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Learning by concordance (LbC) to develop professional reasoning skills: AMEE Guide No. 141
Bernard Charlin1,2, Marie-France Deschênes3,4, Nicolas Fernandez1,2
1Faculté de médecine, Université de Montréal, Montréal, Canada.
Learning by concordance (LbC) is an online strategy for health professions students to practice clinical reasoning. This guide details designing LbC tools, offering examples across medicine, nursing, physiotherapy, and dentistry.
Area of Science:
- Health Professions Education
- Medical Education Technology
- Clinical Reasoning Development
Background:
- Effective clinical reasoning is crucial for health professions.
- Online educational strategies are increasingly adopted by educators.
- Learning by concordance (LbC) is an innovative approach for practicing clinical reasoning.
Purpose of the Study:
- To describe the steps and elements for designing a Learning by concordance (LbC) tool.
- To provide guidance for educators considering the implementation of LbC modules.
- To illustrate LbC tool design with examples from diverse health professions.
Main Methods:
- The study outlines theoretical underpinnings of LbC.
- It discusses principles of LbC questioning and reasoning tasks.
- Key elements like reference panels, feedback mechanisms, and online platforms are detailed.
Main Results:
- The guide covers LbC theoretical foundations and questioning principles.
- It addresses the goals, content complexity, and reference panel selection for LbC.
- Effective feedback and synthesis messages are discussed for online platforms.
Conclusions:
- Designing and implementing LbC tools presents challenges for educators.
- This guide offers a framework for developing LbC modules across various health professions.
- Successful LbC tool design requires careful consideration of theoretical, practical, and technological elements.
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