Instrumento para el desarrollo del razonamiento clínico

Background: Teaching clinical reasoning is a challenge in medical education. Aim: To design a clinical reasoning assessment instrument. Material and Methods: Structured interviews were carried out to six physicians with at least five years experience. The Grounded Theory method was used to determ...

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Autores principales:	Silva,Verónica, Mccoll,Peter, Pérez,Carolina, Searle,Mariana, Goset,Jessica
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Clinical Decision-Making Education, Medical
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001201466
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spelling	oai:scielo:S0034-988720180012014662019-02-18Instrumento para el desarrollo del razonamiento clínicoSilva,VerónicaMccoll,PeterPérez,CarolinaSearle,MarianaGoset,Jessica Clinical Decision-Making Education, Medical Background: Teaching clinical reasoning is a challenge in medical education. Aim: To design a clinical reasoning assessment instrument. Material and Methods: Structured interviews were carried out to six physicians with at least five years experience. The Grounded Theory method was used to determine the relevant categories of the clinical reasoning process and the modified Delphi expert judgment method to validate the categories, the definition of observable behaviors and the format of the instrument. Results: The relevant reasoning categories were the reason for consultation, medical history, physical examination, additional tests, diagnosis, therapeutic options and reasoning reassessment capacity. Expert judgment assessed at a level of “strongly agree” and “agree” the sufficiency, clarity and pertinence of all categories, related observable behaviors and instrument format. The internal Kappa consistency yielded an index of 0.92. Conclusions: The resulting instrument was constructed with the following axes derived from the main categories and subcategories: reason for consultation, history, physical examination, additional tests, diagnosis, therapeutic options and reassessment capacity.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.12 20182018-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001201466es10.4067/s0034-98872018001201466
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Clinical Decision-Making Education, Medical
spellingShingle	Clinical Decision-Making Education, Medical Silva,Verónica Mccoll,Peter Pérez,Carolina Searle,Mariana Goset,Jessica Instrumento para el desarrollo del razonamiento clínico
description	Background: Teaching clinical reasoning is a challenge in medical education. Aim: To design a clinical reasoning assessment instrument. Material and Methods: Structured interviews were carried out to six physicians with at least five years experience. The Grounded Theory method was used to determine the relevant categories of the clinical reasoning process and the modified Delphi expert judgment method to validate the categories, the definition of observable behaviors and the format of the instrument. Results: The relevant reasoning categories were the reason for consultation, medical history, physical examination, additional tests, diagnosis, therapeutic options and reasoning reassessment capacity. Expert judgment assessed at a level of “strongly agree” and “agree” the sufficiency, clarity and pertinence of all categories, related observable behaviors and instrument format. The internal Kappa consistency yielded an index of 0.92. Conclusions: The resulting instrument was constructed with the following axes derived from the main categories and subcategories: reason for consultation, history, physical examination, additional tests, diagnosis, therapeutic options and reassessment capacity.
author	Silva,Verónica Mccoll,Peter Pérez,Carolina Searle,Mariana Goset,Jessica
author_facet	Silva,Verónica Mccoll,Peter Pérez,Carolina Searle,Mariana Goset,Jessica
author_sort	Silva,Verónica
title	Instrumento para el desarrollo del razonamiento clínico
title_short	Instrumento para el desarrollo del razonamiento clínico
title_full	Instrumento para el desarrollo del razonamiento clínico
title_fullStr	Instrumento para el desarrollo del razonamiento clínico
title_full_unstemmed	Instrumento para el desarrollo del razonamiento clínico
title_sort	instrumento para el desarrollo del razonamiento clínico
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001201466
work_keys_str_mv	AT silvaveronica instrumentoparaeldesarrollodelrazonamientoclinico AT mccollpeter instrumentoparaeldesarrollodelrazonamientoclinico AT perezcarolina instrumentoparaeldesarrollodelrazonamientoclinico AT searlemariana instrumentoparaeldesarrollodelrazonamientoclinico AT gosetjessica instrumentoparaeldesarrollodelrazonamientoclinico
_version_	1718437039268954112

Instrumento para el desarrollo del razonamiento clínico

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