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ppt课件-teachingandassessingclinicalreasoningthemedical
SR Agenda Introduction and Learning objectives- SR- 5m Types of reasoning processes- WH- 5 Key elements of clinical reasoning process and presentation of case- SR- 5m Data acquisition- RL- 10 min (in triads) Problem representation- RL- 10 min (in triads) Generation of hypotheses- RL- 10 min (in triads) Illness script and diagnosis- SR- 5 min Tips for teachers- SR- 5 min Q and A- all – 5 min Hershman SR Group work orientation RL Small group discussions SR Assessing clinical reasoning tips Make learners articulate problem representation (synthesis / summary statement) Force learners to prioritize differential diagnoses for THIS patient and create illness scripts Vary expectations by developmental level Provide cognitive feedback Encourage reading to promote clinical reasoning Teaching and assessing clinical reasoning “The medical whodunit” Subha Ramani, Warren Hershman, Rob Lowe FDDC seminar Department of Medicine BUSM / BMC Learning objectives Help clinical teachers recognize cognitive principles of clinical reasoning. Develop a varied toolkit to teach clinical reasoning skills to trainees at all levels. Discuss strategies to assess the clinical reasoning skills of multiple levels of learners. Create a safe forum for skills practice. Analytic processes in Clinical Reasoning Non Analytic processes in Clinical Reasoning Combined processes in Clinical Reasoning Step 1: The Patient’s Story A 43-year-old woman is brought to the Emergency Room by her husband at 0200 in the morning because of acute shortness of breath. Patient states: 5 days ago I had a sore throat and sinus congestion. I thought it was getting better but then I started coughing and a few times spit up blood. I felt like I had a fever and was feeling cold and hot. Just not feeling my usual self and unable to do my usual activities. I felt sick to my stomach and threw up once. Last night my chest felt tight for a few minutes, then this eased up a little. I went to sleep but woke up around midnight becau
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