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The 'problem-question-reasoning-solution-teaching' (PQRST) framework for problem case discussion in general practice
S Morgan1,2, S R Toukhsati1,3,4
1General Practice Supervision Australia, Melbourne, Australia.
Background And Objective:
The 'problem-question-reasoning-solution-teaching' (PQRST) framework was designed for GP trainers to use for problem case discussion (PCD) with trainees. We aimed to describe and evaluate the utility of the PQRST framework for PCD in the GP setting.
Methods:
We delivered a one-hour educational activity on the PQRST tool and evaluated its use in practice. GP trainers completed a pre-education survey (N = 165), followed by a post-education survey six weeks later (N = 30).
Results:
Before the educational activity, most respondents were unfamiliar with the PQRST framework. Six weeks following the PQRST education activity, over 90% of respondents had applied the PQRST framework during PCD and planned to continue using it. GP trainers were significantly more likely to ask their trainees to present cases using a problem representation format following PQRST education (p < .001).
Discussion:
The PQRST framework provided a more structured approach and greater confidence in PCD, indicating its utility in GP supervision and training.
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