Evidence map›Paper›PMID 38840110›Full record

ArticleBMC medical education2024

Current status and ongoing needs for the teaching and assessment of clinical reasoning - an international mixed-methods study from the students` and teachers` perspective.

F L Wagner, M Sudacka, A A Kononowicz, M Elvén, S J Durning, I Hege, S Huwendiek

Abstract read
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

F L WagnerInstitute for Medical Education, Department for Assessment and Evaluation, University of Bern, Bern, Switzerland. felicitas.wagner@unibe.ch.
M SudackaCenter of Innovative Medical Education, Department of Medical Education, Jagiellonian University, Kraków, Poland.
A A KononowiczFaculty of Medicine, Department of Bioinformatics and Telemedicine, Jagiellonian University, Kraków, Poland.
M ElvénSchool of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
S J DurningUniformed Services University of the Health Sciences, Bethesda, MD, USA.
I HegeInstitute of Medical Education, University Hospital, LMU Munich, Munich, Germany.
S HuwendiekInstitute for Medical Education, Department for Assessment and Evaluation, University of Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical reasoning (CR) is a crucial ability that can prevent errors in patient care. Despite its important role, CR is often not taught explicitly and, even when it is taught, typically not all aspects of this ability are addressed in health professions education. Recent research has shown the need for explicit teaching of CR for both students and teachers. To further develop the teaching and learning of CR we need to improve the understanding of students' and teachers' needs regarding content as well as teaching and assessment methods for a student and trainer CR curriculum.

methodsParallel mixed-methods design that used web-surveys and semi-structured interviews to gather data from both students (n

resultsBoth the surveys and interview data emphasized the need for content in a clinical reasoning (CR) curriculum such as "gathering, interpreting and synthesizing patient information", "generating differential diagnoses", "developing a diagnostic and a treatment plan" and "collaborative and interprofessional aspects of CR". There was high agreement that case-based learning and simulations are most useful for teaching CR. Clinical and oral examinations were favored for the assessment of CR. The preferred format for a train-the-trainer (TTT)-course was blended learning. There was also some agreement between the survey and interview participants regarding contents of a TTT-course (e.g. teaching and assessment methods for CR). The interviewees placed special importance on interprofessional aspects also for the TTT-course.

conclusionsWe found some consensus on needed content, teaching and assessment methods for a student and TTT-course in CR. Future research could investigate the effects of CR curricula on desired outcomes, such as patient care.

Indexed as

Clinical ReasoningCurriculumAdultClinical CompetenceFaculty, MedicalFemaleHumansMaleNeeds AssessmentStudents, MedicalSurveys and QuestionnairesTeachingAssessmentClinical reasoningNeedsStudentsTeachersTeaching

Identifiers

PMID38840110
PMCPMC11151606

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.