Purpose: The main objective was the development and collection of preliminary data on the application of a new integrated clinical reasoning model (Anadysis) with patients suffering a stroke or Transient Ischemic Attack (TIA).
Method: Twelve healthcare professionals working in the neurological and the Accident and Emergency (A&E) units of an acute general hospital participated and experimental control was achieved by employing a pre-test post-test control group experimental design. Members of the control group used the current reasoning model of their discipline whereas the new integrated model was used by the members of the experimental group irrespective of their professions. Outcomes were measured by scoring on a protocol derived from the UK National Clinical Guidelines for Stroke divided into the three main clinical reasoning processes.
Results: Collectively, data from 186 protocols based on the medical records of 49 patients showed that median percentages of correct responses in clinical reasoning were substantially higher for the experimental group by using the new integrated model.
Conclusions: This study will inform the healthcare professionals about a new effective integrated clinical reasoning model which incorporates the complex processes of diagnosis, planning and treatment as a whole. This study may also become an important consideration in the further development of clinical decision support systems within the scientific area of health informatics.
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http://dx.doi.org/10.1080/09638280600948318 | DOI Listing |
Purpose: Both clinical knowledge and patient care ownership (PCO) are crucial to the provision of quality patient care and should be acquired during training. However, the association between these two concepts is under-examined. Here, we conducted a nationwide cross-sectional study to investigate the association between clinical knowledge and PCO among resident physicians in Japan.
View Article and Find Full Text PDFBMC Med Educ
January 2025
HAN University of Applied Sciences, Academy Allied Health Sciences, Nijmegen, The Netherlands.
Background: Educational innovation in health professional education is needed to keep up with rapidly changing healthcare systems and societal needs. This study evaluates the implementation of PACE, an innovative curriculum designed by the physiotherapy department of the HAN University of Applied Sciences in The Netherlands. The PACE concept features an integrated approach to learning and assessment based on pre-set learning outcomes, personalized learning goals, flexible learning routes, and programmatic assessment.
View Article and Find Full Text PDFBMJ Mil Health
January 2025
Academic Department of Military Rehabilitation (ADMR), Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, Loughborough, UK.
Achilles and patellar tendinopathy are common in military personnel due to the repetitive high loads and challenging extrinsic risk factors associated with the demands of their role. Sports medicine is rapidly evolving. Up-to-date evidence-based research is essential, alongside clinical reasoning, to deliver best-practice treatment to service personnel, underpinned by the duty of care to their long-term career.
View Article and Find Full Text PDFJMIR Med Educ
January 2025
Department of Orthopedics, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Background: Teaching severe pelvic trauma poses a significant challenge in orthopedic surgery education due to the necessity of both clinical reasoning and procedural operational skills for mastery. Traditional methods of instruction, including theoretical teaching and mannequin practice, face limitations due to the complexity, the unpredictability of treatment scenarios, the scarcity of typical cases, and the abstract nature of traditional teaching, all of which impede students' knowledge acquisition.
Objective: This study aims to introduce a novel experimental teaching methodology for severe pelvic trauma, integrating virtual reality (VR) technology as a potent adjunct to existing teaching practices.
Introduction: Professional identity is one of the frequently used and least clearly defined terms in healthcare education. Its simplest definition includes feeling, thinking, and acting like a representative of a given professional group. Many other aspects of professional identity exist.
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