Gaining experience in different teaching methods.
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Biomedical subjects
Publications and source records attributed to Wai-Ching Leung.
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The recent implementation of the Human Rights Act 1998 has important implications for UK psychiatric practice but previous studies have demonstrated that psychiatrists generally have poor knowledge of mental health law. The aims of this study were to assess psychiatrists' knowledge of the Human Rights Act and to examine whether knowledge is related to seniority or experience. Questionnaires were sent to 154 psychiatrists in the Northern Region, testing both their factual knowledge of the Human Rights Act and their ability to apply it to clinical scenarios. Ninety-mix psychiatrists responded and they demonstrated good overall knowledge and ability to apply the Human Rights Act However, half of the respondents were not aware that the Act only imposes a duty on public authorities and that a lack of active treatment in itself does not constitute a breach of the Act Specialist registrars and consultants scored significantly higher than SHOs but there was no significant difference between the specialist registrars and consultants. The scores of psychiatrists who had detained at least one patient under the Mental Health Act 1983 over the last six months were significantly higher than those who had not. The implications of these findings are discussed. There is still a need for further training on relevant aspects of the Human Rights Act.
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While the need for evidence-based medical education is widely acknowledged, it is often assumed that the 'gold standard' used in evidence-based medicine is sufficient evidence for practising evidence-based medical education. Using the introduction of a problem-based learning (PBL) curriculum as an example, this paper argues that evidence from ethnography can provide valuable insight into medical education, although few such studies have been carried out. Ethnography attempts to capture the true nature of human social behaviour by going beyond what individuals say to what they actually do, and explores social and educational phenomena beyond mere mechanical products of our purported educational interventions. Applied to problem-based learning, ethnographic accounts would be valuable to help us understand the PBL process and improve our educational practice.
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Forensic evidence is often given in terms of a mathematical probability. However, it is easy to make a particular type of error, 'the prosecutor's fallacy', in the interpretation of such probability. This paper highlights the source of this error and briefly introduces Bayes Theorem as the correct theoretical basis for interpreting such evidence. The first Californian legal case in which this error was committed is discussed, followed by all cases in the UK in which this error was highlighted and rectified by the Court of Appeal. It is important for all parties concerned--expert witnesses, lawyers and judges--to understand these principles correctly. Furthermore, the criminal courts face dilemmas when juries are involved. This paper concludes by discussing recent guidance from the Court of Appeal on how such evidence should be presented to the jury and the implications of this guidance.
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