On the role of biomedical knowledge in the acquisition of clinical knowledge

摘要: Context Basic science teaching in undergraduate medical education faces several challenges. One prominent discussion is focused on the relevance of biomedical knowledge to development and integration clinical knowledge. Although value basic generally emphasised, theoretical positions relative role this optimal approach its instruction differ. The present paper addresses whether what extent related knowledge. Methods We analysed repeated-measures data for performances assessments. A sample 598 students a traditional curriculum participated study. entire study covered developmental phase 2 years education. Structural equation modelling was used analyse temporal relationship between acquisition knowledge. Results At point at which formal ends training begins, show highest levels suggest decline that complemented by growth Statistical comparison structural models revealed model best explain specified unidirectional relationships earlier states subsequent changes However, parameter estimates indicate association negative. Discussion Our analysis suggests negative gains We discuss limitations study, such as educational context it conducted non-experimental nature. results do not necessarily contradict sciences, we speculate mechanisms might be our findings. conclude hint possibly critical issues have been rarely addressed thus far.