PubMed · 15790642
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Maureen E Crawford. 2005-03-26. Reassuring evidence on competency based selection.. https://doi.org/10.1136/bmj.330.7493.714
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BACKGROUND: Competency-based programs have long been the basis of graduate medical education in British and North America. Such formally defined program structures are lacking in German graduate medical education. METHODS: The methods and assessment tools used in a curriculum-based program of graduate education in medical specialties are presented. The feasibility of the program was tested in day-to-day use in a pilot study conducted within a neurology department. Experience of it during a 1-year period after implementation has also been collected. RESULTS: It was found that implementation of the program is feasible providing that both the trainers and the students are well motivated, that adequate resources are provided, and that a formal training system is provided for the trainers. This is confirmed by the 1-year experience of the program in routine clinical practice. CONCLUSIONS: The competency-based program presented, which is compatible with many quality management systems, offers management and assessment tools that will make for more satisfactory postgraduate medical education.
This focus of this paper is on meaningful learning within the context of small group-work in nurse education; a pedagogical approach that is increasingly being used throughout higher education. The paper explores the question: when working with others what conditions and types of interaction are necessary to promote higher learning? Some suggestions are drawn from the literature and a position is articulated. Some implications of this position for curriculum leadership in planning an effective learning environment within higher education are discussed.
BACKGROUND: Complications often arise in the course of gynaecological surgery. Knowledge of the possible surgical outcomes may prevent complications and change expectations. The available valid data in this field are sparse. MATERIALS AND METHODS: A simple, valid database was established. Overall diagnosis, type of operation and eventual complications were registered. Potential perioperative complications were blood loss of more than 1,000 ml and/or perforation of the uterus, intestines or bladder. Potential postoperative complications were attributed to surgical outcomes characterized by unexpected use of antibiotics, uterine evacuation, laparoscopy, laparotomy, catherization, drainage and/or blood transfusion. RESULTS: From 1 September 1999 to 31 August 2000, 1,133 women were admitted a total of 1,242 times. Thirty surgeons performed 970 operations on 917 women. The complication rate was 2.2% (0-10.2%) perioperatively and 9.0% (0-20.0%) postoperatively. DISCUSSION: The use of a simple, valid database demonstrated a high rate of complications. However, most of the complications were minor.