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| 研究生： |
王維典 |
|---|---|
| 論文名稱： |
透過醫療面談培育具有BPS專業能力的醫學生 Cultivating BPS Literate Medical Students Through Medical Interview |
| 指導教授： | 鄭湧涇 |
| 學位類別： |
博士 Doctor |
| 系所名稱： |
生命科學系 Department of Life Science |
| 論文出版年： | 2003 |
| 畢業學年度： | 91 |
| 語文別： | 中文 |
| 論文頁數： | 179 |
| 中文關鍵詞： | BPS專業能力 、醫療面談 、四階段BPS醫師培育方案 、學習歷程檔案 |
| 英文關鍵詞： | BPS capabilities, medical interview, four-stage BPS medical doctor development program, portfolio |
| 論文種類： | 學術論文 |
| 相關次數： | 點閱：194 下載：3 |
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生物、心理、社會（Bio-Psycho-Social, BPS）專業能力是醫療面談成功的要件，因此，著者進行規劃，透過醫療面談培育具有BPS專業能力的醫學生。此規劃連結教、學與評量同步進行，主要包括下列四項內容：(1) 建構論學習方法 (2) 四階段專業培育方案 (3) BPS專業能力基準 (4) 以學習歷程檔案瞭解醫學生學習改進情形及進行BPS專業能力的評量。著者從實境觀察、醫學生BPS學習日記及師生面談中蒐集有相關證據支持的BPS實作能力相關項目，再經過修訂之大慧調查法建立BPS醫療面談基準。著者開發出一系列的提示工具，包括醫療面談學習流程圖、面談資料記錄表、五種學習歷程檔案記錄卡，及有關醫療面談技巧與透過BPS臨床考量之提示問題組，協助醫學生進行鷹架學習，著者亦發展出一系列的表格、認知圖範例，評分準則供醫學生參考使用，以利學習記錄並提供具體的學習標準。醫學生使用面談資料記錄表蒐集臨床資料，以認知圖探討臨床問題在BPS層面上的臨床意義，再將病人之BPS問題整理列表，以利臨床診斷。BPS能力標準及範例以書面方式明白列出，以利醫學生學習及自我觀察學習改變情形與成就。本研究以在台大醫院家庭醫學部接受四週臨床醫學訓練之30名醫學生為研究對象，生手醫學生經由課堂講述、門診跟診、與標準化病人演練（定錨）及與真實病人演練（鷹架）等過程進行學習。教、學與評量策略包括課堂講述、媒體學習、定錨學習、鷹架學習及學習歷程檔案的評量。醫學生以附加價值法蒐集相關證據，證明持續具有符合實作基準的能力。學習歷程檔案所包含的證據要能夠顯示醫學生所獲得的能力及獲得能力過程中的成長經過，附加價值法的目的在促進醫學生對自我及同儕的評量、建立學習信心及進行主動學習。研究結果顯示此培育方案可以發展BPS專業能力、證實醫學生的BPS專業能力及改進相關的教學與學習。
Bio-psycho-social (BPS) literacy is for achieving successful medical interviews. The researcher has, therefore, developed a program for training medical students to cultivate BPS capabilities through medical interviews. The program consists of the following components, which link teaching, learning, and evaluation. (1) A constructivist learning method (2) A four-stage professional development (3) A set of performance criteria for BPS capabilities (4) Portfolio based evaluation on BPS capabilities and students growth. A set of performance criteria for BPS capabilities was collected from evidence relevant to criteria from real context observations, BPS medical students’ journals, and teacher-student interviews. Then the criteria were established using a modified Delphi technique. The researcher developed a set of cues, such as medical interview diagram, an interview organizer, five kinds of record cards, and prompt questions for interviewing skills, content and BPS problems to scaffold students’ learning. The researcher also developed a set of sample forms, sample cognitive maps, and rubrics for students to based on and aid in record keeping, allowing them and researcher to understand performance standards expected. Students used the medical interview organizer to collect information and cognitive mapping to help determine the relationship among the information obtained in BPS dimensions, thus achieving diagnosis outcome. Rubrics are explicit guidelines for students to compare their progress against clearly understood standards. The subjects of the study were 30 medical students taking the four-week rotating clerkship at Department of family medicine, National Taiwan University Hospital. Novices were guided through the four-stage processes using workshop and anchored, scaffold, and independent practices. The teaching/learning/assessment strategies included lecturing, multimedia learning at the workshop, anchored with standard patients, scaffold with cues. In this portfolio assessment method, performance is assessed on the basis of BPS performance criteria; the student must gather evidence showing consistently meeting the criteria using value-added method. The principal researcher set out the purposes of portfolio that must provide evidence showing students’ BPS professional capabilities and changes during BPS professional development. This value-added method promotes students to assess themselves and their peers, while building self-confidence and willingness to take charge in their own learning. The results of this study show that the program can develop BPS professional capabilities, identify qualified BPS medical students, and improve instruction and learning.
1. 王維典 (1998a)：臨床醫學教育：以標準化病人為教、學及評量工具。醫學教育，2, 378-385。
2. 王維典 (1998b)：以認知圖提升醫學生問診能力。醫學教育，2, 264-272。
3. 王維典 (1999)：醫學生之基本臨床技能：評量方法。醫學教育，3, 3-10。
4. 王維典 (2001)：學習歷程檔案於醫學生基本臨床技能之教、學與評量之應用。醫學教育，5, 107-123。
5. 王澄霞 (1997)：STS教師專業成長。科學教育學刊，5(1), 23-58。
6. 王澄霞、謝昭賢(1997)︰以認知圖評量”酸雨”STS教學的學習成就。師大學報，42, 13-29。
7. 王澄霞和蔡曉信 (1994)：以鷹架策略開發STS專業能力的模式。師大學報，39, 429-454。
8. 張美玉和羅美惠 (2000)：國小實習教師歷程檔案評量工具發展之研究。科學教育學刊，8(3), 225-249。
9. 張惠博 (1996)：職前科學教師學科教學知識發展之研究。科學教育學刊，4(1), 59-92。
10. 黃天祥、高美英、林明燦、王維典等 (1999)：歷屆台灣國家醫師執照考試之分析。醫學教育，3, 40-52。
11. 楊明仁、蔡瑞熊 (1997)：從社會與教育制度看台灣醫師人才的培養。醫學教育，1(2), 159-166。
12. 謝博生 (1997)：醫學教育理念與實務。台北：金名圖書有限公司, 11-20。
13. Adamchik, C.F. (1996). The design and assessment of chemistry portfolios. Journal of Chemical Education, 73, 528-531.
14. Ainsworth, M.A., Rogers, L.P., Markus, J.F., Dorsey, N.K., Blackwell, T.A. & Petrusa, E.R. (1991). Standardized patient encounters: a method for teaching and evaluation. Journal of American Medical Association, 266, 1390-1396.
15. Airasian, P.W. (1988). Measurement driven instruction: a closer look. Educational Measurement: Issues and Practice, 7(4), 6-11.
16. Barrows, H.S. (1986a). A taxonomy of problem-based learning methods. Medical Education, 20, 481-486.
17. Barrows, H.S. (1986b). The scope of clinical education. Journal of Medical Education, 61, 23-33.
18. Barrows, H.S. (1987). Simulated (standardized) patients and other human simulations: a comprehensive guide to their training and use in teaching and evaluation (pp.1-40), Chapel Hill, North Carolina: Health Science Consortium.
19. Barrows, H.S. (1993). An overview of the uses of standardized patients for teaching and evaluating clinical skills. Academic Medicine, 68, 443-451.
20. Barrows, H.S., & Abrahamson, S. (1964). The programmed patient: a technique for appraising student performance in clinical neurology. Journal of Medical Education, 39(8), 802-805.
21. Barton, J., & Collins, A. (1993). Portfolios in teacher education. Journal of Teacher Education, 44(3), 200-210.
22. Benoit, J., & Yang, H. (1995, April). A redefinition of portfolio assessment based upon purpose: Findings and implications from a large-scale program. Paper presented at the Annual Meeting of the American Educational Research Association, San Francisco, CA.
23. Berkman L.F. (1995). The role of social relations in health promotion. Psychosomatic Medicine, 57, 245-254.
24. Bishop, J.M., Fleetwood-Walker, P.M., Wishart, E.H., Swire, H., Wright, A.D., & Green, I.D. (1981). Competence of medical students in history taking during the clinical course. Medical Education, 15, 368-372.
25. Brailovsky, C.A., Grand’Maison, P., & Lescop, J. (1997). Construct validity of the Quebec licensing examination SP-based OSCE. Teaching and Learning in Medicine, 9(1), 44-50.
26. Bransford, J.D., Sherwood, R.D., Hasselbring, T.S., Kinzer, C.K., & Williams, S. (1990). Anchored instruction: why we need it and how technology can help .In D. Nix & R. Spiro (Eds.), Cognition, education, and multimedia: exploring ideas in high technology (pp.115-142), Hillsdale, New Jersey: Lawrence Erlbaum Associates.
27. Brown, J.S., Collins, A., & Duguid P. (1989). Situated cognition and the culture of learning. Educational Researcher, 18(1), 32-42.
28. Butterfield, E.C., & Nelson, G.D. (1989). Theory and practice of teaching for transfer. Educational Communications and Technology Journal, 37(3), 5-38.
29. Campbell, T.L.（1998）. Medical interviewing and the biopsychosocial model. The Journal of Family Practice, 47(5), 339-340.
30. Cannell, J.J. (1987). National normed elementary achievement testing in America’s public shcools: How all 50 states are above the national average (2nd ed.) (pp.1-8), lbuquerque, NM: Friends of Education.
31. Carney, P.A., Dietrich, A.J., Freeman, D.H.Jr., & Mott, L.A. (1993). The periodic health examination provided to asymptomatic older women: an assessment using standardized patients. Annals of Internal Medicine, 119, 129-135.
32. Clibum, J.W. (1990). Concept maps to promote meaningful learning. Journal of Collage Science Teaching, 19(4), 212-217.
33. Cole, S.T., & Bird, J. (2000). The Medical interview, the three-function approach (2nd ed.) (pp.3-13), Mosby, St. Louis.
34. Collins, A. (1992a). Portfolios for science education: issues in purpose, structure, and authenticity. Science Education, 76(4), 451-463.
35. Collins, A. (1992b). Portfolios: questions for design. Science Scope, March, 25-27.
36. Collins, A., Brown, J.S., & Newman, S.E. (1990). Cognitive apprenticeship: teaching the crafts of reading, writing, and mathematics. In L. Resnick (Ed.), Knowing, learning, and instruction: essays in honor of Robert Glaser (pp. 453-494), Hillsdale, New Jersey: Lawrence Erlbaum Associates.
37. Colliver, J.A. (1995). Validation of standardized-patient assessment: a meaning for clinical competence. Academic Medicine, 70, 1062-1064.
38. Colliver, J.A., Verhulst, S.J., & Williams, R.G. (1989). Reliability of performance on standardized patient cases: a comparison of consistency measures based on generalizability theory. Teaching and Learning in Medicine, 1, 31-37.
39. Colliver, J.A., & Williams, R.G. (1993). Technical issues: test application. Academic Medicine, 68, 454-460.
40. Colvin, R.B., & Wetzel, M.S. (1989). Pathology in the new pathway of medical education at Harvard Medical School. American Journal of Clinical Pathology, 92 (Suppl 1), S23-30.
41. Croen, L.G., & Moroff, S.V. (1994). Pilot-testing a holistic approach to scoring performance on standardized-patient examination. Academic Medicine, 69, 310-312.
42. Cunningham D.J. (1991). Assessing constructions and constructing assessments. Educational Technology, May, 13-17.
43. Curry, R.H., & Makoul, G. (1996). An active-learning approach to basic clinical skills. Academic Medicine, 71, 41-44.
44. Davis, H.M. & Fallowfield, L. (Eds.) (1991a). Counseling and Communication in Health Care: Evaluating the effects of counseling and communication. (pp.3-22), John Wiley, Chichester.
45. Davis, H.M. & Fallowfield, L. (Eds.) (1991b). Counseling and Communication in Health Care: Evaluating the effects of counseling and communication. (pp. 287-318), John Wiley, Chichester.
46. DiMatteo, M.R., & DiNicola, D.D. (1982). Achieving patient compliance: the psychology of the medical practitioner’s role. Elmsford, New York: Pergamon Press Inc.
47. DiMatteo, M.R. & Hays, R. (1980). The significance of patients’ perceptions of physician conduct: a study of patient satisfaction in a family practice center. Journal of Community Health, 6, 18-34.
48. Dolan, N.C., & McDermott, M.M. (1997). Using unidentified standardized patients to evaluate housestaff delivery of preventive services. Teaching and Learning in Medicine, 9(1), 60-65.
49. Duffy, T.M. & Jonassen, D.H. (1991). Constructivism: new implication for instructional technology. Educational Technology, May, 7-12.
50. Elstein, A.S., Schulman, L.S., & Sprafka, S.A. (1978). Medical problem solving (pp.30-79), Cambridge, M A: Harvard University Press.
51. Elstein, A.S., Schulman, L.S., & Sprafka, S.A. (1990). Medical problem solving: a ten-year retrospective. Evaluation in the Health Professions, 13, 5-36.
52. Engel, G.L. (1976). Are medical schools neglecting clinical skills? Journal of American Medical Association, 236, 861-863.
53. Engel, G.L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196, 129-136.
54. Erickson, F. (1986). Qualitative methods in research on teaching. In M.C. Wittrock (Ed.), Handbook of Research on Teaching (3rd Ed.), New York: Macmillan.
55. Francis, V., Korsch, B.M., & Morris, M.J. (1969). Gaps in doctor-patient communication: patients’response to medical advise. New England Journal of Medicine, 280, 535-540.
56. Frederiksen, N. (1985). The real test item bias. American Psychologist, 39, 193-202.
57. Gallman, E.S. (1993). The use of portfolios in assessment to improve teacher competence: measurement issues. Action in Teacher Education, 14(4), 39-44.
58. Harden, R.M., Stevenson, M., Downie, W.W., & Wilson, G.M. (1975). Assessment of clinical competence using an objective structured clinical examination (OSCE). British Medical Journal, 1, 447-451.
59. Haydon, R., Donnelly, M., Schwartz, R., Strodel, W., & Jones, R.L.K. (1994). Use of standardized patients to identify deficits in student performance and curriculum effectiveness. American Journal of Surgery, 168(1), 57-64, discussion 64-65.
60. Helfer, R.E. (1970). An objective comparison of the pediatric interviewing skills of freshman and senior medical students. Pediatrics, 45, 623-637.
61. Helfer, R.E. & Ealy, K.F. (1972). Observations of pediatric interviewing skills. American Journal of Disease in Childhood, 123, 556-560.
62. Herman, J.L., & Golan, S. (1993). The effect of standardized testing on teaching and schools. Educational Measurement: Issue and Practice, 12(4), 20-25, 41-42.
63. Herman, J.L., & Winters, L. (1994). Portfolio Research: A Slim Collection. Educational Leadership, 52(2), 48-55.
64. Howard, B. (1999). The biopsychosocial model, patient-centered care, and culturally sensitive practice. The Journal of Family Practice, 48(8), 585-587.
65. Hubbard, J.P. (1971). Measuring medical education (pp.11-18), Philadelphia: Lear and Febiger.
66. Hubbard, J.P. (1978). Measuring medical education: the tests and experience of the national board of medical examiners. Philadelphia, Pennsylvania: Lear and Febiger.
67. Hyerle, D.O. (1996). Thinking maps: seeing is understanding. Educational Leadership, Jan, 85-89.
68. Johnson, R.T. & Johnson, D.W. (1986). Action research: cooperative learning in the science classroom, Science and Children, 24(2), 31-33.
69. Johnstone, A.H. & Letton, K.M. (1990). Why do practical work ! International newsletter on chemical education, 34, 1418.
70. Kaplan, S.H., Greenfield, S., & Ware, J. (1989). Impact of the doctor-patient relationship on the outcomes of chronic disease. In M. Stewart & D. Roter (Eds.), Communicating With Medical Patients. Newbury Park, California: Sage.
71. Kassebaum, D.G., & Eaglen, R.H. (1999). Shortcomings in the evaluation of students' clinical skills and behaviors in medical schools. Academic Medicine, 74, 841-849.
72. Kathleen, H., & Janice, F. (1994, Februlary). Facilitating teachers’ professional growth through action research. Paper presented at the Annual Meeting of the Association for Teacher Educations, Washington, DC.
73. Katon, W., Sullivan, M., & Walker, E. (2001). Medical symptoms without identified pathology: relationship to psychiatric disorders, childhood and adult trauma, and personality traits. Annals of Internal Medicine, 134 (9 pt 2), 917-925.
74. Kopelow, M.L., Schnabl, G.K., Hassard, T.H., Tamblyn, R.M., Klass, D.J., Beazley, G., Hechter, F., & Grott, M. (1992). Assessment of performance in the office setting with standardized patients. Academic Medicine, 67(10), S19-21.
75. Korsch, B.M., Gozzi, E.K., & Francis, V. (1968). Gaps in doctor-patient communication 1: doctor-patient interaction and patient satisfaction. Pediatrics, 42, 855-871.
76. Leung, K.K., Wang, W.D., Chen, C.Y., & Hsieh, B.S. (1997). Evaluation of the faculty development program. Journal of Medical Education, 1, 436-443.
77. Leung, K.K., Wang, W.D., Hsieh B.S., & Chen, C.Y. (1997). Evaluation of medical education reform at National Taiwan University College of Medicine. Journal of Medical Education, 1, 21-30.
78. Ley, P. (1988). Communicating with patients: improving communication, satisfaction and compliance (pp.1-20), London: Croom Helm.
79. Lipkin, M.Jr., Quill, T.E., & Napodano, R.J. (1984). The medical interview: a core curriculum for residencies in internal medicine. Annals of Internal Medicine, 100, 277-284.
80. Lloyd, J.S. (Ed.) (1983). Oral examination in medical specialty board certification. Chicago: American board of medical specialties.
81. Maguire, G.P. & Rutter, D.R. (1976). History-taking for medical students. Lancet, September 11, 556-560.
82. Marshall, J.R. (1989). Checkup computerized home evaluation of clinical knowledge understand and problem solving. Teaching and Learning in Medicine, 1, 38-41.
83. Martin, J.A., Reznick, R.K., Rothman, A., Tamblyn, R.M., & Regehr, G. (1996). Who should rate candidates in an objective structured clinical examination? Academic. Medicine, 71, 170-175.
84. Mast, T.A., & Anderson, M.B. (1994). Annex to the proceedings of the AAMC’s consensus conference on the use of standardized patients in the teaching and evaluation of clinical skills. Teaching and Learning in Medicine, 6, 2-35.
85. McDermott, J.F.Jr., Streltzer, J., Lum, K.Y., Nordquist, C.R. & Danko, G. (1996). Pilot study of explicit grading criteria in the American Board of Psychiatry and Neurology part II examination. American Journal of Psychiatry, 153(8), 1097-1099.
86. McFarland, J., Wisniewski, S., & Vermette, P. (1997, October). Comparative Ratings of the Utility of portfolio Requirements: Toward content Validity. Paper presented at the Annual Meeting of the Northeastern Educational Research Association, Ellenville, NY.
87. McGuire, C.H, & Babbott, D. (1967). Simulation techniques in the measurement of problem-solving skills. Journal of Educational Measurement, 4, 1-10.
88. McLellan, H. (1993). Evaluation in a situated learning environment. Educational Technology, ＸＸＸⅢ, 3, 39-45.
89. Miller, G.A. (1956). The magical number seven plus or minus two: some limits on our capacity for processing information. Psychological Review, 63, 81-97.
90. Miller, G.E. (1994). The clinical skills assessment alliance. Academic Medicine, 69, 285-286.
91. Muller, S. (1984). Physicians for the twenty-first century. Report of the project panel on the general professional education of the physician and college preparation for medicine. Journal of Medical Education, 59, (11 Pt 2).
92. Muzzin, L.J. (1985). Oral examination. In V.R. Neufeld, & G.R. Norman (Eds.) Assessing clinical competence (pp.71-93), New York: Springer.
93. Naizer, G.L. (1997). Validity and reliability issues of performance-portfolio assessment. Action in Teacher Education, 18(4), 1-9.
94. Neufeld, V.R., & Norman, G.R. (1985). Assessing clinical competence (pp.16-21), New York: Springer Publishing.
95. Norman, G.R., Neufeld, V.R., Walsh, A., Woodward, C.A., & McConvey, G.A. (1985). Measuring physician’s performances using simulated patients. Journal of Medical Education, 60, 925-934.
96. Novack, D.H., Dube, C., & Goldstein, M.G. (1992). Teaching medical interviewing. A basic course on interviewing and the physician-patient relationship. Archives of Internal Medicine, 152(9), 1814-1820.
97. Novak, J.D. (1990). Concept mapping: an useful tool for science education. Journal of Research in Science Teaching, 27(10), 937-949.
98. Novak, J.D. & Gowin, D.B. (1984a). Learning how to learn (pp.47-48), Cambridge, Cambridge press university.
99. Novak, J.D. & Gowin, D.B. (1984b). Learning how to learn (pp.138-139), Cambridge, Cambridge press university.
100. Owen, A., & Winkler, R. (1974). General practitioners and psychosocial problems: an evaluation using pseudopatients. Medical Journal of Australia, 2, 393-398.
101. Paula, P., Swanson, D., Regan, M.B., Philbin, M.M., Nelson, V., Ebert, T., Ley, B., Parrino, T., Shorey, J., & Stillman, A. (1991). Assessment of clinical skills of residents utilizing standardized patients. A follow-up study and recommendations for application. Annals of Internal Medicine, 114(5), 393-401.
102. Platt, F.W. & McMath, J.C. (1979). Clinical hypocompetence: the interview. Annals of Internal Medicine, 91, 898-902.
103. Reigeluth, C.M. (1991). Reflections on the implications of constructivism for educational technology. Educational Technology, 31(9), 34-37.
104. Reznick, R., Blackmore, D., Cohen, R., Chalmers, A., Swanson, D., Dufresne, L., Lacombe, G., Baumber, J., Poldre, P., & Levasseur, L. (1993). An objective structured clinical examination for the licentiate: report of the pilot project of the Medical Council of Canada. Academic Medicine, 67, 487-494.
105. Rich, E.C., Crowson, T.W., & Harris, I.B. (1987). The diagnostic value of the medical history, perceptions of internal medicine physicians. Archives of Internal Medicine, 147, 1957-1960.
106. Rimoldi, H.J.A. (1961). The test of diagnostic skills. Journal of Medical Education, 36, 7-79.
107. Robinson, W.R. (1999). A view from the science education research literature: concept map assessment of classroom learning. Journal of Chemical Education, 76(9), 1179.
108. Rosenshine, B., & Meister, C. (1992). The use of scaffolds for teaching higher-level cognitive strategies. Educational Leadership, April, 26-33.
109. Roter, D.L., Stewart, M., Putnam, S.M., Lipkin, M.Jr., Stiles, W., & Inui, T.S. (1997). Communication patterns of primary care physicians. The Journal of the American Medical Association, 277, 350-356.
110. Sandler, G. (1979). Costs of unnecessary tests. British Medical Journal, 2, 21-24.
111. Schnabl, G.K., Hassard, T.H., & Kopelow, M.L. (1991). The assessment of interpersonal skills using standardized patients. Academic Medicine, 66, S34-38.
112. Scott, N., Donnelly, M. & Hess, J. (1975). Changes in interviewing styles of medical students. Journal of Medical Education, 50, 1124-1126.
113. Shepard, L.A. (1991). Will national tests improve student learning? Phi Delta Kappan, 72, 231-238.
114. Shulman, L., & Keislar, E. (1966). Learning by discovery: a critical appraisal (pp.17-25), Chicago: Rand-McNally.
115. Simpson, M., Buckman, R., Stewart, M., Maguire, P., Lipkin, M., Novack, D., & Till, J. (1991). Doctor-patient communication: the Toronto consensus statement. British Medical Journal, 303, 1385-1387.
116. Sommers, P.A. (1985). Malpractice risk and patient relations. Journal of Familyl Practice, 20, 299-301.
117. Stillman, P.L., Burpeau-Di Gregorio, M.Y., Nicholson, G.I., Sabers, D.L., & Stillman, A.E. (1983). Six years of experience using patient instructors to teach interviewing skills. Journal of Medical Education, 58, 941-946.
118. Stillman, P.L., Regan, M.B., Philbin, M., & Haley, H.L. (1990). Results of a survey on the use of standardized patients to teach and evaluate clinical skills. Academic Medicine, 65, 288-292.
119. Stillman, P.L., Regan, M.B., & Swanson, D.B. (1987). A diagnostic fourth-year performance assessment. Archives of Internal Medicine, 147, 1981-1985.
120. Stillman, P.L., Regan, M.B., Swanson, D.B., Case, S., McCahan, J., Feinblatt, J., Smith, S.R., Willms, J., & Nelson, D.V. (1990). An assessment of the clinical skills of fourth-year students at four New England medical schools. Academic Medicine, 65, 320-326.
121. Stillman, P.L., Swanson, D.B., Smee, S., Stillman, A.E., Ebert, T.H., Emmel, V.S., Caslowitz, J., Green, H.L., Hamolsky, M., Hatem, C., Levenson, D.J., Levin, R., Levinson, G., Ley, B., Morgan, G.J., Parrino, T., Robinson, S., Willms, J., Massachusetts, W., & Pennsylvania, P. (1986). Assessing clinical skills of residents with standardized patients. Annals of Internal Medicine, 105, 762-771.
122. Stoeckle, J.D., & Billings, J.A. (1987). A history of history-taking : the medical interview. Journal of General Internal Medicine, 2, 119-127.
123. Swanson, D.B., Norcini, J.J., & Grosso, L. (1987). Assessment of clinical competence: written and computer-based simulations. Assessment and Evaluation in Higher Education, 12, 220-246.
124. Swanson, D.B., Norman, G.R., & Linn, R.L. (1995). Performance-based assessment: lessons from the health professions. Educational Research, 24, 5-11,35.
125. Swartz, M.H., Colliver, J.A., Bardes, C.L., Charon, R., Fried, E.D., & Moroff, S. (1997). Validating the standardized-patient assessment administered to medical students in the New York City Consortium. Academic Medicine, 72, 619-626.
126. Taylor, S.E., Repetti, R.L., & Seeman, T. (1997). Health psychology: what is an unhealthy environment and how does it get under the skin? Annual Review of Psychology, 48, 411-447.
127. Vaccarino, J.M. (1977). Malpractice: the problem in perspective. Journal of American Medical Association, 238, 861-863.
128. Van der Vleuten, C.P.M., & Swanson, D.B. (1990). Assessment of clinical skills with standardized patients: state of the art. Teaching and Learning in Medicine, 2, 58-76.
129. Vannatta, J. B., Smith, K. R., Crandall, S., Fischer, P.C., & Williams, K. (1996). Comparison of standardized patient and faculty in teaching medical interviewing. Academic Medicine, 71, 1360-1362.
130. Vu, N.V., & Barrows, H.S. (1994). Use of standardized patients: recent developments and measurement findings. Educational Research, 23(3), 23-30.
131. Vu, N.V., Barrows, H.S., March, M.L., Verhulst, S.J., Colliver, J.A., & Travis, T. (1992). Six years of comprehensive, clinical, performance-based assessment using standardized patients at the southern Illinois university school of medicine. Academic Medicine, 67, 42-50.
132. Wagenen, L.V., & Hibberd, K.M. (1998). Building teacher portfolios. Educational Leadership, 26-29.
133. Wandersee, J.H. (1990). Concept mapping and the cartography of cognition. Journal of Research in Science Teaching, 27(10), 923-936.
134. Wheatley, G.H. (1991). Constructivist perspectives on science and mathematics learning. Science Education, 75(1), 9-21.
135. Wilhite, S. (1995 Februlary). Rediscovering Professional practice through portfolio assessment: Implementation at two levels of teacher education. Critique of the usefulness of portfolios to University Administraors. Paper presented at the Annual Meeting of the American Association of Colleges of Teacher Education, Washington, DC.
136. Williams, R.G., Barrows, H.S., Vu, N.V., Verhvlst, S.J., Colliver, J.A., Marcy, M., & Steward, D. (1987). Direct, standardized assessment of clinical competence. Medical Education, 21, 482-489.
137. Young, M.J. & Poses, R.M. (1983). Medical student perceptions of the value of the history and physical examination. Journal of Medical Education, 58, 738-739.