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Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
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Published on: August 9, 2024

Online discussions develop students' clinical reasoning skills during fieldwork.

Justin Newton Scanlan1, Nicola Hancock

  • 1Discipline of Occupational Therapy, Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia. jsca9701@uni.sydney.edu.au

Australian Occupational Therapy Journal
|November 25, 2010
PubMed
Summary

A structured framework improved occupational therapy students' clinical reasoning skills during fieldwork discussions. This enhancement in clinical reasoning quality was observed through online discussions and self-reported skill improvements.

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Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
05:04

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Published on: August 9, 2024

Area of Science:

  • Occupational Therapy Education
  • Clinical Reasoning Development
  • Health Professions Education

Background:

  • Clinical reasoning is crucial for occupational therapy practice.
  • Online discussions are increasingly used in fieldwork education.
  • Assessing the quality of clinical reasoning in student discussions is important.

Purpose of the Study:

  • To evaluate if a structured framework enhances clinical reasoning in occupational therapy students' online fieldwork discussions.
  • To compare the cognitive elements of clinical reasoning before and after framework implementation.

Main Methods:

  • A pilot study compared online discussion content from occupational therapy students before (2005) and after (2007) a structured framework was introduced.
  • Student self-reports on clinical reasoning skills were analyzed pre- and post-fieldwork placements.

Main Results:

  • The structured framework increased advanced 'evaluate' elements and decreased basic 'understand' elements in clinical reasoning discussions.
  • Students reported improved clinical reasoning skills after their first fieldwork placement, with sustained improvement after the second.

Conclusions:

  • A structured framework appears beneficial for deepening students' clinical reasoning during occupational therapy fieldwork.
  • Further research is needed to confirm the framework's effectiveness in enhancing clinical reasoning skills.