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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Gunning, William T. Fors, Uno G. H. |
| Spatial Coverage | Ohio |
| Description | Country affiliation: United States Author Affiliation: Gunning WT ( University of Toledo, USA.) |
| Abstract | INTRODUCTION: We have evaluated medical student ability in a problem-based learning course using a virtual patient (VP)-based exam with variable parameters for assessment purposes. METHODS: A class of 155 second year medical students was assessed using a VP exam with unlimited access during a 1-week period; 2 years later, the identical exam was administered to 175 students with a 3-h time limit. RESULTS: Students taking the exam without time constraints utilized approximately twice as much time than students with the time limit. Without the pressure of a time-limit, students utilized half as many inquiries of the patient history, physical, and lab/imaging tests than were used by students having a time constraint, indicating that the time limited students used a 'shotgun approach' to try to collect as many 'required' inquiries as possible. Most students (91%) taking the untimed exam were able to correctly diagnose the exam case but only 31% of the time limited students correctly diagnosed the VP exam case, despite their higher number of inquiries. CONCLUSIONS: Our results demonstrate that an identical VP exam, administered with variables to compare untimed versus time-limited conditions, resulted in an unraveling of student's ability to integrate the data discovered during the process of progressive disclosure. |
| File Format | HTM / HTML |
| ISSN | 0142159X |
| Issue Number | 4 |
| Volume Number | 34 |
| e-ISSN | 1466187X |
| Journal | Medical Teacher |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2012-01-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Decision Making Clinical Competence Diagnosis, Differential Humans Discipline Medical Education Journal Article Problem-based Learning Time Factors Computer Simulation Education, Medical, Undergraduate Educational Measurement Ohio Retrospective Studies Methods |
| Content Type | Text |
| Resource Type | Article |
| Subject | Education Medicine |
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