Knox J D
Med Teach. 1989;11(1):51-7. doi: 10.3109/01421598909146276.
Medical education is moving to a more problem-orientated basis than was the case formerly. The Modified Essay Question has its origins in this movement, being introduced in the late 1960s as one assessment technique more suited to general practice than other traditional assessment methods. In its original form it is a paper exercise based on an evolving situation presented by a patient in primary care. Experience with the technique in different countries is briefly summarised, and its applications to assessment and to teaching are discussed. Despite shortcomings this method appears to be standing up to the test of time.
医学教育正朝着比以往更以问题为导向的基础发展。改良论文问题起源于这一运动，它在20世纪60年代末被引入，作为一种比其他传统评估方法更适合全科医学的评估技术。其最初形式是基于初级保健中患者呈现的不断演变的情况进行书面练习。简要总结了不同国家对该技术的经验，并讨论了其在评估和教学中的应用。尽管存在缺点，但这种方法似乎经受住了时间的考验。
