ArticleAdvances in simulation (London, England)2020
Effects of live and video simulation on clinical reasoning performance and reflection.
Article in Advances in simulation (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Developing and evaluating an in situ, simulated emergency training course for nurses with low seniority.BMC medical education · 2026Trial
- Engaged curiosity: "Hot spots" for clinical reasoning in complex patient encounters.PEC innovation · 2025Article
- Resident Physician Recognition of Tachypnea in Clinical Simulation Videos in Japan: Cross-Sectional Study.JMIR medical education · 2025Article
- Comparing three methods to assess learning outcomes for a suicide prevention training program for pharmacy staff.PEC innovation · 2024Article
- A novel resident physician examination using clinical simulation video to assess clinical competence in Japan: a cross-sectional study.BMC medical education · 2024Article
- Development of a Clinical Simulation Video to Evaluate Multiple Domains of Clinical Competence: Cross-Sectional Study.JMIR medical education · 2024Article
- Using Self-Regulated Learning Microanalysis to Examine Regulatory Processes in Clerkship Students Engaged in Practice Questions.Perspectives on medical education · 2023Article
- The importance of theory and method: A brief reflection on an innovative program of research examining how situational factors influence physicians' clinical reasoning.FASEB bioAdvances · 2021Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionIn recent years, researchers have recognized the need to examine the relative effectiveness of different simulation approaches and the experiences of physicians operating within such environments. The current study experimentally examined the reflective judgments, cognitive processing, and clinical reasoning performance of physicians across live and video simulation environments.
methodsThirty-eight physicians were randomly assigned to a live scenario or video case condition. Both conditions encompassed two components: (a) patient encounter and (b) video reflection activity. Following the condition-specific patient encounter (i.e., live scenario or video), the participants completed a Post Encounter Form (PEF), microanalytic questions, and a mental effort question. Participants were then instructed to re-watch the video (i.e., video condition) or a video recording of their live patient encounter (i.e., live scenario) while thinking aloud about how they came to the diagnosis and management plan.
resultsAlthough significant differences did not emerge across all measures, physicians in the live scenario condition exhibited superior performance in clinical reasoning (i.e., PEF) and a distinct profile of reflective judgments and cognitive processing. Generally, the live condition participants focused more attention on aspects of the clinical reasoning process and demonstrated higher level cognitive processing than the video group.
conclusionsThe current study sheds light on the differential effects of live scenario and video simulation approaches. Physicians who engaged in live scenario simulations outperformed and showed a distinct pattern of cognitive reactions and judgments compared to physicians who practiced their clinical reasoning via video simulation. Additionally, the current study points to the potential advantages of video self-reflection following live scenarios while also shedding some light on the debate regarding whether video-guided reflection, specifically, is advantageous. The utility of context-specific, micro-level assessments that incorporate multiple methods as physicians complete different parts of clinical tasks is also discussed.
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