跨专业临床推理教育。

IF 2.2 Q2 MEDICINE, GENERAL & INTERNAL Diagnosis Pub Date : 2024-07-05 eCollection Date: 2024-11-01 DOI:10.1515/dx-2024-0059
Thomas Eriksen, Ismaïl Gögenur
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引用次数: 0

摘要

临床推理能力被认为是最重要的能力之一,但却未被纳入大多数医疗保健课程。与病人接触的次数和多样性是培养临床推理能力的决定性因素。真实病人的实际接触被认为是最佳选择,但虚拟病人案例也能促进临床推理。因此,一个高容量、低逼真度的虚拟病人资料库可以在安全的环境中支持临床推理培训,并能满足不同医疗专业学习者的需求。它还可以促进跨专业理解和团队共同决策。传统、教育者能力和经验的缺乏以及医学院和兽医学校高密度的课程设置都将给虚拟病人库的实施带来挑战,因此需要课程管理者和教育领导者明确解决这些问题。
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Interprofessional clinical reasoning education.

Clinical reasoning is considered one of the most important competencies but is not included in most healthcare curricula. The number and diversity of patient encounters are the decisive factors in the development of clinical reasoning competence. Physical real patient encounters are considered optimal, but virtual patient cases also promote clinical reasoning. A high-volume, low-fidelity virtual patient library thus can support clinical reasoning training in a safe environment and can be tailored to the needs of learners from different health care professions. It may also stimulate interprofessional understanding and team shared decisions. Implementation will be challenged by tradition, the lack of educator competence and prior experience as well as the high-density curricula at medical and veterinary schools and will need explicit address from curriculum managers and education leads.

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来源期刊
Diagnosis
Diagnosis MEDICINE, GENERAL & INTERNAL-
CiteScore
7.20
自引率
5.70%
发文量
41
期刊介绍: Diagnosis focuses on how diagnosis can be advanced, how it is taught, and how and why it can fail, leading to diagnostic errors. The journal welcomes both fundamental and applied works, improvement initiatives, opinions, and debates to encourage new thinking on improving this critical aspect of healthcare quality.  Topics: -Factors that promote diagnostic quality and safety -Clinical reasoning -Diagnostic errors in medicine -The factors that contribute to diagnostic error: human factors, cognitive issues, and system-related breakdowns -Improving the value of diagnosis – eliminating waste and unnecessary testing -How culture and removing blame promote awareness of diagnostic errors -Training and education related to clinical reasoning and diagnostic skills -Advances in laboratory testing and imaging that improve diagnostic capability -Local, national and international initiatives to reduce diagnostic error
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