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Biomedical subjects

David Wall

Publications and source records attributed to David Wall.

12 recordsLinked to original sources
PubMed2005

Development and reliability testing of TAB a form for 360 degrees assessment of Senior House Officers' professional behaviour, as specified by the General Medical Council.

Assessment of the professional behaviour of doctors is increasingly recognized as an essential component of doctors' training (Ben-David et al., 2004) with equally important implications for doctors in permanent posts. TAB is a proforma for such assessment using a 360 degree process in which up to 15 colleagues of a doctor assess that doctor's professional behaviour. The pro forma is presented, together with discussion of the format and approach developed, with particular reference to the General Medical Council document "Good Medical Practice". We report on initial piloting of the approach in two UK NHS hospital trusts. In total 440 assessments of 30 doctors were completed. Data regarding intra-observer and inter-observer variation indicate that the process is reliable, practical and consistent. We believe this approach may represent a workable way ahead to promoting appropriate professional behaviour on the part of medical trainees and that it offers potential for re-validation of hospital consultants. There is a clear need for further development and evaluation of this approach, most notably its acceptability and value to all involved.

Attitude of Health Personnel↗
PubMed2005

Men, culture and hegemonic masculinity: understanding the experience of prostate cancer.

Following a diagnosis of, and treatment for prostate cancer, there is an expectation that men will cope with, adjust to and accept the psychosocial impact on their lives and relationships. Yet, there is a limited qualitative world literature investigating the psychosocial experience of prostate cancer, and almost no literature exploring how masculinity mediates in such an experience. This paper will suggest that the experience of prostate cancer, the process by which it is investigated, and the way in which it is understood has been shaped by an essentialist interpretation of gender, exemplified by hegemonic masculinity as the archetypal mechanism of male adaptation. In response to this static and limiting view of masculinity, this paper will offer a reframe of hegemonic masculinity. This reframe, being more aligned with common experience, will portray masculinity as a dynamic and contextual construct, better understood as one of a number of cultural reference points around which each man organises and adopts behaviour. It will be suggested that the extant literature, in being organised around hegemonic masculinity, obfuscates the experience of prostate cancer and acts to render covert any collateral masculinities, public or private, that may also be operating.

Adaptation, Psychological↗
PubMed2004

Curriculum and assessment in higher specialist training.

Higher Specialist Training (HST) has been radically reformed in the last decade, and specialties have been urged to conduct further reform. This paper reports on an explorative investigation into curriculum provision and assessment within four specialties in the West Midlands. Methods include analysis of curriculum documents; observation of the RITA process; and interviews with consultants (4), specialist registrars (5) and members of the regional higher specialist training management team (3). Three major themes identified within the interviews are discussed: the content and use of the curriculum; the impact of service-based learning; and issues around assessment.

Certification↗
PubMed2003

Determining generic standards for specialist registrar training.

Requirements for specialist registrar (SpR) training have been developed by adapting standards already determined for senior house officers in the West Midlands. A consensus of views of chairs of higher specialist training committees on generic requirements for SpR training has been reached by using a Delphi technique. There is a large variation between specialties in the extent that they have been able to reach these standards; some have proved easier to establish than others. Acceptance of the new standards should lead to the delivery of a measurable degree of higher quality education, training and experience for SpRs.

Delphi Technique↗
PubMed2003

Teaching the consultant teachers in psychiatry: experience in Birmingham.

This paper describes the establishment and evaluation of a single specialty programme for the development of teaching skills in senior doctors. The learning is scheduled against the needs of trainers, which can be derived from the available evidence including a college curriculum for juniors, and the learners' own personal declarations. The outcome is shown though performance measures (junior doctors' feedback), participant feedback and group development. The value of a programme, which is specialty specific, is thus highlighted.

Alabama↗
PubMed2002

Pilot study of 360 degrees assessment of personal skills to inform record of in training assessments for senior house officers.

The assessment of a trainee doctor's human skills, including teamworking, communication and maintaining trust, is difficult but necessary to confirm competence and to alert trainees and trainers of potential problems before they become intractable. This study used 360 degrees team observation reports for this purpose. The process was easy to administer and valued by trainees.

Clinical Competence↗
PubMed2001

Measuring effectiveness for best evidence medical education: a discussion.

This paper considers how educational interventions should be evaluated for their effectiveness. Five levels of effectiveness are clarified and illustrated: outcomes, behaviour, learning, reaction and participation. These levels are then discussed, within the context of research evidence for education within the medical profession. Methodological and practical research conclusions are then drawn. From an analysis of over 300 abstracts the evidence shows that only limited research on healthcare outcomes has been undertaken, and there is considerable ambiguity over what constitutes an effectiveness measure. The benefits of a consistent set of terms are then considered. Finally, five key messages are distilled from the discussion and summarized.

Journal Article↗
PubMed2001

The development and uses of a computerized evaluation tool for senior house office posts in the West Midlands Region, UK.

The senior house officer grade contains the largest group of junior doctors in the United Kingdom. For many years there has been concern over their poor training, long hours of work, poor supervision, little or no feedback (often given inappropriately), and their levels of psychological distress. Evaluation of senior house officer posts has been cumbersome and inconsistent. This paper describes the origins, design, piloting, testing for reliability and subsequent use of a simple 10-point evaluation form for senior house officers in the West Midlands. The process has now been computerized, and has been incorporated into the postgraduate dean's database of all junior doctor posts in the West Midlands. The evaluation of all 1500 senior house officer posts can now be performed every 6 months. Detailed results can be obtained and fed back to clinical tutors, hospitals, and Royal Colleges. The uses of such data in improving the lot of the senior house officer are discussed.

Journal Article↗