Research Article
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Assessment of medical students’ clinical reasoning skills in the problem based learning-integrated curriculum

Year 2012, Volume: 65 Issue: 2, 91 - 96, 13.12.2014

Meral Demirören , Özden Palaoğlu

https://doi.org/10.1501/Tipfak_000000815

Abstract

Keywords

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References

  • Groves M, O’Rourke P, Alexander H. Clini- cal Reasoning: The Relative Contribution of Identification, Interpretation and Hypo- thesis Errors to Misdiagnosis. Medical Teacher 2003; 25:621-625.
  • Charlin B, Tardif J, Boshuizen HPA. Scripts and medical diagnostic knowledge: Theory and applications for clinical reasoning in- struction and research. Academic Medicine 2000; 75: 182-190.
  • Groves M, Scott I, Alexander H. Assesing Clinical Reasoning: A Method to Monitor Its Development in a PBL Curriculum. Medical Teacher 2002; 24:507-515.
  • Newble D, Norman G and van der Vleuten C. Assesing clinical reasoning. In: Higgs J, Jones M. eds. Clinical Reasoning in the Health Professions. 2nd ed. Edinburg: But- terworth-Heinemann; 2000. p.156-165.
  • Allen VG, Arocha JF, Patel VL. Evaluating evidence against diagnostic hypotheses in clinical decision making by students, resi- dents and physicians. International Journal of Medical Informatics 1998; 51:91-105.
  • Thomas RE. Problem-based learning: mea- surable outcomes. Medical Education 1997; 31:320-329.
  • Nendaz MR, Raetzo MA Junod AF, Vu NV. Teaching Diagnostic Skills: Clinical Vig- nettes or Chief Complaints?, Advances in Health Sciences Education 2000;5:3-10.
  • Bowen JL. Educational strategies to pro- mote Clinical Diagnostic Reasoning. The New England Journal of Medicine 2006; 355:2217-2225.
  • Maudsley G, Strivens EJ. ‘Science’, ‘critical thinking’ and ‘competence’ for Tomor- row’s Doctors. A review of terms and con- cepts. Medical Education 2000; 34:53-60.
  • Eshach H, Bitterman H. From Case-based Reasoning to Problem-based Learning. Academic Medicine 2003; 78:491-496.
  • Ankara Üniversitesi Tıp Fakültesi Mecmuası 2012, 65 (2)
  • Assessment of Medical Students Clinical Reasoning Skills in the Problem Based Learning – Integrated Curriculum

Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-integrated Curriculum

Year 2012, Volume: 65 Issue: 2, 91 - 96, 13.12.2014

Meral Demirören , Özden Palaoğlu

https://doi.org/10.1501/Tipfak_000000815

Abstract

Amaç: Çalıșmanın amacı, Ankara Üniversitesi Tıp Fakültesi’nde öğrencilerin klinik akıl yürütme
becerilerini değerlendirmektir. Çalıșma, 2006-2007 akademik yılında 156 Dönem 3 (%64) ve 98
Dönem 5 (%72) öğrenci ile yürütülmüștür.
Materyal ve yöntem: Groves ve diğerleri (2002) tarafından geliștirilen klinik akıl yürütme
problemleri (CRPs) kullanılmıștır. CRPs güvenirlik katsayısı, Cronbach Alfa, 0.76 bulunmuștur.
Bulgular: Çalıșma grubunun ortalama toplam CRPs puanı 159,69 ± 36,19 (maksimum344)
bulunmuștur. Dönem 5 öğrencilerinin ortalama toplam CRPs puanının Dönem 3
öğrencilerinden daha yüksek olduğu (p < .001) gözlenmiștir.
Çalıșma grubundaki öğrencilerin yaklașık dörtte üçü, 10 klinik problemden 7’sinde en azından
bir güçlü hipotez olușturmuștur. Öğrencilerin en az güçlü hipotez yarattığı klinik problemler,
klinik akıl yürütme performanslarının en düșük olduğu klinik problemlerdir. Dönem 5
öğrencilerinin güçlü hipotez yaratma oranı, Dönem 3 öğrencilerinden daha yüksektir (p < .001).
Sonuç: Çalıșmadan elde edilen bulgular, klinik akıl yürütme performansı ve hipotez yaratmada
deneyimli öğrencilerin deneyimsiz öğrencilere gore daha iyi olduğunu göstermiștir. Bu bulgular,
CRPs’nin tıp eğitiminde klinik akıl yürütmenin değerlendirilmesinde geçerli ve güvenilir
șekilde kullabileceğini ortaya koymuștur.

Keywords

Klinik akıl yürütme klinik akıl yürütme problemleri tıp eğitimi probleme dayalı öğrenme

References

  • Groves M, O’Rourke P, Alexander H. Clini- cal Reasoning: The Relative Contribution of Identification, Interpretation and Hypo- thesis Errors to Misdiagnosis. Medical Teacher 2003; 25:621-625.
  • Charlin B, Tardif J, Boshuizen HPA. Scripts and medical diagnostic knowledge: Theory and applications for clinical reasoning in- struction and research. Academic Medicine 2000; 75: 182-190.
  • Groves M, Scott I, Alexander H. Assesing Clinical Reasoning: A Method to Monitor Its Development in a PBL Curriculum. Medical Teacher 2002; 24:507-515.
  • Newble D, Norman G and van der Vleuten C. Assesing clinical reasoning. In: Higgs J, Jones M. eds. Clinical Reasoning in the Health Professions. 2nd ed. Edinburg: But- terworth-Heinemann; 2000. p.156-165.
  • Allen VG, Arocha JF, Patel VL. Evaluating evidence against diagnostic hypotheses in clinical decision making by students, resi- dents and physicians. International Journal of Medical Informatics 1998; 51:91-105.
  • Thomas RE. Problem-based learning: mea- surable outcomes. Medical Education 1997; 31:320-329.
  • Nendaz MR, Raetzo MA Junod AF, Vu NV. Teaching Diagnostic Skills: Clinical Vig- nettes or Chief Complaints?, Advances in Health Sciences Education 2000;5:3-10.
  • Bowen JL. Educational strategies to pro- mote Clinical Diagnostic Reasoning. The New England Journal of Medicine 2006; 355:2217-2225.
  • Maudsley G, Strivens EJ. ‘Science’, ‘critical thinking’ and ‘competence’ for Tomor- row’s Doctors. A review of terms and con- cepts. Medical Education 2000; 34:53-60.
  • Eshach H, Bitterman H. From Case-based Reasoning to Problem-based Learning. Academic Medicine 2003; 78:491-496.
  • Ankara Üniversitesi Tıp Fakültesi Mecmuası 2012, 65 (2)
  • Assessment of Medical Students Clinical Reasoning Skills in the Problem Based Learning – Integrated Curriculum
There are 12 citations in total.

Details

Primary Language Turkish
Subjects Medical Education
Journal Section Research Article
Authors

Meral Demirören

Özden Palaoğlu This is me

Publication Date December 13, 2014
Published in Issue Year 2012 Volume: 65 Issue: 2

Cite

APA Demirören, M., & Palaoğlu, Ö. (2014). Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-integrated Curriculum. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 65(2), 91-96. https://doi.org/10.1501/Tipfak_000000815
AMA Demirören M, Palaoğlu Ö. Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-integrated Curriculum. Ankara Üniversitesi Tıp Fakültesi Mecmuası. December 2014;65(2):91-96. doi:10.1501/Tipfak_000000815
Chicago Demirören, Meral, and Özden Palaoğlu. “Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-Integrated Curriculum”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 65, no. 2 (December 2014): 91-96. https://doi.org/10.1501/Tipfak_000000815.
EndNote Demirören M, Palaoğlu Ö (December 1, 2014) Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-integrated Curriculum. Ankara Üniversitesi Tıp Fakültesi Mecmuası 65 2 91–96.
IEEE M. Demirören and Ö. Palaoğlu, “Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-integrated Curriculum”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 65, no. 2, pp. 91–96, 2014, doi: 10.1501/Tipfak_000000815.
ISNAD Demirören, Meral - Palaoğlu, Özden. “Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-Integrated Curriculum”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 65/2 (December2014), 91-96. https://doi.org/10.1501/Tipfak_000000815.
JAMA Demirören M, Palaoğlu Ö. Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-integrated Curriculum. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2014;65:91–96.
MLA Demirören, Meral and Özden Palaoğlu. “Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-Integrated Curriculum”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 65, no. 2, 2014, pp. 91-96, doi:10.1501/Tipfak_000000815.
Vancouver Demirören M, Palaoğlu Ö. Assessment of Medical Students’ Clinical Reasoning Skills in The Problem Based Learning-integrated Curriculum. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2014;65(2):91-6.