The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration

Introduction Cognitive integration is required to perform clinical decision-making tasks, even in the preclinical curriculum of medical school. Simulation supports students' cognitive integration by providing practical application of basic science knowledge in a relevant clinical context. To ad...

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Autores principales:	Donna M. Williams, Joel T. Bruggen, David E. Manthey, Sharon S. Korczyk, Jennifer M. Jackson
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Simulation Physical Exam Abdominal Pain Standardized Patient Hypothesis-Driven Data Gathering Differential Diagnosis Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/9f91c67646db45b4950869a4da561132
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spelling	oai:doaj.org-article:9f91c67646db45b4950869a4da5611322021-11-19T14:09:02ZThe GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration10.15766/mep_2374-8265.109262374-8265https://doaj.org/article/9f91c67646db45b4950869a4da5611322020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10926https://doaj.org/toc/2374-8265Introduction Cognitive integration is required to perform clinical decision-making tasks, even in the preclinical curriculum of medical school. Simulation supports students' cognitive integration by providing practical application of basic science knowledge in a relevant clinical context. To address the need for integrative activities in our curriculum, we implemented a simulated clinic exercise with cases representing gastrointestinal diseases for first-year medical students. Methods Basic science and clinical skills course directors collaborated to design this simulated clinic event, during which student small groups rotated through a series of standardized patient encounters. During each encounter, one student performed the history and physical exam, following which the small group collaboratively developed a prioritized differential diagnosis. Afterwards, the gastroenterology course director debriefed students to highlight key learning points. We collected learner evaluation data following the event. Results Two hundred eighty first-year medical students participated in the simulated clinic in 2018 and 2019. Students rated these events as effective for learning about clinical features of the diseases presented and for reinforcing skills learned in the clinical skills course. Students agreed that the small-group format, pace, and duration were appropriate and that the problem-solving aspect was intellectually stimulating. The most effective aspects were opportunities to solidify illness scripts, apply knowledge to solve a problem, and encounter diseases in a realistic clinical context. Discussion This simulated clinic model effectively supported preclinical students' basic and clinical science integration to complete diagnostic reasoning tasks for gastrointestinal gastrointestinal conditions and was evaluated favorably by learners.Donna M. WilliamsJoel T. BruggenDavid E. MantheySharon S. KorczykJennifer M. JacksonAssociation of American Medical CollegesarticleSimulationPhysical ExamAbdominal PainStandardized PatientHypothesis-Driven Data GatheringDifferential DiagnosisMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Physical Exam Abdominal Pain Standardized Patient Hypothesis-Driven Data Gathering Differential Diagnosis Medicine (General) R5-920 Education L
spellingShingle	Simulation Physical Exam Abdominal Pain Standardized Patient Hypothesis-Driven Data Gathering Differential Diagnosis Medicine (General) R5-920 Education L Donna M. Williams Joel T. Bruggen David E. Manthey Sharon S. Korczyk Jennifer M. Jackson The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration
description	Introduction Cognitive integration is required to perform clinical decision-making tasks, even in the preclinical curriculum of medical school. Simulation supports students' cognitive integration by providing practical application of basic science knowledge in a relevant clinical context. To address the need for integrative activities in our curriculum, we implemented a simulated clinic exercise with cases representing gastrointestinal diseases for first-year medical students. Methods Basic science and clinical skills course directors collaborated to design this simulated clinic event, during which student small groups rotated through a series of standardized patient encounters. During each encounter, one student performed the history and physical exam, following which the small group collaboratively developed a prioritized differential diagnosis. Afterwards, the gastroenterology course director debriefed students to highlight key learning points. We collected learner evaluation data following the event. Results Two hundred eighty first-year medical students participated in the simulated clinic in 2018 and 2019. Students rated these events as effective for learning about clinical features of the diseases presented and for reinforcing skills learned in the clinical skills course. Students agreed that the small-group format, pace, and duration were appropriate and that the problem-solving aspect was intellectually stimulating. The most effective aspects were opportunities to solidify illness scripts, apply knowledge to solve a problem, and encounter diseases in a realistic clinical context. Discussion This simulated clinic model effectively supported preclinical students' basic and clinical science integration to complete diagnostic reasoning tasks for gastrointestinal gastrointestinal conditions and was evaluated favorably by learners.
format	article
author	Donna M. Williams Joel T. Bruggen David E. Manthey Sharon S. Korczyk Jennifer M. Jackson
author_facet	Donna M. Williams Joel T. Bruggen David E. Manthey Sharon S. Korczyk Jennifer M. Jackson
author_sort	Donna M. Williams
title	The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration
title_short	The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration
title_full	The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration
title_fullStr	The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration
title_full_unstemmed	The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration
title_sort	gi simulated clinic: a clinical reasoning exercise supporting medical students' basic and clinical science integration
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/9f91c67646db45b4950869a4da561132
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The GI Simulated Clinic: A Clinical Reasoning Exercise Supporting Medical Students' Basic and Clinical Science Integration

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