Clinical reasoning sessions: back to the patient

Harris, Anthony, Boyce, Phillip and Ajjawi, Rola 2011, Clinical reasoning sessions: back to the patient, Clinical teacher, vol. 8, no. 1, pp. 13-16, doi: 10.1111/j.1743-498X.2010.00407.x.

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Title Clinical reasoning sessions: back to the patient
Author(s) Harris, Anthony
Boyce, Phillip
Ajjawi, RolaORCID iD for Ajjawi, Rola
Journal name Clinical teacher
Volume number 8
Issue number 1
Start page 13
End page 16
Total pages 4
Publisher Wiley
Place of publication London, Eng.
Publication date 2011-03
ISSN 1743-498X
Summary BACKGROUND: Problem-based learning (PBL) was developed as a facilitated small group learning process based around a clinical problem. Originally designed for pre-clinical years of medical education, its application across all years poses a number of difficulties, including the risk of reducing patient contact, providing a learning process that is skewed towards an understanding of pathophysiological processes, which may not be well understood in all areas of medicine, and failing to provide exposure to clinically relevant reasoning skills. CONTEXT: Curriculum review identified dissatisfaction with PBLs in the clinical years of the Sydney Medical School's Graduate Medical Program, from both staff and students. A new model was designed and implemented in the Psychiatry and Addiction Medicine rotation, and is currently being evaluated. INNOVATION: We describe an innovative model of small-group, student-generated, case-based learning in psychiatry - clinical reasoning sessions (CRS) - led by expert facilitators. IMPLICATIONS: The CRS format returns the student to the patient, emphasises clinical assessment skills and considers treatment in the real-world context of the patient. Students practise a more sophisticated reasoning process with real patients modelled upon that of their expert tutor. This has increased student engagement compared with the previous PBL programme.
Language eng
DOI 10.1111/j.1743-498X.2010.00407.x
Field of Research 130209 Medicine, Nursing and Health Curriculum and Pedagogy
Socio Economic Objective 970113 Expanding Knowledge in Education
HERDC Research category C2.1 Other contribution to refereed journal
Copyright notice ©2011, Blackwell Publishing
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