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Patient Simulations in Clinical Education

  • Barbara B. Farquhar
  • Edward P. Hoffer
  • G. Octo Barnett
Part of the Computers in Biology and Medicine book series (CBM)

Abstract

Clinical medical education is an intermediate stage between the mastery of basic medical sciences and the practice of medicine; its purpose is to provide students with supervised practice in solving clinical problems so that they will be prepared for independent practice. Ideally, the process of medical education is a well-planned, balanced, ordered sequence of activities designed to produce a physician with competence in solving a variety of clinical problems (Barnett, 1974). In fact, clinical medical education takes place in teaching hospitals where there are often conflicting demands on the time of good teachers and where primary consideration must be given to the welfare of patients rather than to educational effectiveness.

Keywords

Medical Student Medical Education Instructional Strategy Answer Number Massachusetts General Hospital 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. AAMC (Association of American Medical Colleges), 1973. Undergraduate Medical Education: Elements, Objectives, Costs, Report of the Committee on the Financing of Medical Education, Association of American Medical Colleges, Washington, D.C.Google Scholar
  2. Barnett, G. O., 1974. The use of a computer-based system to teach clinical problem solving, in B. Waxman and R. Stacy (Eds.), Computers in Biomedical Research, Vol. 4, pp. 301–319, Academic Press, New York.Google Scholar
  3. Barnett, G. O., and Greenes, R. A., 1970. High level programming languages, Comput. Biomed. Res. 3:488–494.CrossRefGoogle Scholar
  4. Barnett, G. O., Baillieul, J. B., and Farquhar, B. B., 1972. The testing of clinical judgment — An experimental computer-based measurement of sequential problem-solving ability, in J. Jacquez (Ed.), Proceedings of 1970 University of Michigan Conference, pp. 191–202, Charles C Thomas, Springfield, Illinois.Google Scholar
  5. Bloom, B. S., Engelhart, M. D., Furst, E. J., Hill, W. H., and Krathwohl, D. R., 1956. Taxonomy of Educational Objectives, Handbook I: Cognitive Domain, David McKay Company, New York.Google Scholar
  6. Farquhar, B. B., 1976. Computers and the education of health personnel, in: Medical Data Processing, Taylor and Francis, Ltd., London.Google Scholar
  7. Farquhar, B. B., Barnett, G. O., Goldfinger, S. E., and Dinnen, J. J., 1973. Computer-based examination: A technique to evaluate clinical competence, in J. P. Lysaught (Ed.), Instructional Technology in Medical Education, pp. 91–99, University of Rochester, Rochester, N.Y.Google Scholar
  8. Feinstein, A. R., 1967. Clinical Judgment, Williams and Wilkins, Baltimore, Maryland.Google Scholar
  9. Goroll, A. H., Barnett, G. O., Bowie, J. E., and Prather, P. A., (submitted for publication), A pathophysiological approach to teaching differential diagnosis using a computer-based program.Google Scholar
  10. Greenes, R. A., Pappalardo, A. N., Marble, C. W., and Barnett, G. O., 1969. Design and implementation of a clinical data mangement system, Comput. Biomed. Res. 2:469–485.CrossRefGoogle Scholar
  11. Harless, W. G., 1976. MERIT, presentation at the Association for the Development of Computer-based Instructional Systems, January, 1976, Santa Barbara, California.Google Scholar
  12. Harless, W. G., Lucas, N. C., Cutter, J. A., Duncan, R. C., White, J. M., and Brandt, E. W., 1969. Computer-assisted instruction in continuing medical education, J. Med. Educ. 44:670–674.Google Scholar
  13. Hoffer, E. P., 1974. Ask the computer; problem: G. I. bleeding, Emergency Medicine (November, 1974): 193.Google Scholar
  14. Hoffer, E. P., 1975. Computer-aided instruction in community hospital emergency departments: A pilot project, J. Med. Educ. 50:84–86.Google Scholar
  15. Hoffer, E. P., Barnett, G. O., and Farquhar, B. B., 1972. Computer simulation model for teaching cardipulmonary resuscitation, J. Med. Educ. 47:343–348.Google Scholar
  16. Hoffer, E. P., Barnett, G. O., Farquhar, B. B., and Prather, P. A., 1975. Computer-aided instruction in medicine, Ann. Rev. Biophys. Bioeng. 4:103–118.CrossRefGoogle Scholar
  17. J.A.M.A., 1973. Medical education in the United States 1972–1973, Section 4, Continuing medical education, 1973, J.A.M.A. 266:893–995.Google Scholar
  18. J.A.M.A., 1975. Continuing education courses for physicians, 1975, J.A.M.A., (Supplement, August 11, 1975), 233:6.Google Scholar
  19. Krathwohl, D. R., Bloom, B. S., and Masia, B. B., 1964. Taxonomy of Educational Objectives. Handbook II: Affective Domain, David McKay Company, New York.Google Scholar
  20. Lambdin, J. A., Johnson, D. G., and Kurtz, G., 1975. Survey of How Medical Students Finance Their Education, Association of American Medical Colleges, Washington, D.C.Google Scholar
  21. Mankin, H. J., 1971. The orthopaedic in-training examination, Clinical Orthopaedics, 75:108–116.CrossRefGoogle Scholar
  22. Mankin, H. J., unpublished, Development of educational characteristics for orthopaedics, Massachusetts General Hospital, Boston, Massachusetts.Google Scholar
  23. Mankin, H. J., 1976. The MARK programs for the American Academy of Orthopaedic Surgeons, presentation to the Advisory Committee on Continuing Education, April 2, 1976, Boston, Massachusetts.Google Scholar
  24. Morrison, C. C., Boswick, G., Hassan, R., and Belknap, S., 1973. The computer and office practice, Journal of the Maine Medical Association 64:266 – 270.Google Scholar
  25. O’Neill, J. T. (Ed.), 1976, MUMPS Language Standard, Systems and Software Division, Institute for Computer Sciences and Technology, National Bureau of Standards, Washington, D.C.Google Scholar
  26. Travers, J. F., 1972. Types of learning III — problem solving, in Learning: Analysis and Application, 2nd ed., pp. 128–151, David McKay Company, New York.Google Scholar
  27. Weinberg, A. D., 1973. CAI at The Ohio State University College of Medicine, Comput. Biol. Med. 3:299–305.CrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1978

Authors and Affiliations

  • Barbara B. Farquhar
    • 1
  • Edward P. Hoffer
    • 2
  • G. Octo Barnett
    • 2
  1. 1.Educational Computer GroupDigital Equipment CorporationMarlboroUSA
  2. 2.Massachusetts General Hospital and Harvard Medical SchoolBostonUSA

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