and New Zealand Association for Medical Education
Tipo: Artigo de Revista Científica
Publicado em //2004 EN
Relevância na Pesquisa
75.99%
The formal ethics curriculum taught in medical schools is underscored by the informal and hidden curricula – that which is learned outside of the classroom or ward round, and which is often implied rather than explicit. Medical students' ethical and moral development is influenced by these curricula, although they have not been subject to the same scrutiny as the formal curriculum in previous research. The objective of this study was to explore University of Adelaide medical students' opinions of their ethical experiences, focusing on the informal and hidden curricula, and the perceived impact of these on their ethical development. Six undergraduates in their fourth year of a six-year course participated in an open-ended interview. Transcriptions were subjected to a qualitative methodology, Framework analysis, which extracts themes from the data. Seven interconnected themes were found. These were ethical development, the formal ethics curriculum, role- modelling, compromise, speaking out and keeping quiet, self-interest and guilt. Whilst the results of this study are consistent with that of previous research, a new and as yet unexplored result was the juxtaposition of 'local' students' perceptions of their ethical behaviour with their perceptions of 'international' students' ethical behaviour. From this...

General practice career intentions among graduate-entry students: a cross-sectional study at Ireland’s newest medical school

Lane, G; Dunne, Colum; English, A; Finucane, Paul; O'Connor, Ray; Griffin, M; O'Sullivan, B; Hanrahan, C; McGrath, D; O'Donovan, N; Cullen, Walter
Fonte: Irish Medical Organization Publicador: Irish Medical Organization
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
75.96%
peer-reviewed; Increased care provision and clinical activity in general practice in Ireland will have important manpower implications. Recent developments in medical education policy including the introduction of graduate-entry medical degree programmes may help address this issue. The aim of this study was to determine GP career intentions among students on an Irish graduate-entry medical degree programme and to identify factors that influence these. An electronic cross-sectional study of students at University of Limerick Graduate-Entry Medical School (UL-GEMS) was undertaken. We received 139 replies (78% response rate). 41(29%) reported GP was their current preferred career choice, while 29(19%) reported it was their preferred career choice on entry to medical school. This first study to present data on GP career intentions among graduate-entry students in Ireland highlights the specialty as a popular preferred career choice among students, both on entry to, and during medical school. The study also identifies factors which are likely to be important in determining career intentions. Further research to examine this issue at other graduate-entry medical schools in Ireland and to determine whether our findings are pursued over time amongst graduates is a priority.

Colombian Medical Education System: A Hundred Years Behind; El Sistema de Educación Médica en Colombia: cien años de atraso

Argüello Ospina, Arturo; Sandoval García, Carolina
Fonte: Universidade do Rosário Publicador: Universidade do Rosário
Tipo: Artigo de Revista Científica Formato: application/pdf
Publicado em 18/05/2010 SPA
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66.06%
Almost one hundred years ago the Carnegie Foundation for the Advancement of Teaching authorized a study and report about the medical education of the United States and Canada directed by Mr. Abraham Flexner an education expert of the time. This report turned out to be one of the most important documents of the medical education revolution that took place by that time in North America and that led it to become what it is today. Almost a century after that, Colombian medical education has reached an outstanding similarity to the system described in the Flexner report. The present article highlights the parallel between North America’s medical education situation a hundred years ago and Colombia’s actual medical education situation. We present here some notions about the actual education system based on what was described on 1910 and which we consider, constitutes the current medical education situation on our country and possibly on many Latin American countries.; Hace casi 100 años, la Carnegie Foundation para el avance de la enseñanza le encargó a Abraham Flexner, experto en educación, realizar un estudio sobre la situación de la educación médica en Estados Unidos y Canadá. Este estudio resultó ser uno de los documentos más influyentes en la revolución de la educación médica de Norteamérica...

The Changing Dynamics of Graduate Medical Education: Implications for Decision-Making

Gerbert, Barbara; Showstack, Jonathan A.; Schroeder, Steven A.; Chapman, Susan A.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /03/1987 EN
Relevância na Pesquisa
66.03%
Cost-containment pressures and changes in traditional patient-care patterns are altering the process of graduate medical education. A thorough understanding of this process is a prerequisite to implementing changes that preserve the function of graduate medical education. This report describes the structure of the graduate medical education system and analyzes possible responses to the changes that are affecting it. The decision-making process within academic health centers is described, including an assessment of the roles of hospital directors, deans and faculty, as well as external regulatory agencies such as residency review committees, medical specialty boards and state licensing agencies. The activities of these participants are analyzed within the framework of the teaching hospital's service and education functions, and potential conflicts are described and illustrated by recent examples. Understanding the complex structure and functions of graduate medical education is a first step toward responding effectively to a changing environment.

Extramural Continuing Medical Education

Steeves, Lea C.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 06/04/1963 EN
Relevância na Pesquisa
66%
The experience of one Faculty of Medicine in developing programs of continuing medical education in community hospitals is presented. After mention of the importance of regular reading of the medical literature, and the problems created by its growing volume, the necessity of supplementary programs in community hospitals is pointed out. The different patterns of community hospital meetings that evolved to meet various circumstances in the Atlantic Provinces are detailed. A “course” consisting of six weekly evening meetings, followed by morning case presentations and discussions, has proved the most successful form of continuing medical education in community hospitals. Better than half the doctors in the community attend, and active participation is the rule. The importance of advance planning, the techniques of advance planning, and the expense of operating the program are listed. A projection is made that 46 such courses would be required to cover the four Atlantic Provinces adequately, with a staff equivalent to eight full-time teachers and a budget in excess of $200,000. The fact that this is only 7.5% of Canada's medical population indicates the magnitude of the unmet needs of continuing medical education in this country.

Flexners ethical oversight reprised? Contemporary medical education and the health impacts of corporate globalization

Faunce, Thomas; Gatenby, Paul
Fonte: Blackwell Publishing Ltd Publicador: Blackwell Publishing Ltd
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
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BACKGROUND: Abraham Flexner's famous reports of 1910 and 1912, Medical Education in the United States and Canada and Medical Education in Europe, were written to assist the development of a positive response in university curricula to a revolution in understanding about the scientific foundations of clinical medicine. Flexner pointed out many deficiencies in medical education that retain contemporary resonance. Generally underemphasised in Flexner's reports, however, were recommendations promoting a firm understanding of and commitment to medical ethics as a basis of medical professionalism. Indeed, Flexner's praise for the scholastic basic of German medical education appeared somewhat ironic when the ethical inadequacies of prominent Nazi doctors were revealed at the Nuremberg Trials. CORPORATE GLOBALISATION AND ITS IMPACT ON MEDICAL PROFESSIONALISM: This article suggests that contemporary medical educators, like Flexner, may be at risk of inadequately addressing a major challenge to evolving medical professionalism. Medical ethics, health law and even the international right to health are now increasingly emphasised in medical curricula. The same cannot be said, however, of lobbying principles arising from the structures of corporate globalisation...

Translating exercise biology into the Venezuelan medical education and health care system

Del Corral,Pedro
Fonte: Universidad del Zulia Publicador: Universidad del Zulia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2007 EN
Relevância na Pesquisa
66%
In the absence of pharmacological agents, physical exercise was widely used by physicians in the late 19th century to treat a number of maladies. In the 1950’s, epidemiological evidence suggested an association between physical activity and health, and increased interest in clinical exercise biology. By the 1990’s, sufficient research data was accumulated on the benefits of exercise, such that North American medical associations, government agencies, and the World Health Organization have published guidelines on exercise for public and clinical populations. Despite this, leaders in medical education have remained reluctant to incorporate exercise biology into the core medical curriculum, or to systematically implement it in graduate medical education. This work reviews Venezuelan exercise biology literature, and its medical applications. Venezuelan scientists and clinicians have invested efforts in cardiopulmonary exercise testing, skeletal muscle adaptations to training and exercise cardiovascular pharmacology in patients, sedentary subjects and athletes. It is suggested here, that there is a need to develop education and research programs in basic and clinical exercise biology in the formal training of medical students...

Medical education, cost and policy: what are the drivers for change?

Walsh,Kieran
Fonte: Istituto Superiore di Sanità Publicador: Istituto Superiore di Sanità
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2014 EN
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65.97%
Medical education is expensive. Its expense has led many stakeholders to speculate on how costs could be reduced. In an ideal world such decisions would be made on sound evidence; however this is impossible in the absence of evidence. Sometimes practice will be informed by policy, but policy will not always be evidence based. So how is policy in the field of cost and value in medical education actually developed? The foremost influence on policy in cost and value should be evidence-based knowledge. Unfortunately policy is sometimes influenced by what might at best be termed tradition and at worst inertia. Another influence on policy will be people - but some individuals may have more influence than others. A further influence on policy in this field is events, and mainly events that have gone wrong. One final influence on emerging policy in medical education cost analysis is that of the media.

Funding medical education: should we follow a different model to general higher education?

Walsh,Kieran
Fonte: Istituto Superiore di Sanità Publicador: Istituto Superiore di Sanità
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2015 EN
Relevância na Pesquisa
66.09%
ISSUE. There has been much recent discussion on the funding of medical education. There has also been much discussion about the funding of higher education more generally. EVIDENCE. The topics of discussion have included the rising costs of education; who should pay; the various potential models of funding; and how best to ensure maximum returns from investment. IMPLICATIONS. Medical education has largely followed the emerging models of funding for higher education. However there are important reasons why the funding models for higher education may not suit medical education. These reasons include the fact that medical education is as important to the public as it is to the learner; the range of funding sources available to medical schools; the strict regulation of medical education; and the fact that the privatisation and commercialisation of higher education may not been in keeping with the social goals of medical schools and the agenda of diversification within the medical student population.

Assessment of a complementary curricular strategy for training South African physicians in a Cuban Medical University

Quintana,Frank; Sarasa,Nélida L.; Cañizares,Oscar; Huguet,Yayly
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2012 EN
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75.96%
INTRODUCTION: One reason given by the South African government for establishing a physician training agreement with Cuba is that the ethical, humanistic and solidarity principles promoted in Cuban medical education are difficult to acquire in other settings. However, Cuba's general medical training program does not provide all skills needed by a general practitioner in South Africa: other competencies are required, such as management of general and gynecological or obstetrical surgical emergencies, administration of anesthesia and nursing procedures. As long as the desired humanistic values were assured, South African authorities have preferred to complement these competencies. Thus, since 2003, the Medical University of Villa Clara has applied a curricular strategy of 12 complementary courses to develop the requested additional skills, but results have not met expectations. OBJECTIVE: Determine why the complementary curricular strategy has not been entirely successful and identify possible courses of action for improvement. METHODS: A document review was conducted of the curricular strategy applied and of minutes of meetings between Cuban and South African counterparts to identify correspondence between requested professional skills and actions to develop them. In addition...

Changes needed in basic biomedical sciences teaching in Cuban medical schools

Pernas,Marta; Arencibia,Lourdes G.; Garí,Mayra
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2012 EN
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75.93%
In the 20th century, the basic biomedical sciences (particularly anatomy, histology, embryology, physiology and biochemistry) were taught predominantly in the first semesters of Cuban medical education, with differing curricular connections between these and the clinical sciences. Establishment of the University Polyclinic Program in 2004 laid the foundation for integration of basic biomedical sciences into a transdisciplinary unit designated morphophysiology. This paper argues for improvements in this curricular unit and in its coordination with family medicine in the first semesters of medical training, complemented by integration of basic biomedical sciences into family medicine clinical courses throughout the remainder of the six-year curriculum.