1989
DOI: 10.1111/j.1365-2923.1989.tb00897.x
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A factor analytic study of clinical competence in undergraduate psychiatry

Abstract: This study used factor analysis to define the components of clinical competence of medical students during their undergraduate psychiatric training. Four factors were defined; factor 1 related to cognitive and psychological problem-solving; factor 2 tapped the interpersonal and observational skills students showed with patients; factor 3 was characterized by knowledge in the examination setting, and factor 4 related to students' capacity to demonstrate their ability in an interpersonal setting. These are simil… Show more

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Cited by 7 publications
(3 citation statements)
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References 21 publications
(47 reference statements)
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“…The study sample is homogenous and of a reasonable size (Comrey 1978) and the sex distribution closely resembles the national picture. A number of smaller studies using factor analysis have been reported using similar criteria (Feletti et al 1983; McFarlane et al 1989). Trainees in the sample were all at the beginning of their general practice year and may not be representative of more experienced trainees nor of established principals.…”
Section: Discussionmentioning
confidence: 99%
“…The study sample is homogenous and of a reasonable size (Comrey 1978) and the sex distribution closely resembles the national picture. A number of smaller studies using factor analysis have been reported using similar criteria (Feletti et al 1983; McFarlane et al 1989). Trainees in the sample were all at the beginning of their general practice year and may not be representative of more experienced trainees nor of established principals.…”
Section: Discussionmentioning
confidence: 99%
“…But, the ability to retain facts has not been shown to correlate with clinical performance (13,16) and, clinical competence is, presumably, our goal. Therefore, our students pass our exams and we know what they know; but we are less certain about what they know how to do (4,17). This conundrum lies at the center of clinical education.…”
Section: What Do Our Students Learn?mentioning
confidence: 90%
“…3 A key feature of the viva is that it affords considerable flexibility to the examiner, allowing them to switch between subject areas, tailor questions to the needs of a particular candidate and apply a degree of individuality within the framework of an often generic examination. 4,5 This type of flexibility is ideal within the field of clinical diagnosis in both medicine and dentistry, the viva allows the assessment of knowledge in this field and facilitates some probing of its depth, whilst testing additional qualities such as communication skills, 6 mental agility, 7 problem-solving and reasoning, 8 clinical competence 9 and professionalism. 8 It is also important for medical professionals to be able to think coherently under pressure and a viva is generally thought to facilitate the kind of environment that can achieve this.…”
Section: Why Has the Traditional Viva Been Used As A Form Of Examinatmentioning
confidence: 99%