Skill Session on Writing Patient Assessments for Pediatric Clerkship Students.
MedEdPORTAL
; 16: 11029, 2020 11 09.
Article
en En
| MEDLINE
| ID: mdl-33204844
ABSTRACT
Introduction:
Formulating written patient assessments requires the student to synthesize subjective and objective information and use clinical reasoning to reach a diagnosis. Medical students lack this skill, and clinical experience is not enough to acquire it. This session provides a structured process for learning how to formulate a patient assessment.Methods:
Third-year medical students participated in a large-group interactive skill session at the beginning of their pediatrics clerkship. Instructors following a scripted model walked students through practice examples to ultimately formulate a complete written patient assessment. The session covered data synthesis, use of appropriate medical terminology, and differential diagnosis development. Students used an audience response system to practice these skills.Results:
Over 1 academic year, 250 medical students participated in six sessions, with an average of 40-50 attendees per session. Over 90% of students completed pre- and postsession written patient assessments. These assessments were evaluated using portions of the Pediatric History and Physical Exam Evaluation grading rubric. The session had a positive effect on patient assessment formulation skills, with a significant increase in scores after the session.Discussion:
The session improved students' skill in generating more complete written patient assessments. Almost all students found the session valuable regardless of prior clinical experience. Nearly 50% of students felt inadequately prepared to formulate a written patient assessment prior to the session, revealing a skills gap for learners and a curricular teaching gap. This skill session provided a structured method and active learning format for teaching this essential clinical skill.Palabras clave
Texto completo:
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Base de datos:
MEDLINE
Asunto principal:
Pediatría
/
Estudiantes de Medicina
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Idioma:
En
Revista:
MedEdPORTAL
Año:
2020
Tipo del documento:
Article