Evidence map›Paper›PMID 39610835›Full record

ArticleAdvances in medical education and practice2024

Enhancing Clinical Reasoning Education: Implementing Case Conferences with Semantic Qualifiers and the Dual-Process Theory.

Yoshinori Tokushima, Risa Hirata, Shun Yamashita, Kiyoshi Shikino, Taro Shimizu, Masaki Tago

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Article in Advances in medical education and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Yoshinori TokushimaDepartment of General Medicine, Saga University Hospital, Saga, Japan.
Risa HirataDepartment of General Medicine, Saga University Hospital, Saga, Japan.ORCID 0000-0001-7897-5252
Shun YamashitaDepartment of General Medicine, Saga University Hospital, Saga, Japan.ORCID 0000-0002-5143-8665
Kiyoshi ShikinoDepartment of General Medicine, Chiba University Hospital, Chiba, Japan.ORCID 0000-0002-3721-3443
Taro ShimizuDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi, Japan.ORCID 0000-0002-3788-487X
Masaki TagoDepartment of General Medicine, Saga University Hospital, Saga, Japan.ORCID 0000-0003-1092-1834

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical reasoning skills are crucial for physicians. In clinical reasoning conferences using real cases, medical students, residents, and senior residents can follow experts' clinical reasoning processes. However, supervisors may struggle to clearly articulate their clinical reasoning process. It is necessary to demonstrate this process concretely and systematically for educational purposes. This study introduces the method of clinical reasoning case conferences using semantic qualifiers and the dual-process theory designed for outpatient cases to improve clinical reasoning education methods for beginners. In these conferences, participants assume the roles of a moderator, learner, presenter, and commentator. The presenter sets the first semantic qualifier from the chief complaint and pre-examination information, presents the present illness history, and then sets the second semantic qualifier. After the learners propose a snap diagnosis, the presenter provides additional information, and the learners develop a comprehensive differential diagnosis. Finally, the presenter shares the examination results, and the group discusses the results, determines the final diagnosis, and decides the future diagnostic strategy. This method helps expert physicians articulate their clinical reasoning process, aiding in the education of learners at all levels and enhancing supervisors' metacognition of their medical practice.

Indexed as

case conferenceclinical reasoningdual process theoryeducationsemantic qualifier

Identifiers

PMID39610835
PMCPMC11602430

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