Clinical Reasoning Needs to Be Explicitly Addressed in Health Professions Curricula: Recommendations from a European Consortium

Clinical reasoning entails the application of knowledge and skills to collect and integrate information, typically with the goal of arriving at a diagnosis and management plan based on the patient’s unique circumstances and preferences. Evidence-informed, structured, and explicit teaching and assess...

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Autores principales: Ioannis Parodis, Lina Andersson, Steven J. Durning, Inga Hege, Jure Knez, Andrzej A. Kononowicz, Marie Lidskog, Tadej Petreski, Magdalena Szopa, Samuel Edelbring
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spelling oai:doaj.org-article:3531a565938c4f4e927568de19f013492021-11-11T16:21:05ZClinical Reasoning Needs to Be Explicitly Addressed in Health Professions Curricula: Recommendations from a European Consortium10.3390/ijerph1821112021660-46011661-7827https://doaj.org/article/3531a565938c4f4e927568de19f013492021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11202https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Clinical reasoning entails the application of knowledge and skills to collect and integrate information, typically with the goal of arriving at a diagnosis and management plan based on the patient’s unique circumstances and preferences. Evidence-informed, structured, and explicit teaching and assessment of clinical reasoning in educational programs of medical and other health professions remain unmet needs. We herein summarize recommendations for clinical reasoning learning objectives (LOs), as derived from a consensus approach among European and US researchers and health professions educators. A four-step consensus approach was followed: (1) identification of a convenience sample of the most relevant and applied national LO catalogues for health professions educational programs (N = 9) from European and US countries, (2) extraction of LOs related to clinical reasoning and translation into English, (3) mapping of LOs into predefined categories developed within the Erasmus+ Developing, implementing, and disseminating an adaptive clinical reasoning curriculum for healthcare students and educators (DID-ACT) consortium, and (4) synthesis of analysis findings into recommendations for how LOs related to clinical reasoning could be presented and incorporated in LO catalogues, upon consensus. Three distinct recommendations were formulated: (1) make clinical reasoning explicit, (2) emphasize interprofessional and collaboration aspects of clinical reasoning, and (3) include aspects of teaching and assessment of clinical reasoning. In addition, the consortium understood that implementation of bilingual catalogues with English as a common language might contribute to lower heterogeneity regarding amount, structure, and level of granularity of clinical reasoning LOs across countries. These recommendations will hopefully motivate and guide initiatives towards the implementation of LOs related to clinical reasoning in existing and future LO catalogues.Ioannis ParodisLina AnderssonSteven J. DurningInga HegeJure KnezAndrzej A. KononowiczMarie LidskogTadej PetreskiMagdalena SzopaSamuel EdelbringMDPI AGarticleclinical reasoningcurriculum developmentcurriculum mappinghealth professions educationmedical educationMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11202, p 11202 (2021)
institution DOAJ
collection DOAJ
language EN
topic clinical reasoning
curriculum development
curriculum mapping
health professions education
medical education
Medicine
R
spellingShingle clinical reasoning
curriculum development
curriculum mapping
health professions education
medical education
Medicine
R
Ioannis Parodis
Lina Andersson
Steven J. Durning
Inga Hege
Jure Knez
Andrzej A. Kononowicz
Marie Lidskog
Tadej Petreski
Magdalena Szopa
Samuel Edelbring
Clinical Reasoning Needs to Be Explicitly Addressed in Health Professions Curricula: Recommendations from a European Consortium
description Clinical reasoning entails the application of knowledge and skills to collect and integrate information, typically with the goal of arriving at a diagnosis and management plan based on the patient’s unique circumstances and preferences. Evidence-informed, structured, and explicit teaching and assessment of clinical reasoning in educational programs of medical and other health professions remain unmet needs. We herein summarize recommendations for clinical reasoning learning objectives (LOs), as derived from a consensus approach among European and US researchers and health professions educators. A four-step consensus approach was followed: (1) identification of a convenience sample of the most relevant and applied national LO catalogues for health professions educational programs (N = 9) from European and US countries, (2) extraction of LOs related to clinical reasoning and translation into English, (3) mapping of LOs into predefined categories developed within the Erasmus+ Developing, implementing, and disseminating an adaptive clinical reasoning curriculum for healthcare students and educators (DID-ACT) consortium, and (4) synthesis of analysis findings into recommendations for how LOs related to clinical reasoning could be presented and incorporated in LO catalogues, upon consensus. Three distinct recommendations were formulated: (1) make clinical reasoning explicit, (2) emphasize interprofessional and collaboration aspects of clinical reasoning, and (3) include aspects of teaching and assessment of clinical reasoning. In addition, the consortium understood that implementation of bilingual catalogues with English as a common language might contribute to lower heterogeneity regarding amount, structure, and level of granularity of clinical reasoning LOs across countries. These recommendations will hopefully motivate and guide initiatives towards the implementation of LOs related to clinical reasoning in existing and future LO catalogues.
format article
author Ioannis Parodis
Lina Andersson
Steven J. Durning
Inga Hege
Jure Knez
Andrzej A. Kononowicz
Marie Lidskog
Tadej Petreski
Magdalena Szopa
Samuel Edelbring
author_facet Ioannis Parodis
Lina Andersson
Steven J. Durning
Inga Hege
Jure Knez
Andrzej A. Kononowicz
Marie Lidskog
Tadej Petreski
Magdalena Szopa
Samuel Edelbring
author_sort Ioannis Parodis
title Clinical Reasoning Needs to Be Explicitly Addressed in Health Professions Curricula: Recommendations from a European Consortium
title_short Clinical Reasoning Needs to Be Explicitly Addressed in Health Professions Curricula: Recommendations from a European Consortium
title_full Clinical Reasoning Needs to Be Explicitly Addressed in Health Professions Curricula: Recommendations from a European Consortium
title_fullStr Clinical Reasoning Needs to Be Explicitly Addressed in Health Professions Curricula: Recommendations from a European Consortium
title_full_unstemmed Clinical Reasoning Needs to Be Explicitly Addressed in Health Professions Curricula: Recommendations from a European Consortium
title_sort clinical reasoning needs to be explicitly addressed in health professions curricula: recommendations from a european consortium
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/3531a565938c4f4e927568de19f01349
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