Teaching and assessment of clinical diagnostic reasoning in medical students.


Journal

Medical teacher
ISSN: 1466-187X
Titre abrégé: Med Teach
Pays: England
ID NLM: 7909593

Informations de publication

Date de publication:
06 2022
Historique:
pubmed: 19 1 2022
medline: 2 7 2022
entrez: 18 1 2022
Statut: ppublish

Résumé

Teaching diagnostic reasoning and giving feedback has an important role in medical education. Clinicians who teach may recognise errors, but be unfamiliar with the terminology used to describe them, leading to a lack of consistent and useful student feedback. This prospective project evaluation study aimed to develop an examiner training package regarding errors in diagnostic reasoning, utilising consistent language and feedback tool, and report on diagnostic reasoning errors in second year medical students over the transition from preclinical to early clinical training at objective structured clinical exams (OSCEs). Likert questionnaire regarding examining, assessment and feedback pre- and post-training showed improvement in all measures, including examiner feedback confidence post training ( Incorporating the identification and feedback of common diagnostic reasoning errors into existing clinical assessments was feasible and easy to implement. Understanding, identifying and providing consistent feedback on common errors assists educators and could guide curriculum design.

Sections du résumé

BACKGROUND
Teaching diagnostic reasoning and giving feedback has an important role in medical education. Clinicians who teach may recognise errors, but be unfamiliar with the terminology used to describe them, leading to a lack of consistent and useful student feedback.
OBJECTIVE
This prospective project evaluation study aimed to develop an examiner training package regarding errors in diagnostic reasoning, utilising consistent language and feedback tool, and report on diagnostic reasoning errors in second year medical students over the transition from preclinical to early clinical training at objective structured clinical exams (OSCEs).
RESULTS
Likert questionnaire regarding examining, assessment and feedback pre- and post-training showed improvement in all measures, including examiner feedback confidence post training (
CONCLUSIONS
Incorporating the identification and feedback of common diagnostic reasoning errors into existing clinical assessments was feasible and easy to implement. Understanding, identifying and providing consistent feedback on common errors assists educators and could guide curriculum design.

Identifiants

pubmed: 35041564
doi: 10.1080/0142159X.2021.2017869
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

650-656

Auteurs

Lucy Gilkes (L)

General Practice, Notre Dame University Fremantle, Fremantle, Western Australia.
Medical School, Division of General Practice, University of Western, Perth, Australia.

Narelle Kealley (N)

Medical School, Division of General Practice, University of Western, Perth, Australia.

Jacqueline Frayne (J)

Medical School, Division of General Practice, University of Western, Perth, Australia.
Department of Obstetrics, Women and Newborn Health Service, Subiaco, Western Australia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH