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SPIRALS: An Approach to Non-Linear Thinking for Medical Students in the Emergency Department.
Rebecca N Small1, Lisa Fleet2, Desmond Whalen3
1Internal Medicine, Memorial University of Newfoundland, St. John's, CAN.
Cureus
|September 18, 2020
Summary
This study aimed to establish competencies for emergency medicine undergraduate rotations. While consensus on competency importance wasn't fully reached, the identified skills support non-linear thinking crucial for emergency medicine practice.
Area of Science:
- Medical Education
- Emergency Medicine
Background:
- Current emergency medicine undergraduate curricula lack established guidelines.
- Traditional clinical reasoning instruction may not suit the dynamic emergency department environment.
Purpose of the Study:
- To achieve consensus on essential competencies for undergraduate emergency medicine rotations.
- To identify non-linear thinking concepts vital for emergency medicine learners.
Main Methods:
- Utilized the Delphi method for expert consensus building.
- Informed competencies through observational studies of emergency physicians.
- Surveyed emergency physicians on competency importance.
Main Results:
- Eleven competencies were initially proposed, with all rated for consideration.
- Round 2 reduced competencies to 10, with only one deemed for definite inclusion.
- Consensus on the relative importance of each competency was not achieved.
Conclusions:
- The study addresses a gap in undergraduate emergency medicine education.
- Identified competencies can aid medical students in developing essential non-linear thinking skills.
- Further refinement may be needed to achieve full consensus on competency importance.
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