Teaching and Assessment of Clinical Reasoning Skills in a Case-Based Veterinary Cardiology Elective.

IF 1.1 3区 农林科学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Journal of veterinary medical education Pub Date : 2024-08-22 DOI:10.3138/jvme-2024-0017
Corynn D Klehm, Aliye Karabulut-Ilgu, Melissa A Tropf
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Abstract

Clinical reasoning (CR) is an important clinical competency for effective veterinary practice. We hypothesized that implementing an explicit 7-week CR curriculum taught in a large-enrollment elective veterinary cardiology course would improve students' awareness of clinical reasoning principles, self-efficacy of CR skills, and application of CR principles in clinical case analyses. A secondary aim was to assess the impact of peer review as a means of providing feedback in a large classroom setting. A mixed method approach was used with veterinary students (N = 78) in a cardiology elective course meeting twice weekly for a half-semester (7 weeks). Course content included a 1-week introduction to CR led by the instructor and 6 weeks of instructor-facilitated, case-based learning. Quantitative and qualitative data were collected, including pre- and post-course surveys, weekly peer reviews for six clinical case assignments, and instructor-graded clinical cases for three case assignments. Students reported improved self-efficacy across all CR skill categories (p < .001) and significant improvement in applied CR skills was demonstrated in both peer- (p < .001) and instructor-graded assignments (p < .001). Peer reviews provided a means for students to reflect on and internalize CR skills, which may play a role in improved self-efficacy. In an elective cardiology course, implementing an explicit CR curriculum resulted in improved student awareness and self-efficacy of CR, as well as improved applied CR skills.

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在基于病例的兽医心脏病学选修课中教授和评估临床推理技能。
临床推理(CR)是兽医有效实践的一项重要临床能力。我们的假设是,在大量招生的兽医心脏病学选修课程中实施为期7周的明确临床推理课程,将提高学生对临床推理原则的认识、临床推理技能的自我效能以及在临床病例分析中对临床推理原则的应用。另一个目的是评估同行评议作为一种在大课堂环境中提供反馈的手段所产生的影响。在为期半个学期(7 周)、每周两次的心脏病学选修课上,兽医专业学生(N = 78)采用了混合方法。课程内容包括由教师主持的为期 1 周的 CR 介绍和为期 6 周的由教师主持的基于病例的学习。收集的定量和定性数据包括课前和课后调查、每周对 6 个临床案例作业的同行评议,以及教师对 3 个案例作业的临床案例评分。学生在所有临床实践技能类别中的自我效能感均有所提高(p < .001),在同行评议(p < .001)和教师评分(p < .001)的作业中,学生的临床实践应用技能均有显著提高。同行评议为学生提供了一种反思和内化 CR 技能的途径,这可能会在提高自我效能感方面发挥作用。在心脏病学选修课程中,实施明确的 CR 课程提高了学生对 CR 的认识和自我效能感,并提高了 CR 的应用技能。
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来源期刊
CiteScore
2.20
自引率
30.00%
发文量
113
审稿时长
>36 weeks
期刊介绍: The Journal of Veterinary Medical Education (JVME) is the peer-reviewed scholarly journal of the Association of American Veterinary Medical Colleges (AAVMC). As an internationally distributed journal, JVME provides a forum for the exchange of ideas, research, and discoveries about veterinary medical education. This exchange benefits veterinary faculty, students, and the veterinary profession as a whole by preparing veterinarians to better perform their professional activities and to meet the needs of society. The journal’s areas of focus include best practices and educational methods in veterinary education; recruitment, training, and mentoring of students at all levels of education, including undergraduate, graduate, veterinary technology, and continuing education; clinical instruction and assessment; institutional policy; and other challenges and issues faced by veterinary educators domestically and internationally. Veterinary faculty of all countries are encouraged to participate as contributors, reviewers, and institutional representatives.
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