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A workshop to train medicine faculty to teach clinical reasoning
Verity Schaye1,2, Michael Janjigian2,3, Kevin Hauck3,4
1Department of Medicine, New York University School of Medicine, 462 1st Avenue, New York, NY 10016, USA.
Diagnosis (Berlin, Germany)
|March 9, 2019
Summary
This study developed a faculty development workshop to improve clinical reasoning (CR) teaching. Faculty showed improved CR teaching skills and confidence, with most implementing new strategies.
Area of Science:
- Medical Education
- Clinical Reasoning Pedagogy
Background:
- Clinical reasoning (CR) is a fundamental medical education competency.
- Limited research exists on faculty training for teaching CR and leading CR curricula.
- This study details a faculty development workshop designed to enhance CR teaching, grounded in established CR theory.
Purpose of the Study:
- To develop and evaluate a faculty development workshop focused on teaching clinical reasoning.
- To equip medical educators with theoretical frameworks and practical skills for teaching CR.
- To assess the impact of the workshop on faculty confidence and teaching practices.
Main Methods:
- A 3-hour interactive workshop was delivered to 26 medicine faculty.
- Participants engaged in case-based didactics and role-play exercises.
- Evaluation included pre- and post-Group Observed Structured Teaching Exercises (GOSTE), retrospective pre-post assessments (RPPs), and commitment to change statements (CTCs).
Main Results:
- Post-workshop, faculty demonstrated significant improvements in using problem representation and illness scripts for CR teaching.
- RPPs indicated increased faculty confidence and likelihood to teach CR using theory-based strategies.
- At 2-month follow-up, 81% of participants reported partial implementation of learned techniques.
Conclusions:
- The faculty development workshop effectively enhanced faculty's ability to teach clinical reasoning.
- Participants reported increased confidence and a higher likelihood of employing CR teaching strategies.
- A majority of faculty successfully integrated these new educational strategies into their practice.
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