{"id":4557,"date":"2010-09-30T08:46:34","date_gmt":"2010-09-30T07:46:34","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=4557"},"modified":"2010-09-30T08:46:34","modified_gmt":"2010-09-30T07:46:34","slug":"andrew-burd-on-medical-student-assessment","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/","title":{"rendered":"Andrew Burd on medical student assessment"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"float: left\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/andrew-burd.jpg\" alt=\"Andrew Burd\" width=\"160\" height=\"114\" \/>Last weekend the medical faculty of the Chinese University of Hong Kong had its <a href=\"http:\/\/www.med.cuhk.edu.hk\/v7\/\">annual curriculum retreat<\/a>.\u00a0 This is an opportunity to discuss the ever increasing challenges of teaching medicine in a rapidly changing world.\u00a0 I was asked to give a very short presentation about the OSCE station we had organised where for the first time in the history of the medical school, senior nurses examined the performance of the medical students in an <a href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/05\/07\/andrew-burd-%E2%80%9Care-you-sure%E2%80%9D\/\">authentic clinical scenario<\/a>.\u00a0 As I was preparing for my talk I reviewed some video clips that were taken of the actual examination.\u00a0 It was apparent that our students did not expect to see a real patient with a burn and yet once they had a glimpse of the very realistic moulaged burn their attitude changed.\u00a0 The &#8220;burn&#8221; was wrapped in a green sterile towel and it was covered with a moistened gauze.\u00a0 It just so happened that two of the clips showed two students, both now fully qualified doctors, who demonstrated a dramatically opposite technique for removing the sterile gauze.\u00a0 One student demonstrated the ultimate empathetic approach, &#8220;feel the pain&#8221; and removed the gauze with breath-taking concern. 15 seconds.\u00a0 Another student having established that it was a real burn and that it was painful, correctly picked up the sterile gauze with the dressing forceps but then in the blink of an eye the gauze was removed.\u00a0 Less than one second.<!--more--><\/p>\n<p>I could not stop thinking about these two very different approaches to a very realistic clinical scenario.\u00a0 What is the significance of this observation?\u00a0 I made some informal enquiries of non-medical friends and posed the &#8220;hypothetical&#8221; question; \u201cif you had a wound on your arm and the doctor needed to remove a dressing to examine it, would you rather the doctor removed the dressing slowly or quickly.\u201d Next surprise; it was almost a fifty-fifty split.<\/p>\n<p>I know from primary school days when having vaccinations that the most effective school nurse was rapid in her technique but wonderfully encourging in her smile and compliments of bravery.\u00a0 For vaccinations, &#8220;hit the arm before they know what is going on&#8221; is effective.\u00a0Removing dressings can be rather different.\u00a0I am sure the scenario of the child who insists on removing their own dressing and takes an agony of age to do so is not unfamiliar to many of us.<\/p>\n<p>But what was being observed and not assessed in these students?\u00a0 Is it humanity, compassion, professionalism or just an aspect of personality?\u00a0 Maybe this is something we should be looking at in more detail, but it will need to be dressed up in more erudite pedagogical terms rather than a study of quick and slow dressing removal amongst final year medical students.\u00a0Perhaps something like; an analysis of the impact of anticipatory pain on the procedural dynamics of routine wound care in final year medical students.\u00a0 Or has that already been done?<\/p>\n<p><em><strong>Andrew Burd<\/strong> is professor of plastic, reconstructive and aesthetic surgery at the Chinese University of Hong Kong. His major clinical interests involve paediatric burns care and the role of plastic surgery in the palliation of advanced malignancy. Academic interests include pragmatic ethics related to the practice of medicine including research and publication.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last weekend the medical faculty of the Chinese University of Hong Kong had its annual curriculum retreat.\u00a0 This is an opportunity to discuss the ever increasing challenges of teaching medicine [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4557","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Andrew Burd on medical student assessment - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Andrew Burd on medical student assessment - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Last weekend the medical faculty of the Chinese University of Hong Kong had its annual curriculum retreat.\u00a0 This is an opportunity to discuss the ever increasing challenges of teaching medicine [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2010-09-30T07:46:34+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.bmj.com\/site\/blog\/icons\/andrew-burd.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Andrew Burd on medical student assessment\",\"datePublished\":\"2010-09-30T07:46:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/\"},\"wordCount\":539,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/andrew-burd.jpg\",\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/\",\"name\":\"Andrew Burd on medical student assessment - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/andrew-burd.jpg\",\"datePublished\":\"2010-09-30T07:46:34+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/#primaryimage\",\"url\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/andrew-burd.jpg\",\"contentUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/andrew-burd.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2010\\\/09\\\/30\\\/andrew-burd-on-medical-student-assessment\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Andrew Burd on medical student assessment\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Andrew Burd on medical student assessment - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/","og_locale":"en_US","og_type":"article","og_title":"Andrew Burd on medical student assessment - The BMJ","og_description":"Last weekend the medical faculty of the Chinese University of Hong Kong had its annual curriculum retreat.\u00a0 This is an opportunity to discuss the ever increasing challenges of teaching medicine [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2010-09-30T07:46:34+00:00","og_image":[{"url":"http:\/\/www.bmj.com\/site\/blog\/icons\/andrew-burd.jpg","type":"","width":"","height":""}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Andrew Burd on medical student assessment","datePublished":"2010-09-30T07:46:34+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/"},"wordCount":539,"commentCount":1,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/#primaryimage"},"thumbnailUrl":"http:\/\/www.bmj.com\/site\/blog\/icons\/andrew-burd.jpg","inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/","url":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/","name":"Andrew Burd on medical student assessment - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/#primaryimage"},"thumbnailUrl":"http:\/\/www.bmj.com\/site\/blog\/icons\/andrew-burd.jpg","datePublished":"2010-09-30T07:46:34+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/#primaryimage","url":"http:\/\/www.bmj.com\/site\/blog\/icons\/andrew-burd.jpg","contentUrl":"http:\/\/www.bmj.com\/site\/blog\/icons\/andrew-burd.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2010\/09\/30\/andrew-burd-on-medical-student-assessment\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Andrew Burd on medical student assessment"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/4557","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=4557"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/4557\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=4557"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=4557"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=4557"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}