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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Moghadami, Mana Amini, Mitra Moghadami, Mohsen Dalal, Bhavin Charlin, Bernard |
| Abstract | Background The illness script method employs a theoretical outline (e.g., epidemiology, pathophysiology, signs and symptoms, diagnostic tests, interventions) to clarify how clinicians organized medical knowledge for clinical reasoning in the diagnosis domain. We hypothesized that an educational intervention based on the illness script method would improve medical students’ clinical reasoning skills in the diagnosis domain. Methods This study is a randomized controlled trial involving 100 fourth-year medical students in Shiraz Medical School, Iran. Fifty students were randomized to the intervention group, who were taught clinical reasoning skills based on the illness script method for three diseases during one clinical scenario. Another 50 students were randomized to the control group, who were taught the clinical presentation based on signs and symptoms of the same three diseases as the intervention group. The outcomes of interest were learner satisfaction with the intervention and posttest scores on both an internally developed knowledge test and a Script Concordance Test (SCT). Results Of the hundred participating fourth-year medical students, 47 (47%) were male, and 53 (53%) were female. On the knowledge test, there was no difference in pretest scores between the intervention and control group, which suggested a similar baseline knowledge in both groups; however, posttest scores in the intervention group were (15.74 ± 2.47 out of 20) statistically significantly higher than the control group (14.38 ± 2.59 out of 20, P = 0.009). On the SCT, the mean score for the intervention group (6.12 ± 1.95 out of 10) was significantly higher than the control group (4.54 ± 1.56 out of 10; P = 0.0001). Learner satisfaction data indicated that the intervention was well-received by students. Conclusion Teaching with the illness script method was an effective way to improve students’ clinical reasoning skills in the diagnosis domain suggested by posttest and SCT scores for specific clinical scenarios. Whether this approach translates to improved generalized clinical reasoning skills in real clinical settings merits further study. |
| Related Links | https://bmcmededuc.biomedcentral.com/counter/pdf/10.1186/s12909-021-02522-0.pdf |
| Ending Page | 7 |
| Page Count | 7 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14726920 |
| DOI | 10.1186/s12909-021-02522-0 |
| Journal | BMC Medical Education |
| Issue Number | 1 |
| Volume Number | 21 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2021-02-02 |
| Access Restriction | Open |
| Subject Keyword | Medical Education Theory of Medicine Bioethics Students Medical Education Clinical reasoning Script concordance test Illness script Theory of Medicine/Bioethics |
| Content Type | Text |
| Resource Type | Article |
| Subject | Education Medicine |
| Journal Impact Factor | 2.7/2023 |
| 5-Year Journal Impact Factor | 3.4/2023 |
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