Literature DB >> 30849044

A workshop to train medicine faculty to teach clinical reasoning.

Verity Schaye1,2, Michael Janjigian2,3, Kevin Hauck3,4, Neil Shapiro3,5, Daniel Becker3,5, Penelope Lusk3, Khemraj Hardowar3, Sondra Zabar3, Anne Dembitzer3,5.   

Abstract

Background Clinical reasoning (CR) is a core competency in medical education. Few studies have examined efforts to train faculty to teach CR and lead CR curricula in medical schools and residencies. In this report, we describe the development and preliminary evaluation of a faculty development workshop to teach CR grounded in CR theory. Methods Twenty-six medicine faculty (nine hospitalists and 17 subspecialists) participated in a workshop that introduced a framework to teach CR using an interactive, case-based didactic followed by role-play exercises. Faculty participated in pre- and post-Group Observed Structured Teaching Exercises (GOSTE), completed retrospective pre-post assessments (RPPs), and made commitment to change statements (CTCs). Results In the post-GOSTE, participants significantly improved in their use of problem representation and illness scripts to teach CR. RPPs revealed that faculty were more confident in their ability and more likely to teach CR using educational strategies grounded in CR educational theory. At 2-month follow-up, 81% of participants reported partially implementing these teaching techniques. Conclusions After participating in this 3-h workshop, faculty demonstrated increased ability to use these teaching techniques and expressed greater confidence and an increased likelihood to teach CR. The majority of faculty reported implementing these newly learned educational strategies into practice.

Entities:  

Keywords:  clinical reasoning; diagnostic reasoning; dual process theory; faculty development; script theory

Mesh:

Year:  2019        PMID: 30849044     DOI: 10.1515/dx-2018-0059

Source DB:  PubMed          Journal:  Diagnosis (Berl)        ISSN: 2194-802X


  3 in total

1.  Development of a Clinical Reasoning Documentation Assessment Tool for Resident and Fellow Admission Notes: a Shared Mental Model for Feedback.

Authors:  Verity Schaye; Louis Miller; David Kudlowitz; Jonathan Chun; Jesse Burk-Rafel; Patrick Cocks; Benedict Guzman; Yindalon Aphinyanaphongs; Marina Marin
Journal:  J Gen Intern Med       Date:  2021-05-04       Impact factor: 5.128

2.  A structured workshop enhanced Physiotherapists' skills in clinical decision-making: A pre-post study.

Authors:  Shambhu P Adhikari; Nistha Shrestha; Rishita Shakya; Rajani Phuyal; Manju Gyawali; Rubee Dev
Journal:  J Family Med Prim Care       Date:  2020-11-30

3.  Clinical reasoning education in the clerkship years: A cross-disciplinary national needs assessment.

Authors:  Jonathan G Gold; Christopher L Knight; Jennifer G Christner; Christopher E Mooney; David E Manthey; Valerie J Lang
Journal:  PLoS One       Date:  2022-08-18       Impact factor: 3.752

  3 in total

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