Executive Summary




НазваниеExecutive Summary
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ISBN: 978-0-642-77861-1

© Commonwealth of Australia 2007

This work is copyright. You may download, display, print and reproduce this material in unaltered form only (retaining this notice) for your personal, non-commercial use or use within your organisation. Apart from any use as permitted under the Copyright Act 1968, all other rights are reserved. Requests and inquiries concerning reproduction and rights should be addressed to Commonwealth Copyright Administration, Attorney General’s Department, Robert Garran Offices, National Circuit, Barton ACT 2600 or posted at http://www.ag.gov.au/cca

The University of New South Wales Logo


Final report on PRN9219 for the

Department of Education, Science and Training


Medical Education in Australia

What makes for success?


Outcomes required from undergraduate

medical education


Louis Pilotto 1, Robyn McPherson 2, Geraldine Duncan 1,

Graeme Richardson 1, Jenny Price 1


1 UNSW Rural Clinical School

2 Consultant


August 2006


Contact for Report:


Professor Louis Pilotto

Director

Rural Clinical School

Faculty of Medicine

University of New South Wales


Email: l.pilotto@unsw.edu

Contents

3.1 Introduction 32

Appendix 1: Summary of major studies addressing core competencies in medical education 193

Executive Summary

Introduction


The Commonwealth Department of Education, Science and Training (DEST) commissioned this literature review into the outcomes of medical education as part of the national Medical Education Study in 2006. A research team at the Wagga Wagga Campus of the Rural Clinical School, Faculty of Medicine, University of New South Wales, undertook the review between March and September 2006.

The review sought to:

  • Define from the literature the knowledge, skills and professional (including cultural) attitudes required by medical graduates to be successful interns. From that basis, the study sought the implications for medical education, how well medical education performs the task, and how articulation from undergraduate study to internship could be improved.

  • Identify the knowledge, skills and professional attitudes required by medical graduates as the foundation for specialist training, the efficiency and effectiveness of medical education in preparing graduates, and how articulation could be improved.

  • Explore the effectiveness and reliability of student selection and assessment processes, particularly in terms of their influence on outcomes of medical education.

Section 1 introduces the project, the research methodology and the research team.

Part A explores the background issues:

  • Section 2 investigates the existing literature on the outcomes from medical study and the desirable characteristics of medical graduates.

  • Section 3 reviews the literature on the selection of medical students while Section 4 reviews the literature on assessment in medical education. These sections are fundamental to understanding the outcomes of medical education.

Part B reviews the literature relevant to Project 1 regarding internship:

  • Section 5 looks at the preparedness of the graduates and hospitals for internship.

Sections 6 to 8 cover the knowledge, skills and attitudes required for successful internship and future medical practicePart C reviews the literature relevant to Project 2 regarding specialist training:

  • Section 9 covers the knowledge, skills and attitudes for medical graduates as the foundation for specialist training.

  • Section 10 draws the major conclusions from the literature review.

The review was extensive, with many hundreds of papers identified and 200 cited in the report. The literature did not yield easy answers or definitions as to the knowledge, skills and professional attitudes required for medical graduates to enter internship and as the foundation for specialist training. Just as medicine is a complex professional discipline, so too is the education of the professionals who will one day have responsibility for providing medical services.

Australian and international papers are included in the report. The international literature represents medical education in the United States of America, the United Kingdom, Canada, New Zealand, and countries from Europe and Africa.

Where the review identified large bodies of work, such as the Scottish Medical Schools project, they are listed in Appendix 1. Most are cited in the report. All papers are listed in the detailed Bibliography in Appendix 2.
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