Clinical diagnostic reasoning education

doi:10.3877/cma.j.issn.2095-655X.2023.01.012

Abstract

Abstract:

Clinical diagnostic reasoning is one of the contents of clinical thinking methods, and it is used throughout the clinical work. Clinical diagnosis reasoning is an important part of clinical professional curriculum teaching for educators and plays an important role in clinical education. Clinical education focuses on how to effectively cultivate clinical diagnostic reasoning ability in the teaching of clinical professional courses. Based on previous research, clinical diagnostic reasoning instruction can be divided into three categories: the importance of clinical diagnostic reasoning instruction, teaching content, teaching methods, and evaluation methods. It is hoped that by combining clinical professional courses, medical students will be trained in their clinical thinking mode at the undergraduate and graduate levels, as well as their clinical diagnostic reasoning ability, allowing them to have a more profound study and application of clinical course contents, and lay a solid foundation for later clinical practice.

Key words: Clinical diagnosis reasoning, Clinical thinking, Education, Instructional strategy

Shiyi Tang, Xia Xu, Weiru Zhang, Jing Wu, Xinhua Li, Ying Huang. Clinical diagnostic reasoning education[J]. Chinese Journal of Diagnostics(Electronic Edition), 2023, 11(01): 62-66.

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References 24

[1]	Lee CY, Jenq CC, Chandratilake M，et al.A scoping review of clinical reasoning research with Asian healthcare professionals[J].Adv Health Sci Educ Theory Pract，2021，26(5):1555-1579.DOI：10.1007/s10459-021-10060-z.
[2]	Connor DM, Durning SJ, Rencic JJ.Clinical reasoning as a core competency[J].Acad Med，2020，95(8):1166-1171.DOI：10.1097/ACM.0000000000003027.
[3]	Makary MA, Daniel M．Medical error-the third leading cause of death in the US[J].BMJ，2016(353):i2139.DOI：10.1136/bmj.i2139.
[4]	Rencic J, Trowbridge RL Jr, Fagan M, et al. Clinical reasoning education at US medical schools：results from a National Survey of Internal Medicine Clerkship Directors[J].J Gen Intern Med，2017，32(11):1242-1246.DOI：10.1007/s11606-017-4159-y.
[5]	Cooper N, Bartlett M, Gay S，et al.UK-Clinical Reasoning in Medical Education(CReME)consensus statement group.Consensus statement on the content of clinical reasoning curricula in undergraduate medical education[J].Med Teach, 2021，43(2):152-159.DOI：10.1080/0142159X.2020.1842343.
[6]	Parodis I, Andersson L, Durning SJ，et al.Clinical reasoning needs to be explicitly addressed in health professions curricula：recommendations from a european consortium[J].Int J Environ Res Public Health，2021，18(21):11202.DOI：10.3390/ijerph182111202.
[7]	Singh M, Collins L, Farrington R，et al.From principles to practice：embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme[J].Diagnosis (Berl)，2021，9(2):184-194.DOI：10.1515/dx-2021-0031.
[8]	Noble LM, Scott-Smith W, O'Neill B，et al.Consensus statement on an updated core communication curriculum for UK undergraduate medical education[J].Patient Educ Couns，2018，101(9):1712-1719.DOI：10.1016/j.pec.2018.04.013.
[9]	Gheihman G, Johnson M, Simpkin AL.Twelve tips for thriving in the face of clinical uncertainty[J].Med Teach，2020，42(5):493-499.DOI：10.1080/0142159X.2019.1579308.
[10]	Gäbler M．Denkfehler bei diagnostischen Entscheidungen [Cognitive errors in diagnostic decision making].Wien Med Wochenschr[J].2017，167(13-14):333-342.DOI：10.1007/s10354-017-0570-6.
[11]	Chamberland M, Mamede S, Bergeron L，et al.A layered analysis of self-explanation and structured reflection to support clinical reasoning in medical students[J].Perspect Med Educ，2021，10(3):171-179.DOI：10.1007/s40037-020-00603-2.
[12]	Prakash S, Sladek RM, Schuwirth L. Interventions to improve diagnostic decision making：a systematic review and meta-analysis on reflective strategies[J].Med Teach，2019，41(5):517-524.DOI：10.1080/0142159X.2018.1497786.
[13]	谭惠文，曾锐，左川．以案例为基础的学习法在临床诊断学教学中的应用[J/CD].中华诊断学电子杂志，2019，7(2):134-136.DOI：10.3877/cma.j.issn.2095-655X.2019.02.013.
[14]	Weidenbusch M, Lenzer B, Sailer M，et al.Can clinical case discussions foster clinical reasoning skills in undergraduate medical education? A randomised controlled trial[J].BMJ Open，2019，9(9):e025973.DOI：10.1136/bmjopen-2018-025973.
[15]	Leppink J, Duvivier R．Twelve tips for medical curriculum design from a cognitive load theory perspective[J].Med Teach，2016，38(7):669-74.DOI：10.3109/0142159X.2015.1132829.
[16]	Daniel M, Rencic J, Durning SJ, et al.Clinical reasoning assessment methods：a scoping review and practical guidance[J].Acad Med，2019，94(6):902-912.DOI：10.1097/ACM.0000000000002618.
[17]	Thampy H, Willert E, Ramani S. Assessing clinical reasoning：targeting the higher levels of the pyramid[J].J Gen Intern Med，2019，34(8):1631-1636. DOI：10.1007/s11606-019-04953-4.
[18]	Nayer M, Glover Takahashi S, Hrynchak P．Twelve tips for developing key-feature questions (KFQ) for effective assessment of clinical reasoning[J].Med Teach，2018，40(11):1116-1122.DOI：10.1080/0142159X.2018.1481281.
[19]	Cohen Aubart F, Papo T, Hertig A，et al.Are script concordance tests suitable for the assessment of undergraduate students? A multicenter comparative study[J].Rev Med Interne，2021，42(4):243-250.DOI：10.1016/j.revmed.2020.11.001.
[20]	Moghadami M, Amini M, Moghadami M，et al.Teaching clinical reasoning to undergraduate medical students by illness script method：a randomized controlled trial[J].BMC Med Educ，2021，21(1):87.DOI：10.1186/s12909-021-02522-0.
[21]	Onwudiegwu U．OSCE：design，development and deployment[J].J West Afr Coll Surg，2018，8(1):1-22.
[22]	Theobald KA, Tutticci N, Ramsbotham J，et al.Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students：a systematic review[J].Nurse Educ Pract，2021(57):103220.DOI：10.1016/j.nepr.2021.103220.
[23]	Shafqat S, Tejani I, Ali M，et al.Feasibility and effectiveness of mini-clinical evaluation exercise (mini-CEX) in an undergraduate medical program：a study from pakistan[J].Cureus，2022，14(9):e29563.DOI：10.7759/cureus.29563.
[24]	Lessing JN, Rendón P, Durning SJ，et al.Approaches to clinical reasoning assessment[J].Acad Med，2020，95(8):1285.DOI：10.1097/ACM.0000000000003154.

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