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Type: Journal article
Title: What are they thinking? Facilitating clinical reasoning through longitudinal patient exposure in rural practice
Author: Campbell, D.
Walters, L.
Couper, I.
Greacen, J.
Citation: Rural and Remote Health, 2017; 17(4):4162-1-4162-7
Publisher: James Cook University
Issue Date: 2017
ISSN: 1445-6354
Statement of
David Campbell, Lucie Walters, Ian Couper, Jane Greacen
Abstract: Introduction: This article reports the findings from an international research workshop, held over 2 days in October 2014 in Bairnsdale, Australia, which brought together 19 clinician teachers and medical educators who work in rural primary care. The objectives of the workshop were to clarify and identify the key aspects of the development of clinical reasoning in students and junior doctors, particularly as a result of longitudinal immersion in rural community practice. Methods: Delegates were asked to prepare a 55-word vignette related to their experience of teaching clinical reasoning, and these case studies formed the basis of identification of key issues, further refined via a modified Delphi process. Results: The workshop identified four key themes: the patient’s story, the learner’s reasoning, the context of learning, and the role of the supervisor. Exposure to undifferentiated patient presentations is increasingly common in medical education, particularly in longitudinal integrated placements. Conclusions: This research explored clinicians’ perspectives of how students develop their clinical reasoning: by learning from patients, from their supervisors and by understanding the context of their clinical interactions.
Keywords: Australia
clinical reasoning
community-based medical education
diagnostic reasoning
longitudinal integrated clerkships
medical student learning rural practice
undifferentiated clinical presentations
Description: PUBLISHED 18 December 2017
Rights: © David Campbell, Lucie Walters, Ian Couper, Jane Greacen 2017 A licence to publish this material has been given to James Cook University,
DOI: 10.22605/RRH4162
Appears in Collections:Aurora harvest 4
Rural Clinical School publications

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