Related Experiment Video
Updated: Sep 2, 2025
04:47
Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
Published on: June 23, 2023
2.7K
Learning and teaching stage 4 clinical decision making: progression from novice to expert
Wendy Crebbin1, Glenn Guest2,3, Spencer Beasley4,5
1Department of Surgery, University Hospital Geelong, Geelong, Victoria, Australia.
ANZ Journal of Surgery
|August 8, 2022
Summary
This study details the progression from novice to expert in surgical Clinical Decision Making (CDM) through postoperative reflection. Understanding this learning process helps tailor teaching for better surgical skill development.
Area of Science:
- Medical Education
- Surgical Training
- Clinical Decision Making
Background:
- Describes the learning curve in surgical Clinical Decision Making (CDM), specifically Stage 4: Postoperative reflection and review.
- Identifies assessment and teaching strategies to support the transition from novice to expert in surgical CDM.
Purpose of the Study:
- To outline the developmental stages of learning Clinical Decision Making (CDM) in surgery.
- To provide tools for assessing and teaching surgical trainees' progression in CDM.
Main Methods:
- Qualitative methodology using Constructivist and Grounded Theory.
- Data collection through individual interviews and focus groups.
- Thematic analysis of data from surgeons in a regional hospital.
Main Results:
- Learning progresses from external reliance to internal resource development for CDM.
- Experience builds multisensory and kinesthetic memories, enhancing the ability to manage complexity.
- A sequence of learning stages guides the development of surgical CDM.
Conclusions:
- Clinical Decision Making (CDM) is a teachable skill for surgical trainees and senior clinicians.
- Understanding CDM processes benefits both learners and educators.
- Tools are provided to diagnose and target teaching for Stage 4 CDM progression.
Related Concept Videos
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.7K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.7K
01:25Critical Thinking II
3.0K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
3.0K
01:13Patient-centered Care
2.2K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.2K
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.3K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.3K
01:24Critical Thinking I
3.5K
Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
3.5K
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.8K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.8K