Using Illness Scripts to Teach Clinical Reasoning Skills to Medical Students
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AbstractBackground and Objectives: Most medical students learn clinical reasoning skills informally during clinical rotations that have varying quality of supervision. We conducted a randomized controlled trial to determine if a workshop that uses "illness scripts" could improve students' clinical reasoning skills when making diagnoses of patients portrayed in written scenarios. Methods: In 2007-2008, 53 fourth-year medical students were randomly assigned to either a family medicine (intervention) or psychiatry (control) clerkship at The Chinese University of Hong Kong. Students in the intervention group participated in a 3-hour workshop on clinical reasoning that used illness scripts. The workshop was conducted with small-group teaching using a Web-based set of clinical reasoning problems, individualized feedback, and demonstration of tutors' reasoning aloud. The effectiveness of the intervention was assessed using the Diagnostic Thinking inventory (DTI) and the measurement of individual students' performance in solving clinical reasoning problems (CRP). Results: The post-intervention overall DTI scores between groups were similar (mean difference 0, 95% confidence interval [CI] = -7.4 to 74). However, the total scores on the CRP assessment were 14% (95% CI=8% to 21%) higher in the intervention group than in controls. Conclusion: A workshop on illness scripts may have some benefit for improving diagnostic performance in clinical reasoning problems.
All Author(s) ListLee A, Joynt GM, Lee AK, Ho AM, Groves M, Vlantis AC, Ma RC, Fung CS, Aun CS
Name of ConferenceMeeting of the Chinese-University-of-Hong-Kong-Faculty-of-Medicine Curriculum
Start Date of Conference01/09/2008
Place of ConferenceHong Kong
Journal nameFamily Medicine
Year2010
Month4
Day1
Volume Number42
Issue Number4
PublisherSTFM
Pages255 - 261
ISSN0742-3225
LanguagesEnglish-United Kingdom
Web of Science Subject CategoriesGeneral & Internal Medicine; Medicine, General & Internal; MEDICINE, GENERAL & INTERNAL; Primary Health Care; PRIMARY HEALTH CARE

Last updated on 2020-28-09 at 02:09