COMSEP Meeting in Ottawa, ON
Creating and Implementing a Clinical Reasoning Workshop for the Third-Year Pediatric Clerkship
Kavitha Selvaraj,Northwestern Feinberg School of Medicine,Chicago,Illinois,Julie Stamos,Northwestern University Feinberg School of Medicine,Chicago,IL
Background: Clinical decision-making and reasoning are requisite skills for physicians and fundamental goals of the third-year medical school clerkship rotations. We developed a novel didactic-interactive clinical reasoning curriculum for third-year medical students rotating in Pediatrics to provide a standardized and uniform clinical reasoning experience.
(1) Create a mixed didactic-interactive clinical reasoning workshop for third-year medical students rotating in Pediatrics.
(2) Determine medical student perceptions on the novelty and usefulness of this workshop based on anonymous student evaluations.
Methods: The study population is third-year students at NUFSM rotating through their Pediatric clerkship (approximately 22 students per six-week block) at Lurie Children’s Hospital of Chicago. The clinical reasoning curriculum consisted of a two-hour didactic-interactive workshop and includes an interactive case with discussion focused on diagnosis and management, a didactic session related to clinical reasoning, and an anonymous evaluation with Likert-scale items and free response questions. Free response questions were analyzed for themes of interactive structure, novelty, and usefulness. We implemented a pilot study of this curriculum in July 2015.
Results: To date, we have done four workshops for a total of 33 students, and our initial results are encouraging. 39% reported never having clinical decision making cases before this workshop. 97% of students somewhat agreed or strongly agreed that the session was valuable. 91% of students somewhat agreed or strongly agreed that the session was engaging. 100% of students somewhat agreed or strongly agreed that the session was well-presented. 85% of students somewhat agreed or strongly agreed that the session was novel.
Discussion: Overall, students found the workshop to be valuable, engaging, well-presented, and novel. We will re-assess the curriculum based on these piloting results per student feedback. Possible future study ideas include creating workshop pre-test and post-test and adapting the curriculum to online modules.