Discourse of final-year medical students during clinical case presentations

dc.contributor.authorBotha, H.
dc.contributor.authorVan Schalkwyk, G. I.
dc.contributor.authorBezuidenhout, J.
dc.contributor.authorVan Schalkwyk, S. C.
dc.date.accessioned2013-09-16T14:17:57Z
dc.date.available2013-09-16T14:17:57Z
dc.date.issued2011-06
dc.descriptionThe original publication is available at http://www.ajhpe.org.za/en_ZA
dc.description.abstractIntroduction: The need for medical students to adopt a discourse appropriate to the field is repeatedly emphasised by teaching staff during lectures and ward rounds. The acquisition of such discourse is often not assessed, resulting in inconsistency between the levels used among students of similar academic backgrounds. Objective: The aim of this study was to determine the extent to which appropriate discourse was adopted by 9 medical students early in their final year during clinical case presentations, and to compare this usage with the students’ final results. Methods: Transcriptions of recorded case presentations by 9 students were assessed by 2 experts and a peer evaluator, using a rubric which drew on prior research in medical discourse, and included the prominent themes of terminology and thematic staging. These were then compared with their academic results. Results: Our findings show that most students are able to use the appropriate terminology when they reach their final year of study. However, our data also support the hypothesis that students with similar academic backgrounds may display considerable variation in their level of discourse. Although it appears as if the students were all beginning to shift towards a more mature form of medical discourse, the degree to which this occurs is sporadic. The apparent absence of a relationship between discursive competencies and academic achievement may suggest that the ability of assessment to encourage the adoption of disciplinary discourse is perhaps not being optimally applied, although further research is required.en_ZA
dc.description.versionPublishers' Versionen_ZA
dc.format.extentpp. 3-8 : ill.
dc.identifier.citationBotha, H., Van Schalkwyk, G. I. Bezuidenhout, J. & Van Schalkwyk, S. C. 2011. Discourse of final-year medical students during clinical case presentations. African Journal of Health Professions Education, 3(1):3-6.en_ZA
dc.identifier.issn2078-5127 (online)
dc.identifier.urihttp://hdl.handle.net/10019.1/85432
dc.language.isoen_ZAen_ZA
dc.publisherHealth and Medical Publishing Group (HMPG)en_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectMedical students -- Rating of -- South Africaen_ZA
dc.subjectStudents -- Medical examinations -- Rating ofen_ZA
dc.subjectMedical students -- Ability testingen_ZA
dc.subjectMedicine -- Terminologyen_ZA
dc.subjectPeer reviewen_ZA
dc.titleDiscourse of final-year medical students during clinical case presentationsen_ZA
dc.typeArticleen_ZA
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