Browse by Current Cardiff authors

Richards, R., Kinnersley, Paul, Brain, Katherine, Staffurth, John and Wood, Fiona 2019. The preferences of patients with cancer regarding an app to help them to meet their illness-related information needs: a qualitative interview study. JMIR mHealth and uHealth 7 (7) , e14187. 10.2196/14187

Scourfield, Jonathan, Maxwell, Nina, Zhang, Meng Le, De Villiers, Teresa, Pithouse, Andrew, Kinnersley, Paul, Metcalf, Elizabeth and Tayyaba, Sadia 2019. Evaluation of a fast-track postgraduate social work program in England using simulated practice. Research on Social Work Practice 29 (4) , pp. 363-374. 10.1177/1049731517735575

Richards, Rebecca, Kinnersley, Paul, Brain, Kate, McCutchan, Grace, Staffurth, John and Wood, Fiona 2018. Use of mobile devices to help cancer patients meet their information needs in non-inpatient settings: systematic review. JMIR mHealth and uHealth 6 (12) , e10026. 10.2196/10026

Berry, Nina J., Danchin, Margie, Trevena, Lyndal, Witteman, Holly O., Kinnersley, Paul, Snelling, Tom, Robinson, Penelope and Leask, Julie 2018. Sharing knowledge about immunisation (SKAI): An exploration of parents' communication needs to inform development of a clinical communication support intervention. Vaccine 36 (44) , pp. 6480-6490. 10.1016/j.vaccine.2017.10.077

Elwyn, Glyn, Durand, Marie Anne, Song, Julia, Aarts, Johanna, Barr, Paul J, Berger, Zackary, Cochran, Nan, Frosch, Dominick, Galasiński, Dariusz, Gulbrandsen, Pål, Han, Paul K J, Härter, Martin, Kinnersley, Paul, Lloyd, Amy, Mishra, Manish, Perestelo-Perez, Lilisbeth, Scholl, Isabelle, Tomori, Kounosuke, Trevena, Lyndal, Witteman, Holly O and Van der Weijden, Trudy 2017. A three-talk model for shared decision making: multistage consultation process. British Medical Journal (BMJ) 359 , j4891. 10.1136/bmj.j4891

Metcalf, Elizabeth, Frost, Paul, Goodfellow, Rhian, Kinnersley, Paul, Williams, Sally and Sillars, Anna 2017. Summative clinical assessment of medical student's ability to provide immediate care in a simulated medical emergency. Presented at: All Wales Curriculum Conference, Cardiff, 24 May 2017.

Wood, Fiona, Martin, Sean Michael, Carson-Stevens, Andrew, Elwyn, Glyn, Precious, Elizabeth and Kinnersley, Paul Richard 2016. Doctors’ perspectives of informed consent for non-emergency surgical procedures: a qualitative interview study. Health Expectations 19 (3) , pp. 751-761. 10.1111/hex.12258

Maxwell, Nina, Scourfield, Jonathan Bryn, Zhang, Meng, De Villiers, Teresa, Hadfield, Mark, Kinnersley, Paul, Metcalf, Elizabeth, Pithouse, Andrew and Tayyaba, Saadia 2016. Independent evaluation of the Frontline pilot: Research report. [Project Report]. Department for Education. Available at: https://www.gov.uk/government/publications/frontli...

Gobat, Nina Helene, Kinnersley, Paul, Gregory, John Welbourn, Pickles, Timothy E., Hood, Kerenza and Robling, Michael Richard 2015. Measuring clinical skills in agenda-mapping (EAGL-I). Patient Education and Counseling 98 (10) , pp. 1214-1221. 10.1016/j.pec.2015.06.018

Gobat, Nina Helene, Kinnersley, Paul Richard, Gregory, John Welbourn and Robling, Michael Richard 2015. What is agenda setting in the clinical encounter? Consensus from literature review and expert consultation. Patient Education and Counseling 98 (7) , pp. 822-829. 10.1016/j.pec.2015.03.024

Leask, J. and Kinnersley, Paul 2015. Physician communication with vaccine-hesitant parents: the start, not the end, of the story. Pediatrics 136 (1) , pp. 180-182. 10.1542/peds.2015-1382

Thompson, Kevin, Ahmed, Harry, Butler, Christopher Collett, Edwards, Adrian G., Houston, Helen, Kinnersley, Paul, Phillips, Katie and Savage, Katherine 2015. The Academic Fellows Scheme in South Wales (UK): A response to the inverse care law. Education for Primary Care 26 (3) , pp. 197-200.

Frost, Katherine, Metcalf, Elizabeth Penelope, Brooks, Rachel M., Kinnersley, Paul, Greenwood, Stephen R. and Powell, Colin Victor Eric 2015. Teaching pediatric communication skills to medical students. Advances in Medical Education and Practice , pp. 35-43. 10.2147/AMEP.S68413

Gobat, Nina Helene, Kinnersley, Paul Richard, Gregory, John Welbourn and Robling, Michael Richard 2015. Evaluation of AGenda mapping skilL -­Instrument (EAGL-­I v1.5.1): Coding manual. [Manual]. Cardiff University.

Cann, Clare, Frost, Paul, Sillars, Anna and Kinnersley, Paul 2015. All Wales acute care teaching final year medical student evaluation. Presented at: 5th Curriculum Conference, Cardiff, School of Medicine, Cardiff, March 2015.

McNair, A. G. K., Brookes, S. T., Kinnersley, Paul Richard and Blazeby, J. M. 2013. What surgeons should tell patients with oesophago-gastric cancer: A cross sectional study of information needs. European Journal of Surgical Oncology (EJSO) 39 (11) , pp. 1278-1286. 10.1016/j.ejso.2013.08.005

Kinnersley, Paul Richard, Phillips, Katie, Savage, Katherine, Kelly, Mark James, Farrell, Elinor Huiming, Morgan, Benjamin Peter, Whistance, Robert, Lewis, Vicky, Mann, Mala K., Stephens, Bethan, Blazeby, Jane, Elwyn, Glyn and Edwards, Adrian G. 2013. Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures. The Cochrane Library 2013 (7) , CD009445. 10.1002/14651858.CD009445.pub2

Butler, Christopher Collett, Simpson, Sharon Anne, Hood, Kerenza, Cohen, David, Pickles, Timothy E., Spanou, Clio, McCambridge, Jim, Moore, Laurence Anthony Russell, Randell, Elizabeth, Alam, M. Fasihul, Kinnersley, Paul Richard, Edwards, Adrian G., Smith, Christine and Rollnick, Stephen 2013. Training practitioners to deliver opportunistic multiple behaviour change counselling in primary care: a cluster randomised trial. BMJ 346 , f1191. 10.1136/bmj.f1191

Joseph-Williams, Natalie, Jones, Mari, Griffiths, Jeffrey, Williams, Janet, Evans, Rhodri, Edwards, Adrian, Kynaston, Howard, Cochlin, Dennis, Newcombe, Robert Gordon, Kinnersley, Paul, White, Patricia, Grol, Richard and Elwyn, Glyn 2013. The cost implications of informed decision-making: a mathematical simulation model of the potential financial effects of a web-based prostate specific antigen decision aid. European Journal for Person Centered Healthcare 1 (1) , pp. 193-201. 10.5750/ejpch.v1i1.651

Grant, Andrew John, Kinnersley, Paul Richard and Field, Max 2012. Learning contexts at two UK medical schools: A comparative study using mixed methods. BMC Research Notes 5 (1) , pp. 153-160. 10.1186/1756-0500-5-153

Silverman, Jonathan and Kinnersley, Paul Richard 2012. Calling time on the 10-minute consultation. British Journal of General Practice (BJGP) 62 (596) , pp. 118-119. 10.3399/bjgp12X625102

Phillips, Katie, Wood, Fiona Claire, Spanou, Clio, Kinnersley, Paul Richard, Simpson, Sharon Anne and Butler, Christopher Collett 2012. Counselling patients about behaviour change: The challenge of talking about diet. British Journal of General Practice (BJGP) 62 (594) , e13-e21. 10.3399/bjgp12X616328

Elwyn, Glyn, Frosch, Dominick, Thomson, Richard, Joseph-Williams, Natalie J., Lloyd, Amy, Kinnersley, Paul Richard, Cording, Emma, Tomson, Dave, Dodd, Carole, Rollnick, Stephen, Edwards, Adrian G. and Barry, Michael 2012. Shared decision making: a model for clinical practice. Journal of General Internal Medicine 27 (10) , pp. 1361-1367. 10.1007/s11606-012-2077-6

Kinnersley, Paul Richard, Stephens, Bethan, Elwyn, Glyn, Blazeby, Jane, Kelly, Mark James, Savage, Katherine, Phillips, Katie, Lewis, Vicky, Mann, Mala K. and Edwards, Adrian G. 2011. Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures (Protocol). The Cochrane Library (11) , pp. 1-18. 10.1002/14651858.CD009445

Kinnersley, Paul Richard, Egbunike, Jennifer Nkem, Kelly, Mark James, Hood, Kerenza, Owen-Jones, Catrin Eleri, Button, Lori A., Shaw, Christine, Porter, Alison, Snooks, Helen, Bowden, Sue and Edwards, Adrian G. 2010. The need to improve the interface between in-hours and out-of-hours GP care, and between out-of-hours care and self-care. Family Practice 27 (6) , pp. 664-672. 10.1093/fampra/cmq056

Kelly, Mark James, Egbunike, Jennifer Nkem, Kinnersley, Paul Richard, Hood, Kerenza, Owen-Jones, Catrin Eleri, Button, Lori A., Shaw, Christine, Porter, Alison, Snooks, Helen, Bowden, Sue and Edwards, Adrian G. 2010. Delays in response and triage times reduce patient satisfaction and enablement after using out-of-hours services. Family Practice 27 (6) , pp. 652-663. 10.1093/fampra/cmq057

Egbunike, Jennifer Nkem, Shaw, Christine, Porter, Alison, Button, Lori, Kinnersley, Paul Richard, Hood, Kerenza, Bowden, Sue, Bale, Sue, Snooks, Helen and Edwards, Adrian G. 2010. Streamline triage and manage user expectations: lessons from a qualitative study of GP out-of-hours services. British Journal of General Practice (BJGP) 60 (572) , e83-e97. 10.3399/bjgp10X483490

Evans, Rhodri, Joseph-Williams, Natalie J., Edwards, Adrian G., Newcombe, Robert Gordon, Wright, Patricia, Kinnersley, Paul Richard, Griffiths, Jeffrey Deacon, Jones, Mari, Williams, Janet Elizabeth, Grol, Richard and Elwyn, Glyn 2010. Supporting informed decision making for prostate specific antigen (PSA) testing on the web: an online randomized controlled trial. Journal of Medical Internet Research 12 (3) , e27. 10.2196/jmir.1305

Rollnick, Stephen, Butler, Christopher Collett, Kinnersley, Paul Richard, Gregory, John Welbourn and Mash, B. 2010. Motivational interviewing. British Medical Journal (BMJ) 340 (c1900) , pp. 1242-1245. 10.1136/bmj.c1900

Wood, Fiona Claire, Robling, Michael Richard, Prout, Hayley Christine, Kinnersley, Paul Richard, Houston, Helen Louise Ann and Butler, Christopher Collett 2010. A question of balance: a qualitative study of mothers' interpretations of dietary recommendations. The Annals of Family Medicine 8 (1) , pp. 51-57. 10.1370/afm.1072

Silverman, Jonathan and Kinnersley, Paul Richard 2010. Doctors'non-verbal behaviour in consultations: look at the patient before you look at the computer [Editorial]. British Journal of General Practice (BJGP) 60 (571) , pp. 76-78. 10.3399/bjgp10X482293

Silverman, Jonathan and Kinnersley, Paul Richard 2010. Non-verbal behaviour [Letter]. British Journal of General Practice (BJGP) 60 (574) , pp. 373-374. 10.3399/bjgp10X501921

Hawthorne, Kamila, Prout, Hayley Christine, Kinnersley, Paul Richard and Houston, Helen Louise Ann 2009. Evaluation of different delivery modes of an interactive e-learning programme for teaching cultural diversity. Patient Education and Counseling 74 (1) , pp. 5-11. 10.1016/j.pec.2008.07.056

Kinnersley, Paul Richard, Edwards, Adrian G., Hood, Kerenza, Ryan, Rebecca, Prout, Hayley Christine, Cadbury, Naomi Louise, MacBeth, Fergus, Butow, Phyllis and Butler, Christopher Collett 2008. Interventions before consultations to help patients address their information needs by encouraging question asking: systematic review. BMJ 337 , a485. 10.1136/bmj.a485

Dimoska, Aneta, Tattersall, Martin H.N., Butow, Phyllis N., Shepherd, Heather and Kinnersley, Paul Richard 2008. Can a "prompt list" empower cancer patients to ask relevant questions? Cancer 113 (2) , pp. 225-237. 10.1002/cncr.23543

Kinnersley, Paul Richard and Spencer, John 2008. Communication skills teaching comes of age. Medical Education 42 (11) , pp. 1052-1053. 10.1111/j.1365-2923.2008.03182.x

Kinnersley, Paul Richard and Edwards, Adrian G. 2008. Complaints against doctors [Editorial]. British Medical Journal (BMJ) 336 (7649) , pp. 841-842. 10.1136/bmj.39525.658565.80

Evans, R., Elwyn, G., Edwards, Adrian G., Newcombe, Robert, Kinnersley, Paul, Wright, P., Griffiths, J., Austoker, J. and Grol, R. 2007. A randomised controlled trial of the effects of a web-based PSA decision aid, Prosdex. Protocol. BMC Family Practice 4 (8) , pp. 8-58. 10.1186/1471-2296-8-58

Kinnersley, Paul Richard, Edwards, Adrian G., Hood, Kerenza, Cadbury, Naomi Louise, Ryan, Rebecca, Prout, Hayley Christine, Owen, Diane, MacBeth, Fergus, Butow, Phyllis and Butler, Christopher Collett 2007. Interventions before consultations for helping patients address their information needs. The Cochrane Database of Systematic Reviews 18 (3) , CD004565. 10.1002/14651858.CD004565.pub2

Grant, Andrew John, Vermunt, Jan D., Kinnersley, Paul Richard and Houston, Helen Louise Ann 2007. Exploring students' perceptions on the use of significant event analysis, as part of a portfolio assessment process in general practice, as a tool for learning how to use reflection in learning. BMC Medical Education 7 (1) , 5. 10.1186/1472-6920-7-5

Grant, Andrew, Kinnersley, Paul Richard, Metcalf, Elizabeth Penelope, Pill, Roisin and Houston, Helen Louise Ann 2006. Students' views of reflective learning techniques: an efficacy study at a UK medical school. Medical Education 40 (4) , pp. 379-388. 10.1111/j.1365-2929.2006.02415.x

Seale, Clive, Anderson, E. and Kinnersley, Paul Richard 2005. Comparison of GP and nurse practitioner consultations: an observational study. British Journal of General Practice 55 , pp. 938-943.

Rollnick, Stephen, Butler, Christopher Collett, McCambridge, Jim, Kinnersley, Paul Richard, Elwyn, Glyn and Resnicow, Ken 2005. Consultations about changing behaviour. British Medical Journal (BMJ) 331 (7522) , pp. 961-963. 10.1136/bmj.331.7522.961

Cohen, Deborah and Kinnersley, Paul Richard 2005. The future is flexible? [Commentary]. Medical Education 39 (7) , pp. 653-654. 10.1111/j.1365-2929.2005.02217.x

Butler, Christopher Collett, Hood, Kerenza, Kinnersley, Paul Richard, Robling, Michael Richard, Prout, Hayley Christine and Houston, Helen Louise Ann 2005. Predicting the clinical course of suspected acute viral upper respiratory tract infection in children. Family Practice 22 (1) , pp. 92-95. 10.1093/fampra/cmh713

Cohen, Deborah, Rollnick, Stephen, Smail, Simon, Kinnersley, Paul Richard, Houston, Helen Louise Ann and Edwards, Karen Elizabeth 2005. Communication, stress and distress: evolution of an individual support programme for medical students and doctors. Medical Education 39 (5) , pp. 476-481. 10.1111/j.1365-2929.2005.02122.x

Cohen, Deborah, Kinnersley, Paul Richard, Rollnick, Stephen and Edwards, Karen Elizabeth 2004. Good at medicine, pity about the rest. Hospital Medicine 65 (9) , pp. 557-559. 10.12968/hosp.2004.65.9.15987

Butler, Christopher Collett, Rollnick, Stephen, Kinnersley, Paul Richard, Tapper-Jones, Lorna Maureen and Houston, Helen Louise Ann 2004. Communicating about expected course and re-consultation for respiratory tract infections in children: an exploratory study. British Journal of General Practice 54 (504) , pp. 536-538.

Edwards, Adrian G., Elwyn, Glyn, Hood, Kerenza, Atwell, Christine Leander Angela, Robling, Michael Richard, Houston, Helen Louise Ann, Kinnersley, Paul Richard and Russell, Ian 2004. Patient-based outcome results from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice. Family Practice 21 (4) , pp. 347-354. 10.1093/fampra/cmh402

Prout, Hayley Christine, Butler, Christopher Collett, Kinnersley, Paul Richard, Robling, Michael Richard, Hood, Kerenza and Tudorjones, Rhiannedd 2003. A qualitative evaluation of implementing a randomized controlled trial in general practice. Family Practice 20 (6) , pp. 675-681. 10.1093/fampra/cmg609

Butler, Christopher Collett, Kinnersley, Paul Richard, Hood, Kerenza, Robling, Michael Richard, Prout, Hayley Christine, Rollnick, Stephen and Houston, Helen Louise Ann 2003. Clinical course of acute infection of the upper respiratory tract in children: cohort study. BMJ 327 (7423) , pp. 1088-1089. 10.1136/bmj.327.7423.1088

Edwards, Adrian G., Elwyn, Glyn, Hood, Kerenza, Robling, Michael Richard, Atwell, Christine Leander Angela, Holmes-Rovner, Margaret, Kinnersley, Paul Richard, Houston, Helen Louise Ann and Russell, Ian 2003. The development of COMRADE - a patient-based outcome measure to evaluate the effectiveness of risk communication and treatment decision making in consultations. Patient Education and Counseling 50 (3) , pp. 311-322. 10.1016/S0738-3991(03)00055-7

Elwyn, Glyn, Edwards, Adrian G. and Kinnersley, Paul 2003. Shared decision-making in der medizinischen Grundversorgung: die vernachlässigte zweite Hälfte der Beratung [Shared-decision making in primary care: the neglected second half of the consultation]. In: Scheibler, F. and Pfaff, H. eds. Shared Decision Making - Der Patient als Partner im medizinischen Entscheidigungsprozess, Juventa Materialien, Weinheim: Beltz Juventa, pp. 55-68.

Rollnick, Stephen, Seale, Clive, Kinnersley, Paul Richard, Rees, Maggs, Butler, Christopher Collett and Hood, Kerenza 2002. Developing a new line of patter: can doctors change their consultations for sore throat? Medical Education 36 (7) , pp. 678-681. 10.1046/j.1365-2923.2002.01255.x

Robling, Michael Richard, Kinnersley, Paul Richard, Houston, Helen Louise Ann, Hourihan, Margaret D., Cohen, David R., Hale, Janine and Hood, Kerenza 2002. General Practitioners' use of magnetic resonance imaging: An open randomized trial comparing telephone and written requests and an open randomized controlled trial of different methods of local guideline dissemination. Clinical Radiology 57 (5) , pp. 402-407. 10.1053/crad.2001.0864

Rollnick, Stephen, Kinnersley, Paul Richard and Butler, Christopher Collett 2002. Context-bound communication skills training: development of a new method. Medical Education 36 (4) , pp. 377-383. 10.1046/j.1365-2923.2002.01174.x

Butler, Christopher Collett, Robling, Michael Richard, Prout, Hayley Christine, Hood, Kerenza and Kinnersley, Paul Richard 2002. Management of suspected acute viral upper respiratory tract infection in children with intranasal sodium cromoglicate: a randomised controlled trial. The Lancet 359 (9324) , pp. 2153-2158. 10.1016/S0140-6736(02)09091-8

Smith, Philip E. M., Fuller, Geraint N., Kinnersley, Paul Richard, Brigley, Stephen and Elwyn, Glyn 2002. Using simulated consultations to develop communications skills for neurology trainees. European Journal of Neurology 9 (1) , pp. 83-87. 10.1046/j.1468-1331.2002.00339.x

Rollnick, Stephen, Seale, Clive, Rees, Maggs, Butler, Christopher Collett, Kinnersley, Paul Richard and Anderson, Liz 2001. Inside the routine general practice consultation: an observational study of consultations for sore throats. Family Practice 18 (5) , pp. 506-510. 10.1093/fampra/18.5.506

Butler, Christopher Collett, Kinnersley, Paul Richard, Prout, Hayley Christine, Rollnick, Stephen, Edwards, Adrian G. and Elwyn, Glyn 2001. Antibiotics and shared decision-making in primary care. Journal of Antimicrobial Chemotherapy 48 (3) , pp. 435-440. 10.1093/jac/48.3.435

Mowle, Stephen, Edwards, Adrian G., Hood, Kerenza and Kinnersley, Paul Richard 2001. Benchmarking using simulated clinical scenarios: a feasibility project. British Journal of General Practice 51 (469) , pp. 658-660.

Elwyn, Glyn, Edwards, Adrian G., Mowle, Steve, Wensing, Michel, Wilkinson, Clare Elizabeth, Kinnersley, Paul Richard and Grol, Richard 2001. Measuring the involvement of patients in shared decision-making: a systematic review of instruments. Patient Education and Counseling 43 (1) , pp. 5-22. 10.1016/S0738-3991(00)00149-X

Butler, Christopher Collett, Rees, Mags, Kinnersley, Paul Richard, Rollnick, Stephen and Hood, Kerenza 2001. A case study of nurse management of upper respiratory tract infections in general practice. Journal of Advanced Nursing 33 (3) , pp. 328-333. 10.1046/j.1365-2648.2001.01668.x

Brassey, Jon, Elwyn, Glyn, Price, Christopher and Kinnersley, Paul Richard 2001. Just in time information for clinicians: a questionnaire evaluation of the ATTRACT project. British Medical Journal (BMJ) 322 (7285) , pp. 529-530. 10.1136/bmj.322.7285.529

Elwyn, Glyn, Edwards, Adrian G., Kinnersley, Paul Richard and Grol, Richard 2000. Shared decision making and the concept of equipoise: the competences of involving patients in healthcare choices. British Journal of General Practice 50 (460) , pp. 892-899.

Kinnersley, Paul Richard, Anderson, Elizabeth, Parry, Kate, Clement, John, Archard, Luke, Turton, Pat, Stainthorpe, Andrew, Fraser, Aileen, Butler, Christopher Collett and Rogers, Chris 2000. Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting “same day” consultations in primary care. BMJ 320 (7241) , pp. 1043-1048. 10.1136/bmj.320.7241.1043

Elwyn, Glyn, Edwards, Adrian G. and Kinnersley, Paul Richard 1999. Shared decision-making in primary care: the neglected second half of the consultation. British Journal of General Practice 49 (443) , pp. 477-482.

Elwyn, Glyn, Kinnersley, Paul Richard, Rees, J. and Rees, M. 1999. A nurse telephone triage system in an inner-city practice. Nursing Times 95 (23) , p. 43.

Butler, Christopher Collett, Rollnick, Stephen, Kinnersley, Paul Richard, Jones, A. and Stott, N. 1998. Reducing antibiotics for respiratory tract symptoms in primary care: consolidating 'why' and considering 'how'. British Journal of General Practice (BJGP) 48 (437) , pp. 1865-1870.

Stott, Nigel, Kinnersley, Paul and Elwyn, Glyn 1997. Measuring general practice-based primary care: generic outcomes. Welsh Primary Care Outcomes Group. Family Practice 14 (6) , pp. 486-491. 10.1093/fampra/14.6.486

Butler, Christopher Collet and Kinnersley, Paul Richard 1996. Is there evidence to show that daily antibiotic treatment is best? [Letter]. BMJ 312 (7042) , pp. 1360-1361. 10.1136/bmj.312.7042.1360d

Elwyn, Glyn, Williams, L. A., Barry, Suzanne and Kinnersley, Paul Richard 1996. Waiting list management in general practice: a review of orthopaedic patients. British Medical Journal (BMJ) 312 (7035) , pp. 887-888. 10.1136/bmj.312.7035.887

Finlay, Ilora Gillian, Stott, N. C. and Kinnersley, Paul Richard 1995. The assessment of communication skills in palliative medicine: a comparison of the scores of examiners and simulated patients. Medical Education 29 (6) , pp. 424-429. 10.1111/j.1365-2923.1995.tb02866.x