scholarly journals Integrating clinical reasoning principles in case-based learning sessions for first-year medical students: Lessons learned

2019 ◽  
Vol 8 (1) ◽  
pp. 20-23
Author(s):  
Dinesh Kumar ◽  
Ramakrishnan Rajprasath ◽  
Magi Murugan

Background: Conventional pedagogies for case-based learning are designed with the intention of helping the student appreciate the relevance of content they learn and kindle their curiosity. However, these pedagogies embody certain shortcomings which inhibit them from reaching the intended objectives. The main aim of our initiative is to improve traditional case-based learning using the principles of clinical reasoning. Methods: A priori, two sessions were conducted in which two vignettes were administered to first-year medical students. We obtained the perceived acceptance which was equivalent to Kirkpatrick level 1 learning outcomes. Results: Overall outcomes were highly positive in terms of acceptability, fostering curiosity, increasing the relevance of learned content, and helping students learn to think in a logical way. Conclusion: With the increasing need for incorporating clinical reasoning skills in medical education, it is imperative that these skills are taught beginning with the preclinical years of medical education.

2017 ◽  
Vol 7 (3) ◽  
pp. 183
Author(s):  
Veena Bhaskar S. Gowda ◽  
Bhaskar Hebbani Nagaiah ◽  
Sam Annie Jeyachristy ◽  
Theingi Maung Maung

Author(s):  
Srabani N. Bhattacharya ◽  
Aniruddha A. Malgaonkar ◽  
Sundaram Kartikeyan

Background: The Medical Council of India has recommended early clinical exposure, problem-oriented approach and case-based learning throughout the graduate medical curriculum. Case-based learning is a teaching-learning model that helps effective use of student and faculty time.Methods: This complete-enumeration, before-and-after type of educational intervention study (without controls) was conducted in a municipal medical college in Western India. After explaining the objectives of the study to first-year medical students, aged 18 years and above, of either sex, written informed consent was obtained from students (n=55) who were willing to participate in the study. The pre-test was conducted after lectures by faculty from the Departments of Physiology and Community Medicine. An identical post-test was administered after case-based learning, which was conducted by the same faculty in two sub-groups. The outcome studied was the difference in cognitive domain scores after attending lectures (by a pre-test) and case-based learning (by a post-test).Results: The overall mean score increased from 5.36 ± 0.97 (95% CI: 5.11 - 5.62) in the pre-test to 6.49 ± 1.14 (95% CI: 6.19 - 6.79) in the post-test. The differences between the pre- and post-test correct responses were statistically significant for two questions.Conclusions: The participating first-year medical students had adequate basic knowledge of reproductive physiology. Gender differences in correct responses were statistically significant for few questions. Use of case scenarios enhanced cognitive domain scores.


Author(s):  
Timothy J. Bauler ◽  
Shanna Cole ◽  
Tyler Gibb ◽  
Richard Van Enk ◽  
Larry Lutwick ◽  
...  

Author(s):  
Jeff Schwartz

Although problem-based learning (PBL) is widely used in medical education for its many virtues, a number of deficiencies exist. As means of enhancing the experience of PBL for students, two relatively simple adjuncts to PBL are presented. What Ifs are short hypothetical scenarios, appended to the end of a PBL case, that require students to revisit elements of the PBL case just completed and apply their newly acquired knowledge to clinical reasoning in an altered scenario or to explore anew another dimension of the PBL case. Multi-directional symptoms PBL cases are cases where a common presenting symptom, rather than a specific pathology, is the focus of the PBL case and, following a core narrative of the initial patient presentation, a series of independent continuation narratives with appropriate histories, examination findings and investigation results, lead students to divergent diagnoses and management issues. In addition to keeping the PBL process fresh by rotating new materials regularly, these adjuncts extend the PBL process in the direction of case-based learning.


MedEdPORTAL ◽  
2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Yerko Berrocal ◽  
Jonathan Fisher ◽  
Jenna Regan ◽  
Amy L. Christison

Author(s):  
Aaron L. Burshtein ◽  
Joshua G. Burshtein ◽  
Peter A. Gold ◽  
Luke Garbarino ◽  
David E. Elkowitz

Medical education has undergone an evolution from passive, lecture-based learning environments to curricula that accentuate an active and dynamic system. Stemming from technological innovation, a greater amount of responsibility has been placed on students during clerkships and residency. In addition, a shift in USMLE assessment focuses on interpretation and application as compared to the former memorization-heavy approach. Therefore, learning has been modified to prepare students for the future medical landscape. Through the use of Team-Based, Problem-Based, and/or Case-Based Learning, medical students are taught to understand content rather than memorize it. The authors elucidate the rationale behind active learning and present a guide for medical educators to adopt this style of learning in every part of the undergraduate medical school training process.


2019 ◽  
Vol 24 (4) ◽  
pp. 767-781 ◽  
Author(s):  
Timothy J. Cleary ◽  
Abigail Konopasky ◽  
Jeffrey S. La Rochelle ◽  
Brian E. Neubauer ◽  
Steven J. Durning ◽  
...  

2007 ◽  
Vol 32 (3) ◽  
pp. 217 ◽  
Author(s):  
Anita Nath ◽  
Rahul Malhotra ◽  
GK Ingle ◽  
Panna Lal ◽  
Chetna Malhotra

MedEdPublish ◽  
2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Shilpa Brown ◽  
Elena Wood ◽  
Daniel McCollum ◽  
Allen Pelletier ◽  
Jennifer Rose ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document