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Biomedical subjects

R Wakeford

Publications and source records attributed to R Wakeford.

63 records · Page 4Linked to original sources

The training of junior doctors for accident and emergency work: a case for urgent treatment?

The experience of casualty officers at the time of appointment has been compared, by questionnaire survey, with abilities and responsibilities 3 months after starting work in Accident and Emergency Medicine. Initial clinical and practical knowledge frequently did not match the demands of the new post. Some doctors felt unable to assume initial responsibility for important and commonplace clinical conditions. Many expressed dissatisfaction with the teaching they received. Only one-fifth of respondents had received any form of introductory course. Accident and Emergency work provides useful training for Senior House Officers pursuing a variety of careers, but adequate preparation is essential. This is not provided in the preregistration year. It is recommended that medical schools make greater efforts to ensure relevant comprehensive experience amongst their students before graduation. Introductory courses should be arranged for all new casualty officers and greater emphasis placed on the immediate availability of experienced supervisory staff in Accident and Emergency Departments.

Emergency Medicine↗

Health policy, student selection and curriculum reform.

Student selection is a major component of the training process. This paper argues that the traditional approach taken to selection--using the criterion-prediction model--has limited utility in the training of health care professionals. Not only are there additional educational purposes which selection can fulfil (such as increasing the heterogeneity of students, encouraging realistic self-selection and providing the first exposure to the "ethos" of a profession), but selection can also be used as a direct strategy to assist in the implementation of health service policies--for example, by contributing to social equalization, community participation in health services and community responsibility for health.

Analysis of Variance↗

Medical student selection: a tentative attempt to establish a code of practice.

Each year medical schools in the United Kingdom select about 3800 entrants from about 12 000 applicants. The problem of selection is thus substantial, but the objectives, policies, and practices of different medical schools differ sharply and details of the procedures used are rarely made clear. There is no reliable or up-to-date information available for schools, careers of advisers, and prospective candidates to keep abreast of these practices and policies and of changes made to them. A code of practice for medical student selection might be helpful and would not only facilitate discussion about the appropriateness and fairness of the widely differing practices but make it easier to evaluate the procedures used. Such a code should list the academic and personal requirements for the school, state any quotas for types of entrants, and describe the selection procedures.

Education, Medical, Undergraduate↗

Death in the clouds.

Explore the source record for details and available documents.

Aerospace Medicine↗

A European exchange scheme for junior doctors in internal medicine 1977-91: experiences of participants and organisers.

A retrospective survey was undertaken of the participants in and the organisers of an exchange scheme for junior physicians which has operated since 1977 between leading hospitals in countries of the European Community and Switzerland. The exchange has clinical, research, educational and cultural objectives and the survey sought to record the experiences of participants and their chiefs of service and note the strengths and weaknesses of the scheme as well as problems encountered with it. Overall, the participants' reports of their experiences of the scheme were favourable. Chiefs of host departments were enthusiastic about the interaction between participants and the host institutions. The impact of the programme on the junior doctors' educational and career development was variable though generally positive; major career changes were rare, the common pattern being one of helpful focusing of career intentions. Problems were relatively infrequent, mostly related to poor briefing, finances and bureaucracy. Few general international differences of experience of the scheme emerged.

European Union↗