Twelve tips for teaching expertise in clinical reasoning

被引:67
作者
Rencic, Joseph [1 ]
机构
[1] Tufts Univ, Sch Med, Tufts Med Ctr, Boston, MA 02111 USA
关键词
BIOMEDICAL KNOWLEDGE; MEDICAL EXPERTISE; STRATEGIES; EDUCATION; FEEDBACK; SCIENCE; IMPACT;
D O I
10.3109/0142159X.2011.558142
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Background: Clinical reasoning is one of the most critical skills to teach to medical learners, yet clinician educators rarely receive adequate training on how to teach this topic. Aims: To enhance clinician educators' ability to teach clinical reasoning. Methods: I conducted a review of cognitive, medical decision making, and expertise theory literature to develop practical tips that could be applied to typical teaching encounters. Results: Through the literature review, twelve tips were designed to provide a blueprint for teaching clinical reasoning on the wards or in the clinics. Conclusions: Teaching clinical reasoning is important and feasible. Teachers who explicitly teach problem solving and decision making may help learners to improve their diagnostic accuracy and treatment choices.
引用
收藏
页码:887 / 892
页数:6
相关论文
共 35 条
[1]  
[Anonymous], 2009, The Checklist Manifesto: How to Get Things Right
[2]  
[Anonymous], 2009, LEARNING CLIN REASON
[3]   State of the science in health professional education: effective feedback [J].
Archer, Julian C. .
MEDICAL EDUCATION, 2010, 44 (01) :101-108
[4]   Prototypes and semantic qualifiers: from past to present [J].
Bordage, Georges .
MEDICAL EDUCATION, 2007, 41 (12) :1117-1121
[5]   Medical education: Educational strategies to promote clinical diagnostic reasoning [J].
Bowen, Judith L. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (21) :2217-2225
[6]   On the difficulty of noticing obvious features in patient appearance [J].
Brooks, LR ;
LeBlanc, VR ;
Norman, GR .
PSYCHOLOGICAL SCIENCE, 2000, 11 (02) :112-117
[7]  
Centre for Evidence Based Medicine, EBM TOOLS LIK RAT
[8]   The role of illness scripts in the development of medical diagnostic expertise: Results from an interview study [J].
Custers, EJFM ;
Boshuizen, HPA ;
Schmidt, HG .
COGNITION AND INSTRUCTION, 1998, 16 (04) :367-398
[9]   The influence of medical expertise, case typicality, and illness script component on case processing and disease probability estimates [J].
Custers, EJFM ;
Boshuizen, HPA ;
Schmidt, HG .
MEMORY & COGNITION, 1996, 24 (03) :384-399
[10]   Statistics notes - Diagnostic tests 4: likelihood ratios [J].
Deeks, JJ ;
Altman, DG .
BRITISH MEDICAL JOURNAL, 2004, 329 (7458) :168-169