Browsing by Author "Gledhill, R. F."
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- ItemComputed tomography in psychiatric patients(HMPG, 1986) Emsley, R. A.; Stander, D.; Bell, P. S. H.; Gledhill, R. F.In a retrospective study of 100 consecutive adult psychiatric patients referred for computed tomography (CT) for suspected intracranial lesions, abnormalities were found in 61%. Of these, 23% had focal lesions significantly associated with alcohol abuse, previous craniocerebral trauma and focal neurological signs. Detection of focal lesions influenced patient management in over half the cases. No single factor was able to predict all patients with focal lesions and the correlation between electroencephalogram and CT results was weak. If criteria for CT in psychiatric patients are too restrictive, some cases of occult brain disease may escape detection.
- ItemEMG/ENG services rendered by clinical neurophysiology technologists in solo practice(Health & Medical Publishing Group, 1998) Bill, P. L. A.; Fritz, V. U.; Eastman, R. W.; Gledhill, R. F.; Kruger, A. J.; Mafojane, N. A.; Saffer, S. D.; Carr, J.; Van Der Meyden, C. H.[No abstract available]
- ItemFactors affecting the reliability of an objective structured clinical examination (OSCE) test in neurology(Health & Medical Publishing Group, 1985) Gledhill, R. F.; Capatos, D.Inconsistencies in individual student scores from one year to the next prompted attempts to produce a more accurate objective structured clinical examination (OSCE) test in neurology. A study of factors affecting the reliability of this test revealed that in spite of efforts to control patient and examiner variability, residual inaccuracies due to these effects remained. Also, the use of a uniform test structure may have led to student cueing. Student performance did not appear to be affected by the OSCE format per se. Innovations that might improve test reliability in subsequent OSCEs were identified.
- ItemFormative (in-course) graduate assessment. Design of an accurate multiple-choice question examination and the training merits thereof(Health & Medical Publishing Group, 1983) Gledhill, R. F.Medical graduate learning is being appraised to an increasing extent during training. The adequacy of these formative (in-course) assessments has not been widely studied. The performances and opinions of junior specialists were used to evaluate the accuracy of a graduate multiple-choice question examination (MCQE) and the merits of such in-course assessments. Methods used in verifying the validity and reliability of this MCQE are detailed. In-course assessments were rated as being valuable in graduate training. Issues pertinent to sound appraisals of graduate learning are discussed.
- ItemTask analysis in neurosciences programme design - neurological problems in general practice(Health and Medical Publishing Group -- HMPG, 1983-02) Gledhill, R. F.Defining educational objectives is the key to achieving the goal of professional competence in students. The technique of task analysis was selected to determine components of competence in clinical neurology appropriate to the needs of primary care. A survey of neurological problems in general practice revealed that these constitute a significant proportion of consultations, and that teaching programmes have failed to provide the appropriate knowledge and skills to manage the commonest problems effectively. Consideration is given to innovations in curriculum and programme design whereby the graduating student might be more suitably prepared to give primary care.