通过案例帮助兽医学员学习临床推理。

IF 2 2区 农林科学 Q2 VETERINARY SCIENCES Veterinary Sciences Pub Date : 2024-09-13 DOI:10.3390/vetsci11090433
Gustavo Ferlini Agne, Amanda Mandi Nicole Carr, Roy Neville Kirkwood, Kiro Risto Petrovski
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引用次数: 0

摘要

有效的临床推理对兽医医学教育至关重要,尤其是在处理复杂病例时。本综述探讨了兽医学习者学习临床推理的策略,并以乳腺炎为例说明了关键概念。临床推理包括认知、元认知、社会和情境活动,但兽医教育中实际应用的文献仍然有限。综述讨论了临床推理的各个阶段,包括数据收集、问题表征、鉴别诊断和管理规划。它强调了将以客户为中心的护理和迭代评估融入临床决策过程的重要性。主要的学习策略包括促进使用临床推理的各个领域--概念、数据收集和分析、采取行动以及对遭遇进行反思。本综述重点介绍了前向和后向推理、反思性实践和使用实际案例等最佳实践,以提高学习者的诊断准确性和患者的治疗效果。所提供的见解旨在加强对兽医学员的培训,确保他们能够驾驭第一天以及复杂的病例,提高诊断准确性和患者疗效。
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Assisting the Learning of Clinical Reasoning by Veterinary Medical Learners with a Case Example.

Effective clinical reasoning is essential for veterinary medical education, particularly in managing complex cases. This review explores strategies for learning clinical reasoning by veterinary medical learners, using a case example of mastitis to illustrate key concepts. Clinical reasoning encompasses cognitive, metacognitive, social, and situational activities, yet the literature on practical applications in veterinary education remains limited. The review discusses various stages of clinical reasoning, including data collection, problem representation, differential diagnosis, and management planning. It emphasizes the importance of integrating client-centered care and iterative evaluation into the clinical decision-making process. Key learning strategies include facilitation in using the domains of clinical reasoning-concepts, data collection, and analysis, taking action, and reflection on encounters. This review highlights best practices such as forward and backward reasoning, reflective practice, and the use of practical examples to enhance learners' diagnostic accuracy and patient outcomes. The insights provided aim to enhance the training of veterinary learners, ensuring they can navigate day 1 as well as complex cases with improved diagnostic accuracy and patient outcomes.

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来源期刊
Veterinary Sciences
Veterinary Sciences VETERINARY SCIENCES-
CiteScore
2.90
自引率
8.30%
发文量
612
审稿时长
6 weeks
期刊介绍: Veterinary Sciences is an international and interdisciplinary scholarly open access journal. It publishes original that are relevant to any field of veterinary sciences, including prevention, diagnosis and treatment of disease, disorder and injury in animals. This journal covers almost all topics related to animal health and veterinary medicine. Research fields of interest include but are not limited to: anaesthesiology anatomy bacteriology biochemistry cardiology dentistry dermatology embryology endocrinology epidemiology genetics histology immunology microbiology molecular biology mycology neurobiology oncology ophthalmology parasitology pathology pharmacology physiology radiology surgery theriogenology toxicology virology.
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