Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 洪秀治教授 (麻醉及深切治疗学系) |
| 马青云教授 (内科及药物治疗学系) |
| Professor VLANTIS Alexander Chris (耳鼻咽喉-头颈外科学系) |
| 何名熙教授 (麻醉及深切治疗学系) |
| 李?达先生 (心理学系) |
| Professor Gavin Matthew JOYNT (麻醉及深切治疗学系) |
| 李焕坤教授 (麻醉及深切治疗学系) |
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引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/9WOS source URL
其它资讯
摘要Background and Objectives: Most medical students learn clinical reasoning skills informally during clinical rotations that have varying quality of supervision. We conducted a randomized controlled trial to determine if a workshop that uses "illness scripts" could improve students' clinical reasoning skills when making diagnoses of patients portrayed in written scenarios. Methods: In 2007-2008, 53 fourth-year medical students were randomly assigned to either a family medicine (intervention) or psychiatry (control) clerkship at The Chinese University of Hong Kong. Students in the intervention group participated in a 3-hour workshop on clinical reasoning that used illness scripts. The workshop was conducted with small-group teaching using a Web-based set of clinical reasoning problems, individualized feedback, and demonstration of tutors' reasoning aloud. The effectiveness of the intervention was assessed using the Diagnostic Thinking inventory (DTI) and the measurement of individual students' performance in solving clinical reasoning problems (CRP). Results: The post-intervention overall DTI scores between groups were similar (mean difference 0, http://aims.cuhk.edu.hk/converis/portal/Publication/95% confidence interval [CI] = -7.4 to 74). However, the total scores on the CRP assessment were 14% (http://aims.cuhk.edu.hk/converis/portal/Publication/95% CI=8% to 21%) higher in the intervention group than in controls. Conclusion: A workshop on illness scripts may have some benefit for improving diagnostic performance in clinical reasoning problems.
着者Lee A, Joynt GM, Lee AK, Ho AM, Groves M, Vlantis AC, Ma RC, Fung CS, Aun CS
会议名称Meeting of the Chinese-University-of-Hong-Kong-Faculty-of-Medicine Curriculum
会议开始日01.0http://aims.cuhk.edu.hk/converis/portal/Publication/9.2008
会议地点Hong Kong
期刊名称Family Medicine
出版年份2010
月份4
日期1
卷号42
期次4
出版社STFM
页次255 - 261
国际标準期刊号0742-3225
语言英式英语
Web of Science 学科类别General & Internal Medicine; Medicine, General & Internal; MEDICINE, GENERAL & INTERNAL; Primary Health Care; PRIMARY HEALTH CARE
