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A learner-centered technique and clinical reasoning, reflection, and case presentation attributes in athletic

Scott Heinerichs1, Luzita I Vela, Joshua M Drouin

  • 1Department of Sports Medicine, West Chester University, PA 19383, USA. sheinerichs@wcupa.edu

Journal of Athletic Training
|May 17, 2013
PubMed
Summary

The Summarizing the history and findings, narrowing the differential, analyzing the differential, probing the instructor about uncertainties, plan management, and selecting an issue for self-directed study (SNAPPS) technique improved athletic training students' case presentations. SNAPPS enhanced clinical reasoning and case summary skills in presentations.

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Published on: September 11, 2021

Area of Science:

  • Medical Education
  • Clinical Reasoning
  • Athletic Training

Background:

  • Developing clinical decision-making and reasoning skills is crucial in clinical education.
  • The Summarizing the history and findings, narrowing the differential, analyzing the differential, probing the instructor about uncertainties, plan management, and selecting an issue for self-directed study (SNAPPS) technique is a learner-centered method for expressing clinical reasoning.

Purpose of the Study:

  • To evaluate the impact of the SNAPPS technique on athletic training students' clinical reasoning, reflection, and case presentation quality.
  • Specifically, to assess changes in case presentation length, conciseness, summary, and the expression of clinical reasoning.

Main Methods:

  • A randomized controlled trial was conducted with 38 athletic training students across three accredited undergraduate programs.
  • Participants were assigned to either the SNAPPS intervention group or a control group receiving usual education.
  • Clinical reasoning and case presentation skills were assessed using the Diagnostic Thinking Inventory and Reflection in Learning Scale, alongside analysis of recorded injury evaluations.

Main Results:

  • Students in the SNAPPS group delivered longer yet more concise case presentations.
  • The SNAPPS group demonstrated significant improvements in case summary and clinical reasoning subscales.
  • No significant group effects or interactions were found for Diagnostic Thinking Inventory or Reflection in Learning Scale scores.

Conclusions:

  • The SNAPPS technique is an effective and feasible educational tool for improving case presentations in athletic training.
  • This learner-centered approach facilitates the development and expression of essential clinical reasoning skills.