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Rania Ben Rabeh1,2, Sonia Mazigh1,2, Nada Missaoui1,2

  • 1University of Tunis El Manar, Faculty of Medicine of Tunis.

La Tunisie Medicale
|February 19, 2024
PubMed
Summary

A case-based self-directed learning (CBSDL) tool improved clinical reasoning (CR) scores in pediatric interns compared to traditional clinical reasoning learning sessions (CRL). The CBSDL tool enhanced hypothetico-deductive reasoning skills.

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Area of Science:

  • Medical Education
  • Clinical Reasoning Skills
  • Pediatric Internship Training

Context:

  • Clinical reasoning (CR) is fundamental in medical education.
  • Pediatric internship training at the Faculty of Medicine of Tunis introduced clinical reasoning learning sessions (CRL).
  • This study evaluates a novel case-based self-directed learning (CBSDL) tool within this context.

Purpose:

  • To compare the effectiveness of a case-based self-directed learning (CBSDL) tool against traditional clinical reasoning learning sessions (CRL).
  • To assess the impact on medical students' performance in sequential management problem (SMP) tests during pediatric internship.

Summary:

  • A randomized trial assigned pediatric interns to either CRL sessions or the CBSDL tool.
  • The primary outcome was the final score on the sequential management problem (SMP) test.

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  • The CBSDL group achieved significantly higher scores (14.05±1.64) than the CRL group (12.03±1.44), with p <0.001.

    • Impact:

    • The CBSDL tool effectively enhanced students' hypothetico-deductive reasoning abilities.
    • While beneficial, the CBSDL tool requires supplementation with direct hospital internship supervision to fully support clinical reasoning development.