scholarly journals Respective value of the traditional clinical rotation and high fidelity simulation on the acquisition of clinical reasoning skills in medical students – A Randomized Controlled Trial.

MedEdPublish ◽  
2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Sarahn Lovett ◽  
Jan Roche ◽  
Sharyn Hunter ◽  
Ian Symonds ◽  
Naomi Tomlinson ◽  
...  
2020 ◽  
Vol 30 (1) ◽  
pp. 307-313 ◽  
Author(s):  
Mary Kathryn Mutter ◽  
James R. Martindale ◽  
Neeral Shah ◽  
Maryellen E. Gusic ◽  
Stephen J. Wolf

2009 ◽  
Vol 14 (suppl_A) ◽  
pp. 30A-30A ◽  
Author(s):  
DM Campbell ◽  
MD Bould ◽  
MA Hayter ◽  
DB Chandra ◽  
HS Joo ◽  
...  

2016 ◽  
Vol 46 ◽  
pp. 127-132 ◽  
Author(s):  
Rui C.N. Baptista ◽  
Luís A.R. Paiva ◽  
Rui F.L. Gonçalves ◽  
Luís M.N. Oliveira ◽  
Maria de Fátima C.R. Pereira ◽  
...  

2010 ◽  
Vol 38 (4) ◽  
pp. 1086-1091 ◽  
Author(s):  
Sabina Hunziker ◽  
Cyrill Bühlmann ◽  
Franziska Tschan ◽  
Gianmarco Balestra ◽  
Corinne Legeret ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mana Moghadami ◽  
Mitra Amini ◽  
Mohsen Moghadami ◽  
Bhavin Dalal ◽  
Bernard Charlin

Abstract Background The illness script method employs a theoretical outline (e.g., epidemiology, pathophysiology, signs and symptoms, diagnostic tests, interventions) to clarify how clinicians organized medical knowledge for clinical reasoning in the diagnosis domain. We hypothesized that an educational intervention based on the illness script method would improve medical students’ clinical reasoning skills in the diagnosis domain. Methods This study is a randomized controlled trial involving 100 fourth-year medical students in Shiraz Medical School, Iran. Fifty students were randomized to the intervention group, who were taught clinical reasoning skills based on the illness script method for three diseases during one clinical scenario. Another 50 students were randomized to the control group, who were taught the clinical presentation based on signs and symptoms of the same three diseases as the intervention group. The outcomes of interest were learner satisfaction with the intervention and posttest scores on both an internally developed knowledge test and a Script Concordance Test (SCT). Results Of the hundred participating fourth-year medical students, 47 (47%) were male, and 53 (53%) were female. On the knowledge test, there was no difference in pretest scores between the intervention and control group, which suggested a similar baseline knowledge in both groups; however, posttest scores in the intervention group were (15.74 ± 2.47 out of 20) statistically significantly higher than the control group (14.38 ± 2.59 out of 20, P = 0.009). On the SCT, the mean score for the intervention group (6.12 ± 1.95 out of 10) was significantly higher than the control group (4.54 ± 1.56 out of 10; P = 0.0001). Learner satisfaction data indicated that the intervention was well-received by students. Conclusion Teaching with the illness script method was an effective way to improve students’ clinical reasoning skills in the diagnosis domain suggested by posttest and SCT scores for specific clinical scenarios. Whether this approach translates to improved generalized clinical reasoning skills in real clinical settings merits further study.


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