The need for longitudinal clinical reasoning teaching and assessment: Results of an international survey.

Abstract:

:Background: Clinical reasoning is a key ability essential for practising health professionals. However, little is known about the current global adoption of clinical reasoning teaching and assessment.Purpose: We aimed to provide insights into how clinical reasoning is deliberately taught and assessed in curricula worldwide and to identify needs and perceived barriers for teaching clinical reasoning to students and educators.Methods: A questionnaire was devised by an international expert group and distributed in a large international medical education community. Data were collected in 2018 and analysed using descriptive statistics. We identified themes in free-text responses using content analysis.Results: Three hundred and thirteen responses from 76 countries were collected. Most respondents were from Europe (34%). While the presence of a longitudinal clinical reasoning curriculum was only reported by 28%, 85% stated that such a curriculum was needed. The lack of awareness of the need to explicitly teach clinical reasoning was the most commonly identified barrier. For assessment, the greatest need identified was for more workplace-based assessment.Conclusions: Global respondents indicate the need to implement explicit longitudinal clinical reasoning curricula. Our findings suggest that efforts should be put into improving faculty development, including evidence-based materials on how to teach and assess clinical reasoning.

journal_name

Med Teach

journal_title

Medical teacher

authors

Kononowicz AA,Hege I,Edelbring S,Sobocan M,Huwendiek S,Durning SJ

doi

10.1080/0142159X.2019.1708293

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

457-462

issue

4

eissn

0142-159X

issn

1466-187X

journal_volume

42

pub_type

杂志文章
  • The medical teacher's job: "Working together to zero in on patient safety, and zero out preventable errors" (Clinton 1999).

    abstract::The role of a medical teacher proposed 25 years ago is still recommended. Some teachers are born to greatness, but more careful and more thoughtful attention, rather than less, should be given to preparation for that role for those not born to greatness. In addition the penury of blueprint of the expected relevant pro...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590410001702274

    authors: Guilbert JJ

    更新日期:2004-06-01 00:00:00

  • Narrative medicine as a medical education tool: A systematic review.

    abstract::Aim: Narrative medicine has been promoted as an innovative and effective means of stimulating medical students' professional development by teaching them to approach their patients' experiences of illness with more understanding and compassion. This systematic literature review aims to answer the following question: w...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1584274

    authors: Milota MM,van Thiel GJMW,van Delden JJM

    更新日期:2019-07-01 00:00:00

  • Creating interactive learning objects with PowerPoint: primer for lecture on the autonomic nervous system.

    abstract:BACKGROUND:In medical curricula, difficult topics are often presented to students with varied backgrounds and therefore at different levels of preparation to learn and assimilate the information. AIM:A method is described to create an interactive primer for the study of a basic neuroscience topic to improve student pr...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2010.490709

    authors: Henkel CK

    更新日期:2010-01-01 00:00:00

  • Weighting checklist items and station components on a large-scale OSCE: is it worth the effort?

    abstract:BACKGROUND:Past research suggests that the use of externally-applied scoring weights may not appreciably impact measurement qualities such as reliability or validity. Nonetheless, some credentialing boards and academic institutions apply differential scoring weights based on expert opinion about the relative importance...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.899687

    authors: Sandilands DD,Gotzmann A,Roy M,Zumbo BD,De Champlain A

    更新日期:2014-07-01 00:00:00

  • How physicians teach in the clinical setting: The embedded roles of teaching and clinical care.

    abstract:BACKGROUND:Clinical teaching lies at the heart of medical education. However, few studies have explored the embedded nature of teaching and clinical care. The goal of this study was to examine the process of clinical teaching as it naturally, and spontaneously, unfolds in a broad range of authentic contexts with medica...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2017.1360473

    authors: Steinert Y,Basi M,Nugus P

    更新日期:2017-12-01 00:00:00

  • An explanatory mixed methods study on the validity and validation of students' assessment results in the undergraduate surgery course.

    abstract:BACKGROUND/PURPOSE:There is inadequate evidence of reported validity of the results of assessment instruments used to assess clinical competence. This study aimed at combining multiple lines of quantitative and qualitative evidence to support interpretation and use of assessment results. METHOD:This study is a mixed m...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2018.1465181

    authors: Hamed O,Jabbad HH,Saadah OI,Al Ahwal MS,Al-Sayes FM

    更新日期:2018-09-01 00:00:00

  • The effect of prototype-based versus attribute-based presentation forms on the acquisition of a medical concept.

    abstract::The purpose of this study was to determine the differential effect of two presentation-forms on the acquisition of the concept of shock. It is hypothesized that presenting a prototype facilitates learning and retention of the concept shock compared with verbally enumerating the attributes of the same concept. A group ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421599009006638

    authors: Gulmans J

    更新日期:1990-01-01 00:00:00

  • Adoption and correlates of the Dundee Ready Educational Environment Measure (DREEM) in the evaluation of undergraduate learning environments - a systematic review.

    abstract:BACKGROUND:The Dundee Ready Educational Environment Measure (DREEM) was specifically designed to measure the undergraduate medical educational environment. This study seeks to review the adoption of DREEM internationally, and its association with different learning contexts and learner factors in order to better suppor...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2018.1426842

    authors: Chan CYW,Sum MY,Tan GMY,Tor PC,Sim K

    更新日期:2018-12-01 00:00:00

  • Scheduling lectures in a teaching hospital.

    abstract::A modelling technique has been devised that can be used to assist in scheduling lectures for medical students in teaching hospitals. The model takes into account the various clinical commitments that are faced by students and the fact that some of these commitments have a fixed timetable while others are relatively fl...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421598909146417

    authors: Gallivan S,Scott L

    更新日期:1989-01-01 00:00:00

  • The introduction of large class problem-based learning into an undergraduate medical curriculum: an evaluation.

    abstract::When considering implementing integrated curriculum models, such as problem-based learning (PBL), concerns may be expressed about the need for increased staff resources required to deliver tutor-led small group PBL. Less staff intensive ways of supporting PBL need to be explored. We compared the outcomes of a PBL modu...

    journal_title:Medical teacher

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/01421590500136352

    authors: Roberts C,Lawson M,Newble D,Self A,Chan P

    更新日期:2005-09-01 00:00:00

  • Curriculum Navigator: aspiring towards a comprehensive package for curriculum planning.

    abstract:BACKGROUND:Insightful frameworks for curriculum development were described in the literature. There is a need, however, to outline the approach we prefer, sometime unconsciously, in curriculum planning. AIMS:This article describes a novel conceptual framework called Curriculum Navigator, to explore our attitudes towar...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2012.689445

    authors: Al-Eraky MM

    更新日期:2012-01-01 00:00:00

  • From lecture theatre to portable media: students' perceptions of an enhanced podcast for revision.

    abstract:BACKGROUND:Podcasting is a novel medium used worldwide for information transfer and entertainment, available in both audio-only and enhanced audiovisual formats. AIMS:We aim to investigate medical students' perceptions of a series of enhanced podcasts for revision. METHOD:Thirteen audiovisual podcasts covering genera...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590802365584

    authors: Shantikumar S

    更新日期:2009-06-01 00:00:00

  • Communication skills, cultural challenges and individual support: challenges of international medical graduates in a Canadian healthcare environment.

    abstract::Physicians require good communication skills to develop effective patient-physician relationships. Externally funded international medical graduates (IMGs) move directly from their home countries to complete residency training at the University of Ottawa, Canada. They must learn quickly how to work with patients, fami...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590310001653982

    authors: Hall P,Keely E,Dojeiji S,Byszewski A,Marks M

    更新日期:2004-03-01 00:00:00

  • Steering the patient mix of GP trainees: results of a randomized controlled intervention.

    abstract:BACKGROUND:In studies exploring the patient mixes of general practitioner (GP) trainees, gaps were repeatedly found, as there were disparities between the patient mixes of GP trainers and trainees. This reduces the opportunities of trainees to acquire enough competence. AIMS:To investigate whether steering the patient...

    journal_title:Medical teacher

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/0142159X.2013.759197

    authors: de Jong J,Visser MR,Wieringa-de Waard M

    更新日期:2013-01-01 00:00:00

  • An investigation into the use of multi-source feedback (MSF) as a work-based assessment tool.

    abstract:INTRODUCTION:This study compared Specialist Trainees' (STs) hand-selected multi-source feedback (MSF) scores with those made by their clinical supervisors and explored perceptions of both those being assessed and those assessing. METHODS:Participating STs were asked to hand a mini-PAT questionnaire to a clinical colle...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.909920

    authors: Brown JM,Lowe K,Fillingham J,Murphy PN,Bamforth M,Shaw NJ

    更新日期:2014-11-01 00:00:00

  • Examiners are most lenient at the start of a two-day OSCE.

    abstract:BACKGROUND:OSCEs can be both reliable and valid but are subject to sources of error. Examiners become more hawkish as their experience grows, and recent research suggests that in clinical contexts, examiners are influenced by the ability of recently observed candidates. In OSCEs, where examiners test many candidates ov...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.947934

    authors: Hope D,Cameron H

    更新日期:2015-01-01 00:00:00

  • Learning surface anatomy: which learning approach is effective in an integrated PBL curriculum?

    abstract:BACKGROUND:Understanding surface anatomy and surface markings are integral for introducing clinical sciences. AIM:This study aimed to assess which learning approach is effective in learning surface anatomy. METHOD:First-year medical students were randomly assigned into two groups and asked to complete an MCQs quiz co...

    journal_title:Medical teacher

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/0142159X.2011.530704

    authors: Azer SA

    更新日期:2011-01-01 00:00:00

  • Context is Key: an interactive experiential and content frame game.

    abstract::Most games used for teaching focus on either content transfer or an experiential learning experience. 'Context is Key' is a combination of both as the learners actively interact experientially with the content being taught, with fellow learners and with the facilitator(s). Using this interactive game after a didactic ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590412331282282

    authors: Ballon B,Silver I

    更新日期:2004-09-01 00:00:00

  • Tools for structured team communication in pre-registration health professions education: a Best Evidence Medical Education (BEME) review: BEME Guide No. 41.

    abstract:INTRODUCTION:Calls for the inclusion of standardized protocols for information exchange into pre-registration health professions curricula have accompanied their introduction into clinical practice. In order to help clinical educators respond to these calls, we have reviewed educational interventions for pre-registrati...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.1080/0142159X.2016.1215412

    authors: Buckley S,Ambrose L,Anderson E,Coleman JJ,Hensman M,Hirsch C,Hodson J,Morley D,Pittaway S,Stewart J

    更新日期:2016-10-01 00:00:00

  • Pre-exchange training - Developing ethical and cultural competencies in medical students.

    abstract::Background: The International Federation of Medical Students' Associations (IFMSA) organizes over 15,000 international medical exchanges per year in over 100 countries. In the past, there was no standardized Pre-Departure Training (PDT) for participants. A PDT is important to protect patient safety and prepare student...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2019.1641590

    authors: D'Ignazio T,Lavoie G,Pomerani T,Lachapelle A,Gaucher N

    更新日期:2019-12-01 00:00:00

  • Twelve tips for medical students to maximise learning in theatre.

    abstract:BACKGROUND:Introduction into the clinical environment can be a daunting experience for medical students, especially in the operating theatre. Prior knowledge of how to prepare for theatre and cope with surgical placements is advantageous, as learning opportunities can be maximised from the start. AIM:This article prov...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.932899

    authors: Weinberg D,Saleh M,Sinha Y

    更新日期:2015-01-01 00:00:00

  • Improving teachers' skills in working with 'problem' residents: a workshop description and evaluation.

    abstract::Working with 'problem' residents is a common challenge in medical education. This article describes a workshop designed to improve teachers' skills in this area as well as the results of an evaluation conducted to assess its effectiveness. Workshop modules focused on defining the problem, confirming the diagnosis, des...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590120048139

    authors: Steinert Y,Nasmith L,Daigle N,Franco ED

    更新日期:2001-05-01 00:00:00

  • Features of educational interventions that lead to compliance with hand hygiene in healthcare professionals within a hospital care setting. A BEME systematic review: BEME Guide No. 22.

    abstract:BACKGROUND:In the United Kingdom, there are approximately 300,000 healthcare-associated infections (HCAI) annually, costing an estimated £1 billion. Up to 30% of all HCAI are potentially preventable by better application of knowledge and adherence to infection prevention procedures. Implementation of Department of Heal...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.3109/0142159X.2012.680936

    authors: Cherry MG,Brown JM,Bethell GS,Neal T,Shaw NJ

    更新日期:2012-01-01 00:00:00

  • Cross-cultural use and development of virtual patients.

    abstract::Three major issues drive the cross-cultural use of virtual patients (VPs): an increased mobility of healthcare professionals, students and patients; limited resources for developing VPs; and emerging standards for the exchange of VPs across institutions. Many students are trained in countries other than where they wer...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590903124724

    authors: Fors UG,Muntean V,Botezatu M,Zary N

    更新日期:2009-08-01 00:00:00

  • "I have the right to a private life": medical students' views about professionalism in a digital world.

    abstract:BACKGROUND:Social media site use is ubiquitous, particularly Facebook. Postings on social media can have an impact on the perceived professionalism of students and practitioners. AIMS:In this study, we explored the attitudes and understanding of undergraduate medical students towards professionalism, with a specific f...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2013.802301

    authors: Ross S,Lai K,Walton JM,Kirwan P,White JS

    更新日期:2013-10-01 00:00:00

  • The good student is more than a listener - The 12+1 roles of the medical student.

    abstract:BACKGROUND:The process of medical education, particularly in the fast evolving new era of medical metaschools, is a broad and complex issue. Harden & Crosby claimed that a good teacher is more than a lecturer, and identified 12 roles that certify a good and capable teacher. However, this is only half the truth: the goo...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2012.638006

    authors: Karakitsiou DE,Markou A,Kyriakou P,Pieri M,Abuaita M,Bourousis E,Hido T,Tsatsaragkou A,Boukali A,de Burbure C,Dimoliatis ID

    更新日期:2012-01-01 00:00:00

  • Death by PowerPoint - the need for a 'fidget index'.

    abstract::PowerPoint is an application designed to help the speaker or lecturer assemble professional looking slides to be used in oral presentations. The result sadly is often an unending stream of slides with bullet lists, animations that obscure rather than clarify the point and cartoons that distract from rather than convey...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590802307743

    authors: Harden RM

    更新日期:2008-01-01 00:00:00

  • Teaching for clinical reasoning - helping students make the conceptual links.

    abstract:BACKGROUND:Dental educators complain that students struggle to apply what they have learnt theoretically in the clinical context. This paper is premised on the assumption that there is a relationship between conceptual thinking and clinical reasoning. AIMS:The paper provides a theoretical framework for understanding t...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.3109/01421591003695303

    authors: McMillan WJ

    更新日期:2010-01-01 00:00:00

  • Spaced learning using emails to integrate psychiatry into general medical curriculum: Keep psychiatry in mind.

    abstract:OBJECTIVES:Traditionally, medical students on clinical rotations receive instruction on principles of mental health only during the psychiatry clerkship. We used emails to insert teaching of psychiatric concepts beyond the psychiatry clerkship into other rotations using the method of spaced learning, the delivery of br...

    journal_title:Medical teacher

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/0142159X.2016.1150982

    authors: Blazek MC,Dantz B,Wright MC,Fiedorowicz JG

    更新日期:2016-10-01 00:00:00

  • How to set standards on performance-based examinations: AMEE Guide No. 85.

    abstract::This AMEE Guide offers an overview of methods used in determining passing scores for performance-based assessments. A consideration of various assessment purposes will provide context for discussion of standard setting methods, followed by a description of different types of standards that are typically set in health ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2013.853119

    authors: McKinley DW,Norcini JJ

    更新日期:2014-02-01 00:00:00