The College of Family Physicians of Canada, responsible for accreditation of residency programs, prescribe ‘The Four Principles of Family Medicine’ and the 27 competencies derived from them, as the curricular framework for Canadian family medicine residencies. The literature reveals little about the development of the Four Principles of Family Medicine. This study was conducted to determine the degree to which each competency was considered relevant to clinical practice and learned by recent graduates of the University of Manitoba Family Medicine program. For the 27 competencies, the ratings of graduates were similar to those of family medicine experts as the competencies were generally viewed as moderately important and frequently used. Graduates reported being well prepared in most of the competencies. This supports the use of the Four Principles of Family Medicine as a curricular framework for family physician trainees in Canada.

The College of Family Physicians of Canada, responsible for accreditation of residency programs, prescribe ‘The Four Principles of Family Medicine’ and the 27 competencies derived from them, as the curricular framework for Canadian family medicine residencies. The literature reveals little about the development of the Four Principles of Family Medicine. This study was conducted to determine the degree to which each competency was considered relevant to clinical practice and learned by recent graduates of the University of Manitoba Family Medicine program. For the 27 competencies, the ratings of graduates were similar to those of family medicine experts as the competencies were generally viewed as moderately important and frequently used. Graduates reported being well prepared in most of the competencies. This supports the use of the Four Principles of Family Medicine as a curricular framework for family physician trainees in Canada.

Sexual education has been a much-debated topic in the United States since it was instated in light of the HIV/AID pandemic of the 1980s. The debate has always centered on the role of sexual education: should it act to objectively relay the facts about sexual health? Or should it be utilized as a moral purveyor of teen’s sexual behavior? During the second Bush Administration it seemed as if the conservative right had won and sexual education adopted a role policing teen’s morality with $1.5 billion in federal funding for abstinence-only education. This study aims to provide evidence against abstinence-only education by highlighting its ineffectiveness to meet its own standards of success (preventing teen pregnancy and STI infection), as well as its violation of legal human rights standards. As well, this study will provide an alternative to abstinence-only education, comprehensive sexual education, which provides students with accurate information about sexual health (including information about contraception, abortion, etc.) while still emphasizing abstinence as the preferred sexual behavior in teens.

There is ample evidence that clinical communication skills deteriorate in medical students without specific training, but are improved by training. However, little is known about how well-equipped students are to communicate with patients on entering medical school, and there is limited evidence about whether all students improve with tuition in communication skills. This thesis describes a longitudinal study into these issues at the University of Otago�s Medical School. It was hypothesised that the majority of participants would demonstrate significant improvement in communication skills over their first two phases of specific tuition in communication. However, a small minority of participants were expected to fail to develop adequate skills in communication over this time, and the researcher wished to investigate whether any of the variables measured at baseline (demographic characteristics, personal qualities, academic abilities, and demonstrated interaction and interview observation skills) would predict those participants who developed superior communication skills, or who failed to demonstrate sufficient improvement by the end of eighteen months of medical education. Participants were 232 new entrants to the Otago Medical School programme, who were evaluated at three time points over the first eighteen months of their medical training. After completing a range of baseline measures (including a pre-training videotaped interview with a simulated patient role-played by an actor), participants completed two phases of communication skills training and, at the end of each phase, undertook a further videotaped interview. Interviews were marked by trained raters, using a novel assessment tool, the Brown-Peace Interview Marking Schedule, developed specifically for this purpose. Actors and participants themselves also evaluated each interview. Results showed that there was considerable variation in participants� abilities to perform the pre-training interview, indicating that the communication skills required in a clinical setting were not present in the majority of participants before training. Analysis of participant performance over time indicated that, while certain skills improved with training (e.g., receptive listening skills, non-verbal expression, and degree of structure in the interview) others did not improve significantly (e.g., responsiveness to the patient�s needs). As a group, participants benefited from the training, but a small sub-group of participants exhibited significant deficits in communication, even after two phases of communication skills training. It was easier to predict those participants who would develop superior communication skills than those who would continue to experience difficulties with simulated interviews. However, a small number of qualities (such as lack of familiarity with the English language, and high levels of personal qualities such as aloofness) were useful predictors of poor performance in the videotaped interviews. Further research could clarify whether the same personal qualities influence student performance in later interviews, once students have had more experiential training and opportunities to practise interviewing in a range of settings. In terms of the practical implications of the research findings, a number of issues are highlighted, such as the range of skills required of those who teach and evaluate communication skills. Recommendations are made regarding the timing, content and implementation of communication skills training for medical students.

This thesis explores whether a carefully designed educational program can impact unfavourably on a proportion of students, what the magnitude of this proportion may be, whether previously identified ???deep enhancing??? features could stimulate surface approaches in some students, and the possible reasons for such paradoxical impact. These questions are set within a context of continuing efforts to find the ???ideal??? medical curriculum, and where evaluation studies of these curricular methods have failed to demonstrate the expected degree of positive impact. This leads to the final question of the thesis, which is whether the phenomenon of different responses by different students, could help explain the less-than-expected positive impact of curricular innovations reported in the literature. The questions were explored through a series of three studies. The First study consisted of individual student interviews and surveys (using the R-SPQ-2F, Biggs et al 2001) during a traditional program in medicine and upon conclusion of an educational program designed along currently accepted principles associated with higher quality learning outcomes. The two follow up studies included surveying students in two other settings in medical education. These studies were useful to overcome some of the limitations of the First study, and to explore the possible wider prevalence of the findings of the First study. The findings of the First study indicated that one-third of the student group did respond unfavourable to a carefully designed educational program. The interview findings highlighted this phenomenon, and illustrated how these students responded to ???deep enhancing curricular features??? by changing to more surface approaches. The survey findings supported these findings, and helped cluster and categorise students into subgroups who responded to the Pilot program in distinct ways. The two follow up studies indicated similar patterns of response in the other settings of medical education, and suggested that this phenomenon may be more widely prevalent. The findings suggest an area of research that requires further exploration. If confirmed and extended by further work, the findings could have significant theoretical and practical implications for medical education. From a theoretical perspective, the findings enrich the current theory of student approaches to learning by beginning to unravel the complex interaction between student and context factors that lead to approaches. The thesis further contributes to the literature by its finding that some previously identified ???deep enhancing??? context factors could stimulate change to more surface approaches in some students, and by the finding that different students??? approaches could change in different directions, when measured before and after the same ???deep enhancing??? educational context. From a practical perspective, the findings could be relevant to designers and evaluators of medical curricula, and to facilitators of small group learning. An understanding of the different patterns of response that may be expected, and an understanding of different strategies that may better support these different subgroups, may help optimise the benefits of curricular design.

Author's revision to her thesis is in envelope on back page. / Copies of author's previously published works inserted. / Bibliography: leaves 472-502. / xvi, 502 leaves : ill. ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / The first aim of this thesis is to investigate the English language proficiency of several cohorts of undergraduate medical students enrolled at the University of Adelaide, South Australia, employing both quantitative and qualitative measures. The second is to consider the influence of students' English language proficiency upon their academic and clinical performance. The thesis puts forward recommendations for future teaching and learning strategies and research opportunities in the medical education arena. / Thesis (Ph.D.)--University of Adelaide, Dept. of Psychiatry, 1998

Thesis (M.A.)--Indiana University, 2007. / Title from screen (viewed on January 9, 2008). Department of Communication Studies, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Stuart M. Schrader, Kim D. White-Mills, Elizabeth M. Goering, Jane E. Schultz. Includes vitae. Includes bibliographical references (leaves 85-94).

Thesis (M.A.)--Auburn University, 2008. / Abstract. Vita. Includes bibliographical references (p. 121-129).

Thesis (Ph.D.). / Written for the Dept. of Educational and Counselling Psychology. Title from title page of PDF (viewed 2008/02/12). Includes bibliographical references.

Thesis (Ed.D.)-- Teachers College, Columbia University, 1996. / Includes tables. Typescript; issued also on microfilm. Sponsor: Marie O'Toole. Dissertation Committee: Raechele Pope. Includes bibliographical references (leaves 179-192).