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Clinical vignette-based interactive discussion sessions: feedback from residents.
Rano Mal Piryani1, Suneel Piryani2
1Health Professions Training Committee, Universal College of Medical Sciences, Bhairahawa, Nepal.
Clinical vignette-based discussions significantly enhance medical residents' clinical reasoning and problem-solving skills. Participants highly rated the sessions for usefulness, content, and relevance, recommending their continuation.
Area of Science:
- Medical Education
- Internal Medicine Training
Background:
- Clinical vignettes are valuable teaching tools for both clinical and basic sciences.
- Interactive discussion sessions using clinical vignettes were implemented for internal medicine residents.
- The aim was to bridge residents' learning with practical clinical settings.
Purpose of the Study:
- To assess participant feedback on clinical vignette-based interactive discussion sessions.
- To evaluate the perceived effectiveness of these sessions in enhancing clinical skills.
Main Methods:
- Sessions were held five days a week for 45-60 minutes between January and February 2019.
- Internal medicine clinical vignettes were sourced online, with questions and discussions updated using current literature.
- Feedback was collected via a validated semi-structured questionnaire from eleven participating residents.
Main Results:
- Residents rated usefulness (9.45±1.04), content (9.27±0.90), relevance (9.18±1.08), and facilitation (9.27±1.10) highly.
- Strengths included improved differential diagnosis, management skills, understanding, and critical thinking.
- All residents advocated for continuing the sessions, with most suggesting alternate-day scheduling.
Conclusions:
- This learning method facilitates logical and systematic clinical outcome development, applicable to real-world practice.
- The approach effectively enhances residents' cognitive abilities, including critical thinking and problem-solving capacity.
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