Anne Mette Morcke

The Capital Region of Denmark · Copenhagen Academy for Medical Education and Simulation (CAMES)

Outcome based or competency based education (OBE) is so firmly established in undergraduate medical education that it might not seem necessary to ask why it was included in recommendations for the future, like the Flexner centenary report. Uncritical acceptance may not, however, deliver its greatest benefits. Our aim was to explore the underpinning...

Clinical interprofessional education has traditionally taken place in hospital wards, but much diagnosis and treatment have shifted to the outpatient setting. The logical consequence is to shift more students’ clinical placements from the “bedside” to outpatient settings. However, it is unclear how we ensure that this shift maximises learning. The...

Objectives: The aim of this study was to explore medical students' learning experiences from the didactic teaching formats using either text-based patient cases or video-based patient cases with similar content. The authors explored how the two different patient case formats influenced students' perceptions of psychiatric patients and students' re...

Background Reflection, the ability to examine critically one’s own learning and functioning, is considered important for ‘the good doctor’. The Groningen Reflection Ability Scale (GRAS) is an instrument measuring student reflection, which has not yet been validated beyond the original Dutch study. The aim of this study was to adapt GRAS for use in...

Introduction Although there is substantial evidence supporting the benefits of simulation‐based education (SBE), its widespread and effective implementation remains challenging. The aim of this study was to explore the perceptions of top‐level health care leaders regarding SBE and the barriers and facilitators that influence its wide implementation...

Background This study explored how a preparatory teaching format using patient cases portrayed in videos influenced medical students’ clinical learning and practice experiences in their psychiatric clerkship. Methods The study applied a qualitative explorative design. We asked the students to draw their experience with a patient encounter in real c...

Objectives: To evaluate the effectiveness of including interactive video-based patient cases in preparatory lectures on medical students' patient-centredness and attitudes towards psychiatry. Methods: This study was designed as a quasi-experimental intervention study. A preparatory lecture on diagnostic interviewing was given to 204 fourth-year...

Relatively little evidence about the validity threats in open-book multiple-choice tests exist. The aim of this study was to examine validity aspects relating to gener-alization, extrapolation and decision of a multiple-choice test of medical knowledge with aids (open-book and internet access). The theoretical framework was modern validity theory,...

During the last decade, there has been a growing recognition that emotions can be of critical importance for students' learning and cognitive development. The aim of this study was to investigate the self-reported and the observed relationship of: activity-, outcome-, epistemic-, and social emotions' role in students' learning in a clinical interpr...

Drawing on positioning theory, the purpose of this paper is to characterize the activities and positions of students and supervisors at workplaces and on-campus skills training sites across the higher health professional educations of medicine, sports science, and nursing. Furthermore, the study explored the impact of work-based learning (WBL) and...

Early identification and support of strugglers in medical education is generally recommended in the research literature, though very little evidence of the diagnostic qualities of early teacher judgments in medical education currently exists. The aim of this study was to examine the validity of early diagnosis of struggling in medical school based...

In this paper we describe and discuss communication skills training in Denmark - it has come a long way. After a short review of current research we outline the history of communication training in Denmark and describe the case of communication training at Aarhus University, which illustrates how the Danish universities have radically changed their...

Background: Patient-centered communication is a core competency in modern health care and associated with higher levels of patient satisfaction, improved patient health outcomes, and lower levels of burnout among physicians. The objective of the present study was to develop a questionnaire assessing medical student and physician self-efficacy in pa...

Background Patient-centered communication is a core competency in modern health care and associated with higher levels of patient satisfaction, improved patient health outcomes, and lower levels of burnout among physicians. The objective of the present study was to develop a questionnaire assessing medical student and physician self-efficacy in pat...

This insider action research project aimed to improve interprofessional team performance at a surgical ward. The purpose of the project was (1) to critically appraise potential deficiencies in staffs’ identification, clinical judgment, and management of deteriorating ward patients, (2) to develop an interprofessional change model, and (3) evaluate...

Praktikforløb i videregående uddannelser er blevet et politisk indsatsområde, og der er i sundhedsuddannelserne også et internationalt forskningsfokus på emnet. I denne artikel vil vi beskrive og sammenligne rammerne for praktikforløb og færdighedstræning på idræts-, læge- og sygeplejerskeuddannelsen. Artiklen tager afsæt i Heggens skelnen mellem b...

It is part of the professional ethic of medicine that doctors should teach fellow doctors and doctors-to-be. This chapter first explores the types of knowledge that are used in medicine and how they are assessed. Traditionally, there has been a strong emphasis on acquiring and being assessed in esoteric codified knowledge. Much of medical practice,...

Background and aim: Patient-centered communication is a core competency in modern health care (1), which has been found associated with improved patient satisfaction and adherence to treatment as well and improved mental and physical health outcomes (2). The ability to engage in patient-centered behaviors has also been associated with physician wel...

Objectives Evaluation of surgical training in Denmark is competency based with no requirement for a specific number of procedures. This may affect monitoring of surgical progress adversely and cause an underestimation of the time needed to acquire surgical competencies. We investigated the number of common surgical procedures performed by trainees....

The dropout level from the Danish medical schools is high, but we have only little insight into this problem. The purpose of this study was to qualify the ongoing discussions concerning dropout. In this retrospective cohort study, relevant variables were extracted from the established database of Aarhus University for the 639 students initiating me...

The purpose of this study was to assess the coherence between the undergraduate medical program at Aarhus University and the foundation year. This cross-sectional questionnaire survey included 503 doctors graduated from Aarhus University from the winter of 2007/2008 to the summer of 2009. The response rate was 73%. Approximately 73% of the responde...

In this paper we describe the first four phases of a curriculum reform covering the three clinical years of medical school at Aarhus University. The reform intends to ease students' transition from medical school to the foundation year, increase focus on communication, create more coherence between subjects, increase students' active participation,...

To enhance the recognition of educational effort and thereby support faculty vitality, the authors aimed to identify essential categories of educational effort from the perspective of clinical faculty and determine whether the emerging categories were in concordance with an organizational perspective. The authors performed nominal group processes i...

undersøgte lektorers og undervisningsansvarliges rolle i studieplanlægning ved de tre danske lægeuddannelser. Under individuelle og fokusgruppe-interviews pegede informanterne på studieleders helt centrale rolle og lektorers klart perifere rolle. Lektorernes deltagelse blev beskrevet som personafhængig, båret af ildsjælene. Denne artikel tilbyder e...

The purpose of this study was to understand more completely the (tacit) curriculum design models of medical faculty. We report on two research questions: (1) Can medical faculty give an account of their curriculum design assumptions? and (2) What are their assumptions concerning curriculum design? We conducted an explorative, qualitative case study...

Lecturing is one of the oldest forms of teaching. The lecture is as effective as other teaching formats for transmitting information. One of the major defects of the lecture method is that it tends to induce passive learning. In order to lecture effectively, the lecturer must gain and hold the attention of the audience. Also, the audience should be...

In 2007 the Faculty of Health Sciences, Aarhus University, took a first step towards outcome-based education. During an educational development process, all courses developed clear, consistent descriptions of learning outcomes and extensive, template-based course descriptions. This enabled the Faculty to implement a new national grading system and...

The medical profession and hospital practice have changed over the last decades without a concomitant change in Danish clerkships. Therefore, the aim of this study was to analyze learning and supervision in clerkships and to discuss how traditional clerkship learning matches a modern effective hospital environment. A qualitative field study based o...

Vejledningen i universitetsregi lever et usynligt liv. Den er ikke formelt beskrevet på universiteterne, og den foregår i det, som både vejledere og studerende opfatter som et intimt rum. Men hvad findes der egentlig af erfaringsbaseret litteratur på området? I denne artikel beskriver artiklens forfattere resultaterne af en litteratursøgning, som d...

To understand core curriculum design and involvement of stakeholders. Twelve homogeneous focus group interviews with a total of 88 students, house officers, senior doctors and nurses concerning an undergraduate emergency medicine curriculum. Following content coding of transcripts, we analysed by condensation, categorisation and qualitative content...

The purpose of this study was to test whether focus groups involving medical students, house officers, senior doctors, and nurses could identify an undergraduate emergency medicine core curriculum. From May 2001 to January 2002, we interviewed 12 homogeneous focus groups within all 88 participants. Three focus groups were composed of medical studen...

Context: During the third semester of a 6-year long curriculum medical students train clinical skills in the skills laboratory (2 hours per week for 9 weeks) as well as in an early, 8-week clinical clerkship at county hospitals. Objectives: to study students' expectations and attitudes towards skills training in the skills laboratory and clerksh...

To compare and contrast the learned and an intended curricula of practical clinical skills across the three Danish medical schools. The three Danish medical schools had comparable discipline-based curricula with 3 years of mainly basic science and 3(1/2) years of mainly clinical education. Danish physicians work as pre-registration house officers (...

The necessity of defining standards in medical education is increasingly recognised. The aim of the present study was to adapt the Delphi method in establishing a consensus about competence levels of basic clinical skills in the undergraduate medical curriculum. We used a Delphi design with two postal rounds. An expert panel of 52 physicians was se...

The aim of the present study was to use the Delphi technique to identify standards of quality for the curriculum of basic clinical skills in the pre-registration internship. The Delphi method was used with a selected panel of 52 experts to set a level of competence for 213 practical clinical skills in a series of three questionnaires. For the pre-r...

Ph.d.-afhandling, Århus Universitet.