Minding the gap: towards a shared clinical reasoning lexicon across the pre-clerkship/clerkship transition

Autor: Robin K. Ovitsh, Shanu Gupta, Anita Kusnoor, Jennifer M. Jackson, Danielle Roussel, Christopher J. Mooney, Roshini Pinto-Powell, Joel L. Appel, Rahul Mhaskar, Jonathan Gold
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Medical Education Online, Vol 29, Iss 1 (2024)
Druh dokumentu: article
ISSN: 10872981
1087-2981
DOI: 10.1080/10872981.2024.2307715
Popis: ABSTRACTTeaching and learning of clinical reasoning are core principles of medical education. However, little guidance exists for faculty leaders to navigate curricular transitions between pre-clerkship and clerkship curricular phases. This study compares how educational leaders in these two phases understand clinical reasoning instruction. Previously reported cross-sectional surveys of pre-clerkship clinical skills course directors, and clerkship leaders were compared. Comparisons focused on perceived importance of a number of core clinical reasoning concepts, barriers to clinical reasoning instruction, level of familiarity across the undergraduate medical curriculum, and inclusion of clinical reasoning instruction in each area of the curriculum. Analyses were performed using the Mann Whitney U test. Both sets of leaders rated lack of curricular time as the largest barrier to teaching clinical reasoning. Clerkship leaders also noted a lack of faculty with skills to teach clinical reasoning concepts as a significant barrier (p
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