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Teaching clinical reasoning skills using an online team-based learning method
Syed Dil Bagh Ali Shah1, Farooq Ahmed2, Ahsan Sethi3
1Department of Orthopedics and Traumatology, Khyber Medical College/Khyber Teaching Hospital, Peshawar, Pakistan.
BMC Medical Education
|July 17, 2026
Summary
Online Team-Based Learning effectively enhances clinical reasoning skills in orthopedic residents. This approach improved Script Concordance Test scores, demonstrating its value in postgraduate medical education.
Area of Science:
- Medical Education
- Clinical Reasoning
- Orthopedics
Background:
- Clinical reasoning is crucial for healthcare professionals, involving judgment and expertise in complex situations.
- This study assessed the efficacy of online Team-Based Learning (TBL) for teaching Clinical Reasoning Skills (CRS).
- Script Concordance Test (SCT) scores were the primary measure of effectiveness.
Purpose of the Study:
- To evaluate the effectiveness of an online TBL approach for teaching Clinical Reasoning Skills (CRS).
- To determine if online TBL improves SCT scores among postgraduate orthopedic residents.
Main Methods:
- A quasi-experimental study was conducted with postgraduate orthopedic residents.
- Participants completed pre- and post-intervention SCT assessments.
- An online TBL session was implemented due to the COVID-19 pandemic.
Main Results:
- Mean SCT scores significantly increased from 32.50 (pre-test) to 37.81 (post-test) (P=0.023).
- Residents in the lowest pre-test quartile showed a substantial improvement, with scores rising from 21.38 to 35.13 (P=0.027).
Conclusions:
- Online TBL significantly enhanced students' performance on the SCT.
- Online TBL is an effective method for improving clinical reasoning skills in orthopedic postgraduate training.
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