A Team-based Learning Approach During Pediatric Clerkship to Promote Clinical Reasoning.
BACKGROUND: Clinical reasoning skills are essential to medical practice. The problem lies in assuming junior medical students with limited experience develop clinical reasoning and decision-making skills passively and solely through clinical exposure. To prepare learners for independent practice and...
| Publicado en: | Academic Pediatrics Vol. 23; no. 7; pp. 1459 - 1465 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Sep/Oct2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174985183&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174985183 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Sep/Oct2023 vid: 23 iid: 7 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 174985183 174985183 174985183 10.1016/j.acap.2023.04.002 174985183 ppf: 1459 ppct: 6 formats: fmt: @attributes: type: P tig: atl: A Team-based Learning Approach During Pediatric Clerkship to Promote Clinical Reasoning. aug: au: Forbes, Karen L. Foulds, Jessica L. affil: Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada sug: subj: Teamwork Clinical Reasoning Students, Medical Problem-Based Learning Methods Student Experiences Learning Environment Decision Making, Clinical Academic Performance Human Male Female Curriculum Development Course Evaluation Descriptive Statistics Psychometrics Comparative Studies Correlational Studies Male Female ab: BACKGROUND: Clinical reasoning skills are essential to medical practice. The problem lies in assuming junior medical students with limited experience develop clinical reasoning and decision-making skills passively and solely through clinical exposure. To prepare learners for independent practice and care for future patients, explicit teaching and assessment of clinical reasoning in low-stakes, collaborative learning environments are needed. METHODS: The key-feature question (KFQs) format is an assessment approach that focuses on the reasoning and decision- making aspects of medical problems rather than knowledge recall. This report describes the development, implementation, and evaluation of a team-based learning (TBL) approach using KFQs to foster clinical reasoning in the third-year pediatric clerkship at our institution. RESULTS: Over the first 2 years of implementation (2017--18, 2018--19), 278 students participated in TBL sessions. Mean individual student scores significantly improved in the group setting for both academic years (P < .001). Individual scores were moderately positively correlated with their total summative Objective Structured Clinical Examination score (r [275] = 0.51; P < .001). The correlation between individual score and their multiple-choice question examination was weaker at 0.29 (P < .001) but remained positive. CONCLUSIONS: A TBL session using KFQs to both teach and assess clinical reasoning in clerkship students may help educators identify students with gaps in knowledge and/or reasoning. The next steps include developing and implementing individualized coaching opportunities, and expanding this approach within the undergraduate medical curriculum. Outcome measures to assess clinical reasoning in authentic patient encounters require further research and development. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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