Teaching Clinical Reasoning

Chapter topics include: Clinical Reasoning and Diagnostic Error Theoretical Concepts to Consider in Providing Clinical Reasoning Instruction Developing a Curriculum in Clinical Reasoning Educational Approaches to Common Cognitive Errors ...

Teaching Clinical Reasoning

Author: Robert L. Trowbridge

Publisher: American College

ISBN: 9781938921056

Page: 270

View: 777

Chapter topics include: Clinical Reasoning and Diagnostic Error Theoretical Concepts to Consider in Providing Clinical Reasoning Instruction Developing a Curriculum in Clinical Reasoning Educational Approaches to Common Cognitive Errors General Teaching Techniques Assessment of Clinical Reasoning Faculty Development and Dissemination Lifelong Learning in Clinical Reasoning Remediation of Clinical Reasoning Novel Approaches and Future Directions Teaching Clinical Reasoning: Where do we go from here?

ABC of Clinical Reasoning

This is important because studies suggest that diagnostic error is common and results in significant harm to patients – and errors in reasoning account for the majority of diagnostic errors.

ABC of Clinical Reasoning

Author: Nicola Cooper

Publisher: John Wiley & Sons

ISBN: 1119059089

Page: 64

View: 361

Being a good clinician is not just about knowledge – how doctors and other healthcare professionals think, reason and make decisions is arguably their most critical skill. While medical schools and postgraduate training programmes teach and assess the knowledge and skills required to practice as a doctor, few offer comprehensive training in clinical reasoning or decision making. This is important because studies suggest that diagnostic error is common and results in significant harm to patients – and errors in reasoning account for the majority of diagnostic errors. The ABC of Clinical Reasoning covers core elements of the thinking and decision making associated with clinical practice – from what clinical reasoning is, what it involves and how to teach it. Informed by the latest advances in cognitive psychology, education and studies of expertise, the ABC covers: Evidence-based history and examination Use and interpretation of diagnostic tests How doctors think – models of clinical reasoning Cognitive and affective biases Metacognition and cognitive de-biasing strategies Patient-centred evidence based medicine Teaching clinical reasoning From an international team of authors, the ABC of Clinical Reasoning is essential reading for all students, medical professionals and other clinicians involved in diagnosis, in order to improve their decision-making skills and provide better patient care.

Clinical Reasoning

This unique book provides a series of authentic, engaging and meaningful scenarios that will guide you through the clinical reasoning process while challenging you to think critically and creatively about the nursing care you provide.

Clinical Reasoning

Author: Tracy Levett-Jones

Publisher:

ISBN: 9781442556621

Page: 294

View: 377

A nurse's clinical reasoning ability is a key factor in the provision of quality care and the prevention of adverse patient outcomes. This unique book provides a series of authentic, engaging and meaningful scenarios that will guide you through the clinical reasoning process while challenging you to think critically and creatively about the nursing care you provide. It will promote deep learning and opportunities for you to rehearse how you will respond to real clinical situations in ways that are both person-centred and clinically astute.

Principles and Practice of Case based Clinical Reasoning Education

This book is open access under a CC BY 4.0 license.

Principles and Practice of Case based Clinical Reasoning Education

Author: Olle ten Cate

Publisher: Springer

ISBN: 3319648284

Page: 207

View: 601

This book is open access under a CC BY 4.0 license. This volume describes and explains the educational method of Case-Based Clinical Reasoning (CBCR) used successfully in medical schools to prepare students to think like doctors before they enter the clinical arena and become engaged in patient care. Although this approach poses the paradoxical problem of a lack of clinical experience that is so essential for building proficiency in clinical reasoning, CBCR is built on the premise that solving clinical problems involves the ability to reason about disease processes. This requires knowledge of anatomy and the working and pathology of organ systems, as well as the ability to regard patient problems as patterns and compare them with instances of illness scripts of patients the clinician has seen in the past and stored in memory. CBCR stimulates the development of early, rudimentary illness scripts through elaboration and systematic discussion of the courses of action from the initial presentation of the patient to the final steps of clinical management. The book combines general backgrounds of clinical reasoning education and assessment with a detailed elaboration of the CBCR method for application in any medical curriculum, either as a mandatory or as an elective course. It consists of three parts: a general introduction to clinical reasoning education, application of the CBCR method, and cases that can used by educators to try out this method.

The Essentials of Clinical Reasoning for Nurses Using the Outcome Present State Test Model for Reflective Practice

In The Essentials of Clinical Reasoning for Nurses, authors RuthAnne Kuiper, Sandra O’Donnell, Daniel Pesut, and Stephanie Turrise provide a model that supports learning and teaching clinical reasoning, development of reflective and ...

The Essentials of Clinical Reasoning for Nurses  Using the Outcome Present State Test Model for Reflective Practice

Author: RuthAnne Kuiper

Publisher: Sigma Theta Tau

ISBN: 1945157097

Page: 464

View: 489

In today’s healthcare environment of scarce resources and challenges related to safety and quality, nurses must make decision after decision to ensure timely, accurate, and efficient provision of care. Solid decision-making, or lack thereof, can significantly affect patient care and outcomes. Clinical reasoning – how a nurse processes information and chooses what action to take – is a skill vital to nursing practice and split-second decisions. And yet, developing the clinical reasoning to make good decisions takes time, education, experience, patience, and reflection. Along the way, nurses can benefit from a successful, practical model that demystifies and advances clinical reasoning skills. In The Essentials of Clinical Reasoning for Nurses, authors RuthAnne Kuiper, Sandra O’Donnell, Daniel Pesut, and Stephanie Turrise provide a model that supports learning and teaching clinical reasoning, development of reflective and complex thinking, clinical supervision, and care planning through scenarios, diagnostic cues, case webs, and more.

Clinical Reasoning in the Health Professions E Book

Clinical reasoning lies at the core of health care practice and education.

Clinical Reasoning in the Health Professions E Book

Author: Joy Higgs

Publisher: Elsevier Health Sciences

ISBN: 0702065056

Page: 532

View: 109

Clinical reasoning lies at the core of health care practice and education. Clinical Reasoning in the Health Professions, therefore, occupies a central place in the education of health professionals, the enhancement of professional decision making of individuals and groups of practitioners with their clients, and research into optimal practice reasoning. All chapters updated and 20 new chapters added Concrete examples, cases and vignettes were added to bring discussions to life for the reader Reflection points strategically placed to assist readers to extend their insights and build learning from their own practical experiences and theoretical knowledge Devices of particular value to reflective practitioners and educators All chapters updated and 20 new chapters added Concrete examples, cases and vignettes were added to bring discussions to life for the reader Reflection points strategically placed to assist readers to extend their insights and build learning from their own practical experiences and theoretical knowledge Devices of particular value to reflective practitioners and educators.

Clinical Reasoning Cases in Nursing E Book

The 7th edition features a new concept-based organization, an enhanced focus on interprofessional collaboration and QSEN, 20 all-new case studies, and updated content throughout to reflect the most current standards of clinical practice.

Clinical Reasoning Cases in Nursing   E Book

Author: Mariann M. Harding

Publisher: Elsevier Health Sciences

ISBN: 0323525121

Page: 688

View: 675

Hone your ability to make sound clinical nursing judgment via a conceptual approach to teaching and learning with Harding & Snyder’s Clinical Reasoning Cases in Nursing, 7th Edition. This time-tested case study approach is highly regarded for its clinically relevant and thought-provoking cases. With each adoption, you’ll be able to tap into 150 unique case studies covering all four clinical practice areas: medical-surgical, pediatric, OB/maternity, and psychiatric nursing, all newly organized to facilitate a conceptual approach to teaching and learning. Each case covers a common patient problem, drawn from actual clinical experiences and written by nurses who are clinical experts. Cases include integrated content on pharmacology, nutrition, and diagnostic/laboratory tests to encourage you to think critically about all aspects of patient care. The 7th edition features a new concept-based organization, an enhanced focus on interprofessional collaboration and QSEN, 20 all-new case studies, and updated content throughout to reflect the most current standards of clinical practice. Awarded second place in the 2019 AJN Book of the Year Awards in Medical-Surgical category. Comprehensive assortment of 150 case studies draws from actual clinical experiences in medical-surgical, pediatric, OB/maternity, and psychiatric clinical areas to help you think critically, prioritize, and deliver proactive nursing care. Critical thinking approach helps you learn to identify changes, anticipate possible complications, and initiate therapeutic interventions. Progressive case complexity builds on previous learning to help you gradually develop more and more expertise. NEW & UNIQUE! Concept-based organization mirrors the growing use of concept-based curricula and conceptual approaches to teaching and learning in nursing education. NEW! 20 all-new cases and four extensively-revised cases that address important contemporary healthcare issues and allow for better coordination with Giddens, HESI, and other exemplar lists. NEW! Updated content throughout reflects the latest evidence-based clinical practice, including national and international treatment guidelines. NEW! Enhanced focus on interprofessional collaboration identifies opportunities for interprofessional collaboration are discussed. NEW! Greater consistency with the NCLEX Exam includes revisions like the elimination of most drug trade names and the inclusion of Canadian lab values. Enhanced QSEN safety emphasis is highlighted with a "target" icon to communicate "caution" or "safety." NEW! Increased emphasis on sepsis and antibiotic resistance throughout that addresses the growing problem of sepsis (a new Joint Commission "core measure") and antibiotic resistance where appropriate throughout. NEW! Improved answer spacing ensures that space left for answers reflects what is actually needed.

Clinical Reasoning in the Health Professions

Barrows H S, Feltovich P J 1987 The clinical reasoning process. Medical
Education 21:86–91 Boshuizen H P A, Schmidt H G 1992 On the role of
biomedical knowledge in clinical reasoning by experts, intermediates and
novices. Cognitive ...

Clinical Reasoning in the Health Professions

Author: Joy Higgs

Publisher: Elsevier Health Sciences

ISBN: 0750688858

Page: 504

View: 657

Clinical reasoning is the foundation of professional clinical practice. Totally revised and updated, this book continues to provide the essential text on the theoretical basis of clinical reasoning in the health professions and examines strategies for assisting learners, scholars and clinicians develop their reasoning expertise. key chapters revised and updated nature of clinical reasoning sections have been expanded increase in emphasis on collaborative reasoning core model of clinical reasoning has been revised and updated

Teaching in the Hospital

This book provides hospital-based educators with tools and techniques for: Establishing and communicating expectations and responsibilities Conducting rounds to ensure education complements patient care Enhancing learning by using ...

Teaching in the Hospital

Author: Jeff Wiese

Publisher: ACP Press

ISBN: 1934465445

Page: 325

View: 165

The complexity of hospitalized patients and the day-to-day issues that arise on inpatient services make teaching in the hospital as challenging as it is unique. Hospital-based medical educators (hospitalists and attending physicians) must be adaptable and teach a wide range of topics, all while administering effective patient care. Written by experts in the field, Teaching in the Hospital offers a unique perspective on the goals of inpatient teaching and practical advice for hospitalists and attendings who teach on the wards. This book provides hospital-based educators with tools and techniques for: Establishing and communicating expectations and responsibilities Conducting rounds to ensure education complements patient care Enhancing learning by using illustrations, analogies, mnemonics, and other "tricks of the trade" Coaching learners in the science of clinical reasoning, communication, time management, and interpersonal relations This unique book includes clinical problem-based "teaching scripts" illustrating the dialogues that can take place around 15 of the most frequently encountered inpatient clinical problems. A part of ACP's Teaching Medicine Series, this title is available individually or as a part of the complete six-book set.

Critical Thinking Clinical Reasoning and Clinical Judgment E Book

This edition emphasizes readiness for clinical practice and the Next Generation NCLEX exam, with a focus on systems thinking, interprofessional practice, nursing skills for the 21st century, and Quality and Safety for Nursing Education ...

Critical Thinking  Clinical Reasoning  and Clinical Judgment E Book

Author: Rosalinda Alfaro-LeFevre

Publisher: Elsevier Health Sciences

ISBN: 0323594727

Page: 268

View: 184

Develop the critical thinking and reasoning skills you need to make sound clinical judgments! Alfaro-LeFevre's Critical Thinking, Clinical Reasoning, and Clinical Judgment: A Practical Approach, 7th Edition brings these concepts to life through engaging text, diverse learning activities, and real-life examples. Easy-to-understand language and a "how-to" approach equip you to become a sensible, resilient critical thinker with the clinical reasoning skills you need to think think through complex issues and make sound clinical decisions. This edition emphasizes readiness for clinical practice and the Next Generation NCLEX exam, with a focus on systems thinking, interprofessional practice, nursing skills for the 21st century, and Quality and Safety for Nursing Education (QSEN) competencies. Clear, straightforward approach and motivational writing style provides vivid examples, memorable anecdotes, and real-life case scenarios to make content come alive. Focus on application ("how to") with supporting rationales (theory) makes difficult concepts easy to learn. Critical Thinking Indicators feature evidence-based descriptions of behaviors that foster critical thinking in nursing practice. Highlighted features and sections that promote deep learning include: This Chapter at a Glance, Learning Outcomes, Key Concepts, Guiding Principle boxes, Critical Moments boxes, Other Perspectives features, Think-Pair-Share activities, H.M.O. (Help Me Out) cartoons, real-life clinical scenarios, Key Points, Critical Thinking Exercises, and more! Cultural, spiritual, and lifespan content explores the nurse’s role in hospitals, long-term care settings, and entire communities, presenting a broad approach to critical thinking. Inclusion of ethics- and standards-based professional practice reflects the increased demand for accountability in today’s professional climate. Timely coverage of the latest in nursing education and critical thinking includes concept-based learning; QSEN and IOM standards; problem-focused versus outcome-focused thinking; prioritization and delegation; developing a culture of safe, healthy work environments; expanding roles related to diagnosis and management; improving grades and passing tests the first time; NCLEX exam preparation; ensuring that documentation reflects critical thinking; communication and interpersonal skills; strategies for common workplace challenges; and more.

TRANSFORMING Classroom and Clinical Teaching

Numerous practical strategies and tools to strengthen clinical reasoning and the ability of students to think more like a nurse in both the classroom and clinical settings.

TRANSFORMING Classroom and Clinical Teaching

Author: Pence

Publisher:

ISBN: 9780989936989

Page:

View: 435

Numerous practical strategies and tools to strengthen clinical reasoning and the ability of students to think more like a nurse in both the classroom and clinical settings.

Clinical Education in the Health Professions

This book draws on the research, ideas and expertise of researchers who have observed and researched different aspects of clinical education.

Clinical Education in the Health Professions

Author: Clare Delany

Publisher: Elsevier Australia

ISBN: 0729539008

Page: 193

View: 634

Clinical settings are dynamic educational spaces that present both opportunities and barriers to learning and teaching. Designed to inform, challenge and educate health professionals about the evidence underpinning clinical education practices and outcomes, this multi-disciplinary book brings together important concepts in healthcare education and addresses context and processes of learning, professional identity and socialisation, feedback and assessment, ethics, and inter-professional education. The authors encourage teaching and learning practices based on research findings, expertise and innovation, and the development of individual teaching methods and styles from a theoretical base that provides relevant principles, direction and support. With clear links between theory, research and practice, collaboration from a broad range of clinical disciplines, and models for learning and teaching grounded in empirical research, Clinical Education in the Health Professions will become a standard reference for all health professionals and educators. examines patterns of practice in clinical education in the health professions, using a qualitative research focus identifies the roles of university and clinical educators, students, peers and patients in clinical education highlights implicit tensions in clinical education practice and presents strategies to identify and address such tensions challenges the reader to consider new approaches to clinical education that may optimise students' learning and enculturation into the health professions Despite claims that clinical education lies at the heart of health care education, little empirical research has explored what constitutes effectiveness in clinical teaching and learning. This book draws on the research, ideas and expertise of researchers who have observed and researched different aspects of clinical education. Their research has spanned clinical education topics including professional identity and socialisation, assessment and feedback, pedagogical methods, clinical reasoning, dealing with ambiguity, dealing with diversity and interprofessional education. This book has been designed to synthesise empirical clinical education research and ideas about the context, value, processes and outcomes of clinical education. Each chapter presents a research based facet of clinical education as a platform from which knowledge and future research in clinical education can occur. The authors entice the reader to reconceptualise facets of their own teaching and learning practices based on research findings, expertise and innovation.

Teaching Professional Attitudes and Basic Clinical Skills to Medical Students

This concise, easy to read title is designed for clinical teachers looking to refine their approach to teaching professional attitudes and basic skills to medical students.

Teaching Professional Attitudes and Basic Clinical Skills to Medical Students

Author: Jochanan Benbassat

Publisher: Springer

ISBN: 3319200895

Page: 143

View: 477

This concise, easy to read title is designed for clinical teachers looking to refine their approach to teaching professional attitudes and basic skills to medical students. Doctors differ in values, training and practice setting, and eventually they adopt diverse approaches to patient interviewing, data collection and problem-solving. As a result, medical students may encounter significant differences in the clinical methods of their tutors. For example, some doctors encourage patients’ narratives by using open-ended questions while others favor closed-questions; and hospital- and community-based doctors may disagree on the value of the physical examination. Medical students may be puzzled by these differences and by controversies about issues, such as doctor-patient relations and the approaches to clinical reasoning. This handy title is intended to help tutors address many of these issues, and to provide an approach not only to teaching patient interviewing and the physical examination but to teaching some clinically relevant topics of the behavioral and social sciences that are so vital to developing an effective, well-rounded physician.

Clinical Reasoning in Occupational Therapy

This book defines clinical reasoning as a process in which the therapist structures meaning, goals and health management strategies based on clinical data, client choices and professional judgement and knowledge.

Clinical Reasoning in Occupational Therapy

Author: Linda Robertson

Publisher: John Wiley & Sons

ISBN: 1118281543

Page: 160

View: 201

Clinical Reasoning in Occupational Therapy is a key text for occupational therapy students and practitioners. Written by an internationally renowned group of clinicians, educators and academics and with a central case study running throughout, the book covers the theory and practice of the following key topics: Working and Thinking in Different Contexts; Teaching as Reasoning; Ethical Reasoning; Diversity in Reasoning; Working and Thinking within 'Evidence Frameworks'; Experience as a Framework; The Client. FEATURES includes case studies problem-solving framework questions at the end of each chapter commentaries on key topics relates theory to practice

Comparison of Two Formats for Teaching Diagnostic Reasoning Skills to Experienced Physical Therapists

The purpose of this perspective is to describe an approach to teaching diagnostic reasoning using a Web-based course.

Comparison of Two Formats for Teaching Diagnostic Reasoning Skills to Experienced Physical Therapists

Author: Theresa H. Michel

Publisher:

ISBN:

Page: 161

View: 681

The purpose of this perspective is to describe an approach to teaching diagnostic reasoning using a Web-based course. To elucidate this we describe how we match the learning needs of practicing clinicians in the realm of diagnostic reasoning with specific teaching methods used in an online course format. We use 3 principles of teaching and learning diagnostic reasoning skills to frame the discussion: 1) ready access to information 2) active participation of all students; and 3) self appraisal and metacognition. These three principles guided the method of developing and conducting this online course called: Diagnostic Screening for Physical Therapists: When to Treat? When to Refer? Experienced physical therapists are adult learners. They pursue their own areas of interest; find their own resources for learning, and pace themselves according to their own learnging needs. The Web-based format lends itself to this type of teaching and learning, using Web-based access to information, and collaborative learning groups engaged in constructing new knowledge by integrating what they have stored in memory with new insights they gain from others. Adult learners come to the course with knowledge and inferences arrived at by their own clinical experiences. By interacting with other students and teachers, they engage in an analytical approach to solving patient problems which requires them to reflect on their own practice and share their thinking strategies with others. This enables them to learn more deeply than simply memorizing facts, or strategically trying to perform all of the course requirements as quickly as possible. They learn by solving real clinical problems using cases that present confusing and complex signs and symptoms and by doing this in an ongoing threaded discussion with fellow physical therapists. The online format permits them flexibility of scheduling and much more time to engage with each other in discussion than a traditional classroom would provide.

Learning Clinical Reasoning

Jerome P. Kassirer, John B. Wong, Richard I. Kopelman. of presenting this
particular patient was to teach , this criticism deserves serious assessment . In
another instance ( see case 67 ) , we point out the value of teaching clinical
reasoning by ...

Learning Clinical Reasoning

Author: Jerome P. Kassirer

Publisher: LWW

ISBN:

Page: 329

View: 125

Learning Clinical Reasoning uses a case-based approach to teach students the basics of clinical reasoning. The first section explains the chief components of the clinical reasoning process, such as generating and refining diagnostic hypotheses, using and interpreting diagnostic tests, assembling a working diagnosis, therapeutic decision-making, and examining and applying evidence, and also includes a discussion of cognitive errors. The second section contains 69 cases in which clinicians "think out loud" about diagnostic and therapeutic dilemmas, and the authors critique these clinicians' reasoning. This edition has thirty new cases from theNew England Journal of Medicine and other sources and expanded discussions of evidence-based medicine, clinical practice guidelines, and cognitive errors.

Handbook of Clinical Teaching

Targeting the practical needs of clinical teachers who do not have extensive time to undergo additional training, this book provides an accessible, on-the-spot resource to bolster teaching skills and optimize the education of trainees.

Handbook of Clinical Teaching

Author: Somnath Mookherjee

Publisher: Springer

ISBN: 3319331930

Page: 256

View: 841

Targeting the practical needs of clinical teachers who do not have extensive time to undergo additional training, this book provides an accessible, on-the-spot resource to bolster teaching skills and optimize the education of trainees. A massive transformation takes place every summer in the United States: thousands of trainees in graduate medical education are appointed as attending physicians responsible for effectively teaching the next generation of medical students and residents. This handbook includes only the most relevant topics for new clinical teachers, and covers the basics of clinical teaching, teaching in specific situations, teaching different audiences, and best practices for handling challenging situations. The format is conducive to “just in time” learning, perfect for quick reference before meeting with learners or engaging in specific teaching situations, such as in an ambulatory clinic or at the bedside. Key points are emphasized with frequent use of tables and boxed practical content. Applicable to all teaching attendings regardless of specialty, the Handbook of Clinical Teaching is a valuable aid for individuals who wish to improve their teaching, and serves as a practical guide for faculty development in clinical teaching.