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Clinical Reasoning Workshop: Lumbosacral Spine and Hip Disorders
1Associate Professor, Department of Rehabilitation Medicine, New York University School of Medicine.
Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2019
Summary
This workshop improved physical medicine and rehabilitation residents' diagnostic skills in musculoskeletal conditions. Residents demonstrated enhanced clinical reasoning and satisfaction with the training program.
Area of Science:
- Medical Education
- Clinical Reasoning
- Musculoskeletal Medicine
Background:
- Developing clinical reasoning is crucial for physicians-in-training to reduce errors and enhance patient safety.
- Previous experience informed the development of a targeted workshop on musculoskeletal conditions.
Purpose of the Study:
- To assess the effectiveness of a workshop designed to improve clinical reasoning skills in musculoskeletal lumbar spine and hip conditions.
- To provide residents opportunities to practice deductive and inductive reasoning modes.
Main Methods:
- Workshop utilized musculoskeletal vignettes for residents to practice deductive and inductive reasoning.
- Included pre- and posttests, small-group learning, and a competition for 26 physical medicine and rehabilitation residents.
Main Results:
- Residents showed improved performance on post-workshop tests compared to pretests.
- High resident satisfaction reported, with participants feeling their diagnostic abilities improved.
Conclusions:
- The workshop effectively engaged residents, enhancing their ability to manage clinical problems.
- Incorporating elements like case-based learning and gamification proved successful and efficient.
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